Abstract: Background　Patients receiving spinal internal fixation and bone graft fusion need to stay in bed for 7 to 10 days，which increases the risk of pressure ulcers. The axial turning can effectively prevent pressure ulcers，but the previous turning pillow has only one angle，which cannot meet the needs of different patients in different periods for turning angle. Designed adjustable pillow can adjust the angle of support，which can meet the different needs of patients. Objective　To analyze the effect of adjustable turning pillows on the rehabilitation of patients with idiopathic scoliosis after scoliosis correction.Methods　A total of 61 patients with idiopathic scoliosis admitted to Department of Spine Surgery，Nanjing Drum Tower Hospital，the Affiliated Hospital of Nanjing University Medical School from January 2015 to June 2016 were selected.They were randomly divided into fixation group （31 cases） and adjustment group （30 cases） by random number table method.The fixation group used the conventional R-type turning pillow for axis turning，and the adjustment group used the adjustable turning pillow （utility model patent number：ZL2014 2 0699793.6） in the postoperative period.Patients' general data were recorded，pain was evaluated by Visual Analogue Scale （VAS），comfort level by General Comfort Questionnaire （GCQ），and body turning frequency and pressure ulcers were recorded within 72 h after surgery.Results　The differences in gender，age and Braden score were not statistically significant （P>0.05）．The angle of Cobb was greater in the adjustment group than that in the fixation group （P<0.05）．The VAS score of patients in the adjustment group was lower than that in the fixation group，GCQ score was higher than that in the fixation group，and body turning frequency was less than that in the fixation group （P<0.05）．There was no pressure ulcer in both groups.Conclusion　After operation，patients with scoliosis can use adjustable turning pillow to alleviate pain，reduce body turning frequency，improve the comfort level，and lessen the occurrence of pressure sores，thus improving their recovery.

Key words: Scoliosis, Rehabilitation, Posture, Adjustable turning pillow, Comfort level

摘要： 背景　脊柱侧凸后路矫形内固定植骨融合术后患者需绝对卧床7~10 d，易导致压疮的发生，而行定时轴线翻身可有效预防压疮的发生，但以往的翻身枕仅有一种角度，无法满足不同患者不同时期对翻身角度的需求。护理人员设计了可以调节支起角度的可调节角度式翻身枕，能够根据患者不同需求设定相应角度。目的　分析可调节角度式翻身枕对特发性脊柱侧凸患者脊柱侧凸矫形术后康复的应用效果。方法　选取2015年1月—2016年6月南京大学医学院附属鼓楼医院脊柱外科收治的特发性脊柱侧凸患者61例，采用随机数字表法将其分为固定组（31例）和调节组（30例），固定组术后使用常规R型翻身枕进行轴线翻身，调节组使用可调节角度式翻身枕（实用新型专利号：ZL2014 2 0699793.6）。记录患者一般资料，采用视觉模拟评分法（VAS）评估疼痛程度，采用舒适状况量表（GCQ）评价舒适程度，记录术后72 h内翻身次数、压疮情况。结果　两组患者性别、年龄、Braden评分比较，差异均无统计学意义（P>0.05）；调节组术前Cobb角度大于固定组（P<0.05）。调节组患者的VAS评分低于固定组，GCQ评分高于固定组，翻身次数少于固定组（P<0.05）。两组均未发生压疮。结论　脊柱侧凸患者术后使用可调节角度式翻身枕可减轻疼痛，减少翻身次数，提高舒适度，且不增加压疮的发生，从而促进患者康复。

关键词: 脊柱侧凸, 康复, 体位, 可调节角度式翻身枕, 舒适度