Clinical value of curved supine position to prevent pressure ulcer and comfort experience in postoperative fracture patients

Abstract

Objective To explore the effect of curved supine position to prevent pressure ulcer and comfort experience in postoperative fracture patients. Methods A total of one hundred and seventy-eight leg fracture patients who underwent operating in hospital were randomly divided into study group and control group (89 patients in each group). Conventional prevention and nursing method was given in the control group, based on the control group, curved supine position nursing method was carried out in the study group. The incidence of pressure ulcer, main compressed parts, pressure ulcers risk score and comfort degree in two groups were compared during hospitalization. Results The incidence of pressure ulcer in the study group (1.1%,1/89) was significantly lower than in the control group (7.9%,7/89), the difference was statistically significant between two groups (χ2=4.712, P=0.030). The scores of Kolcaba General Comfort Questionnaire (GCQ) in two groups showed a time-dependent manner, the physical, psycho-spiritual, environmental scores in the study were higher than in the control group at 13:00, 17:00 and 20:00. Meanwhile, the scores of socio-cultural were higher than in the control group at 17:00 and 20:00, the difference was statistically significant between two groups (P<0.05). Conclusion Curved supine position canreduce the incidence of pressure ulcer as well as promote comfort experience in postoperative fracture patients. Key words: Curved supine position; Pressure ulcer; Prevention; Comfort experience