探討聚氨酯泡綿敷料墊預防非侵襲性正壓呼吸器造成壓力性損傷的成效

Effectiveness of Polyurethane Foam Dressing Pads in Preventing Pressure Injuries Caused by Non-Invasive Positive Pressure Ventilation

本研究旨在評估各種聚氨酯泡綿敷料墊在預防與非侵襲性正壓呼吸器（NPPV）相關的壓力損傷方面的效果。本研究是在中部地區的一所教學醫院的重症加護病房進行的隨機對照試驗。接受NPPV治療的患者被分為三組：A組（無敷料）、B組（預先切割成型的聚氨酯泡綿敷料墊，帶有薄膜層）、C組（手工切割的聚氨酯泡綿敷料墊，帶有50%的膠黏層）。基線特徵在各組之間相似。雖然基線人口統計學和臨床指標相似，但NPPV後的皮膚外觀存在顯著差異，其P值為0.001。預先切割成型的聚氨酯泡沫敷料，帶有薄膜層的B組在預防壓力損傷方面的效果優於其他組。本研究建議使用帶有薄膜層的預先切割成型的聚氨酯泡綿敷料墊（B組），以預防與NPPV相關的壓力損傷，因其在保持皮膚完整性方面的證實效果。該研究結果表明，這種敷料可以有助於減輕壓力相關併發症。然而，該研究指出，需要進一步的大樣本量研究來驗證這些結果。

The study aimed to evaluate the effectiveness of polyurethane foam dressings in preventing pressure injuries caused by Non-Invasive Positive Pressure Ventilation (NPPV), a commonly used respiratory device that may lead to pressure-related complications and injuries. This randomized controlled trial recruited patients receiving NPPV in the Intensive Care Unit (ICU)of a central region teaching hospital. Participants were divided into three groups: Group A (no dressing), Group B (pre-cut molded polyurethane foam dressing with a thin film layer), and Group C (manually cut polyurethane foam dressing with 50% adhesive layer).
Baseline demographic and clinical indicators did not show significant differences among the three groups. However, there was a significant difference in skin appearance after NPPV, with a p-value of 0.001. Overall, the pre-cut molded polyurethane foam dressing with a thin film layer (Group B) was more effective in preventing pressure injuries compared to the other groups. The use of such dressings is recommended to maintain skin integrity and prevent pressure injuries associated with NPPV. Further studies with a larger sample size are necessary to validate these findings.