Abstract
The results of a study carried out at the Milan Burn Center are presented. The aim of this investigation was to analyze the efficacy of air-fluidized beds (AFB) in terms of nurse working load and patient comfort. It was found that the time and the physical effort of the staff necessary for dressing changes, mobilization and hygienic procedures appear to be lower when the patient is on an AFB. Furthermore there was considerable time saving in antidecubitus measures and dressing changes (in AFB-treated patients lesions were all managed using the exposure method). The evaluation of comfort suggested that the patients treated on AFBs complain less of pain and discomfort during dressing changes and physical exercises. In conclusion AFBs provide an overall reduction in the nursing work load and a significant increase in patient comfort, however, there are also some disadvantages in the use of these beds, this is discussed.
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References
Anch AM, Shurley JT, Orr WC, Wootan GD (1973) Entrainment of normal sleep rhythms by the air fluidized bed. In: Chase ML, Stern WC, Walter PJ (eds) Sleep research, vol 2. UCLA 1973
Clancy MJ (1993) Nosocomial infection and microsphere beds. Lancet 342:680–681
Dracup K, Marsden C (1990) Critical care nursing: perspectives and challenges. In: Chaska N (ed) The nursing profession: turning points. Mosby, St Louis, pp 304–312
Goodman C (1992) It's time to rethink health care technology assessment. Int J Technol Assess Health Care 8:335–358
Gould FK, Freeman R (1993) Nosocomial infection with microsphere beds. Lancet 342:241–242
Greer DM, Morris EI, Walsh NE, Glenn AM, Keppler J (1988) Costeffectiveness and efficiency of clinitron therapy in the treatment of decubitus ulcers. J Enterostom Ther 15:247–251
Guyatt GH, Sackett D, Adachi J et al. (1988) A clinician's guide for conducting randomized trials in individual patients. Can Med Assoc J 139:497–503
Hulka BS, Kupper LL, Daly MB, CasselJC, Schoen F (1975) Correlates of satisfaction and dissatisfaction with medical care: a community perspective. Med Care 13:648–658
Kanouse DE et al. (1989) Changing medical practice through technology assessment: an evaluation of the NIH Consensus Development Program. Health Administration Press, Ann Arbor
Lucke K, Jarisberg C (1985) How is the air-fluidized bed best used? Am Nurs 85:1338–1340
Moser MM (1986) Randomized clinical trials: alternatives to conventional randomization. Am J Emerg Med 4:276–285
Parish LC, Witkowski JA (1980) Clinitron therapy and the decubitus ulcer: preliminary dermatological studies. Int J Dermatol 19:517–518
Ryan DW (1990) The fluidized bed I: basic principles, bacteriology and wound care. Intensive Care World 7:926
Sema LG (1988) Valutazione dell'impegno assistenziale negli immobilizzati. Bollettino notiziario dell'ordine dei medici di Bologna, 4:121
Vuori H. Patient satisfaction as an indicator of quality of care. Relazione al 3rd International Symposium on Q.A. cit
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Gilardino, P., Zaza, R., Signorini, M. et al. Quality assurance applied to air-fluidized beds. Eur J Plast Surg 19, 18–20 (1996). https://doi.org/10.1007/BF00209785
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DOI: https://doi.org/10.1007/BF00209785