Design and Development of Lateral Tilting Mechanical bed for rural bedridden patients in Thailand
Tissue injury is a complication that causes excessive interface pressure on a bony prominence and usually occurs in immobilized patients, especially the bedridden ones in home-based care. Objective: To investigate the efficacy of a lateral tilting mechanical bed in decreasing interface pressure over bony prominences in bedridden patients who use these beds. Design: Repeated-measures, intervention, and outcomes measure research design. The sample consisted of 40 home-based bedridden people from September 2017 to December 2018. Data from personal information and interface pressure records were analyzed using descriptive statistics, t-test, and Mann–Whitney U test. The lateral tilting mechanical bed was created by a multidisciplinary team to develop a patient bed model that can adjust the head and knee and turn to the left and right using electrical systems. The results showed that the experimental group's interface pressure was significantly lower compared to the control group (p < .01). The findings revealed that this health care innovation improved the quality of care for bedridden people and reduced workloads and the risk of danger for caregivers.
Keywords: Lateral Tilting Mechanical Bed, Home-Based Care, Bedridden, Pressure Injury, Pressure Ulcer
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