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KMID : 0378019760190040520
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New Medical Journal
1976 Volume.19 No. 4 p.520 ~ p.526
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A clinical study on the position changes of nursing cares in the comatose patients
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Abstract
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This present study was carried out in the Recovery Room (I. C. U.) at the Chosun University Hospital for 12 months from November 1. 1974 through October 31, 1975 by investigating 40 patients selected from among those who treated on the Neurosurgical Department. They were divided into experimental group (A group) consisting of 20 patients and control group (B group) consisting of 20 patients, respectively. The patients of experimental group were placed under the position changes every 1 hour for the three-quarter-prone position, while those of control group were placed under the position changes every 1 hour for the lateral-supine-lateral position.
Position change is a most important nursing cares to the comatose patients after severe head injuries or craniotomy. A comatose patient should be nursed upon a three-quarter-prone position (Fig. A). In this position, patient may easily be turned from side to side. In the left position, he lies with the left arm behind his back. The left side of his face is in contact with the mattress, while his right chest and arm supported by a pillow which keep him from turning completely prone. This position is maintained by keeping the pelvis lateral, one or both knees being flexed, with the pillow between them. To turn patient to the right position is a simple matter. First, remove the pillow; then place the patient completely prone, turn his face upon the right side, and support the left arm and chest by the pillow; finally draw the legs up to the flexed position on the other side and support the upper leg by the pillow, the right arm remains behind the back. Only one nurse can do this quite conveniently without others assistances.
In the three-quarter-prone position secretion tend to run out from the mouth on to the bed, so never feel anxious about the airway keeping, and bed sores are almost never apt to developed in this position.
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KEYWORD
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FullTexts / Linksout information
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Listed journal information
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