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A Comparative Study of 2-Hour Interface Pressure in Different Angles of Laterally Inclined, Supine, and Fowler’s Position

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  • Soo-Yeon Kim

    (Department of Nursing, Daegu Haany University, Gyeongbuk 38610, Korea)

  • Yong-Soon Shin

    (College of Nursing, Hanyang University, Seoul 04763, Korea)

Abstract

Insufficient research exists for position change intervals to eradicate pressure ulcers. We tried to provide evidence for the position change interval by comparing peak pressure, risk area ratio, and the time to reach 30 mmHg and 60 mmHg, and presented this in detail, according to the angle in the three positions. The study conducted RCTs on a total of 64 healthy adults. For two hours, interface pressure measurements were compared with 30° and 90° tilting at the inclined, 0° and 45° head-of-bed (HOB) elevation at the supine, and 30° and 45° HOB elevation at the Fowler’s position. The peak pressure on 30° tilting remained less than 60 mmHg for 2 h, unlike 90° tilting. To reach 60 mmHg took 78.18 min at 30° tilting, within 30 min at the 30° supine, 30° and 45° at the Fowler’s position, and 39.55 min at 0° supine. The pressure difference according to the angles was only significant at 30° and 90° tilting, with no difference in the other groups. To prevent pressure ulcers, position changes are required every 2 h in the 30° tilting position, every 1.5 to 2 h at 0° supine, and at least every 1.5 h for all the other positions.

Suggested Citation

  • Soo-Yeon Kim & Yong-Soon Shin, 2021. "A Comparative Study of 2-Hour Interface Pressure in Different Angles of Laterally Inclined, Supine, and Fowler’s Position," IJERPH, MDPI, vol. 18(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:9992-:d:641050
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    References listed on IDEAS

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    1. Zena Moore & Seamus Cowman & Ronán M Conroy, 2011. "A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(17‐18), pages 2633-2644, September.
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