title: Clinical evaluation of an automated turning bed.
abstract: OBJECTIVE
  The purposes of this study were to assess client comfort and sleep quality, client physiologic response (skin and respiratory status), the effect on the need for caregiver assistance, and cost when using an automated turning bed.
  
  
  METHODS
  Nonexperimental, evaluative study.
  
  
  METHODS
  Twenty-four adult home or long-term care resident subjects who had a degenerative disease, spinal cord injury, stroke, cerebral palsy, or back surgery.
  
  
  METHODS
  Each subject agreed to use the automated turning bed for four weeks. Researchers completed a demographic survey and skin assessment, and assessed each subject for pressure ulcer risk and for the need of assistance of a care giver for turning before and after the four weeks of using the turning bed. Subjects rated the turning bed in terms of comfort and sleep quality.
  
  
  RESULTS
  Subjects rated the turning bed as more comfortable than their own bed and expressed satisfaction at the pain relief attained when on the turning bed. While using the turning bed, there was a significant improvement in sleep quality. No skin breakdown or deterioration in respiratory status occurred. Fewer subjects required the assistance of a caregiver for turning when on the turning bed.
  
  
  CONCLUSIONS
  This automated turning bed shows great promise in meeting a need for patients with limited mobility whether they are homebound or in a residential community.
  
  
  CONCLUSIONS
  Future studies that further investigate use of the turning bed for postoperative back patients while still in the acute care setting are indicated. Replicative studies with a larger sample size are also indicated.
authors.affiliation: College of Nursing, University of North Dakota, Grand Forks, USA.
authors.forename: H I
authors.initials: HI
authors.lastname: Melland
authors.forename: D
authors.initials: D
authors.lastname: Langemo
authors.forename: D
authors.initials: D
authors.lastname: Hanson
authors.forename: B
authors.initials: B
authors.lastname: Olson
authors.forename: S
authors.initials: S
authors.lastname: Hunter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001510:Bed Rest / Q000009:adverse effects / Q000451:nursing / Q000523:psychology; D001513:Beds; D005260:Female; D005500:Follow-Up Studies; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive / Q000191:economics / Q000295:instrumentation* / Q000523:psychology; D017060:Patient Satisfaction; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control; D012399:Rotation