Original Article
The effect of position and mattress on interface pressure

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The aim of this investigation was to determine which positions resulted in the lowest pressures to the skin of persons lying in bed. Pressures were recorded in 10 different lying positions on 2 mattresses in 62 healthy volunteers. The study revealed that the 30° semi-Fowler position and the prone position resulted in the lowest interface pressures. The 30° laterally inclined position had lower pressure readings than the 90° side lying position; 90° side lying position gives the highest pressure readings and thus should be avoided. A Tempur® polyethylene-urcthane mattress reduces interface pressures by 20 to 30

X% in comparison to a standard hospital mattress (12-cm-thick cold foam).

References (27)

  • BradenB.J. et al.

    Innovations to prevent and treat pressure ulcers

    Geriatric Nursing

    (1990)
  • AllmanR.M. et al.

    Pressure ulcer risk factors among hospitalized patients with activity limitation

    J. Am. Med. Assoc.

    (1995)
  • BarnettR.I. et al.

    Measurement of support surface efficacy: Pressure

    Adv. Wound Care

    (1997)
  • BrienzaD.M. et al.

    Mechanical loading and pressure ulcers

  • BurmanP.M.

    Measuring pressure

    J. Wound Care

    (1994)
  • CherryG.W. et al.

    Pathophysiology

  • ColinD. et al.

    Comparison of 90 degrees and 30 degrees laterally inclined positions in the prevention of pressure ulcers using transcutaneous oxygen and carbon dixoide pressures

    Adv. Wound Care

    (1996)
  • DefloorT. et al.

    Decubitus: van oorzaken tot preventie

    Verpleegkundige Probleemgebieden: Diagnose & Interventies

    (1995)
  • European Pressure Ulcer Advisory Panel

    Guidelines on treatment of pressure ulcers

    EPUAP review

    (1999)
  • GarberS.L. et al.

    Trochanteric pressure in spinal cord injury

    Arch. Phys. Med. Rehabil.

    (1982)
  • JeneidP.

    Static and dynamic support systems-pressure differences on the body

  • KosiakM.

    Etiology and pathology of ischemic ulcers

    Arch. Phys. Med. Rehabil.

    (1959)
  • KosiakM.

    Etiology of decubitus ulcers

    Arch. Phys. Med. Rehabil.

    (1961)
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