摘要
目的探讨水胶体敷料对肿瘤患者经外周静脉置入中心静脉导管(PICC)所致机械性静脉炎的防治效果。方法选取2014年3月—2015年3月于某院接受PICC的100例恶性肿瘤患者,随机分为观察组(采用水胶体敷料进行PICC置管处护理)和对照组(给予湿热敷进行PICC置管处护理),各50例,比较两组患者机械性静脉炎发生率、舒适度及护理操作时间。结果观察组和对照组患者机械性静脉炎发生率分别为4.0%(2/50)、22.0%(11/50),观察组患者机械性静脉炎等级低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者皮肤刺激、活动限制及肢体暴露发生率(分别为0、2.0%、0)均低于对照组(分别为10.0%、14.0%、16.0%);观察组和对照组护理人员操作时间分别为(2.8±1.1)、(35.2±7.4)min,组间比较差异有统计学意义(均P<0.05)。结论采用水胶体敷料护理,可有效降低PICC置管所致机械性静脉炎的发生率,提高患者舒适度,减轻护理工作量。
ObjectiveTo evaluate the efficacy of hydrocolloid dressings on preventing mechanical phlebitis induced by peripherally inserted central catheter （PICC） in cancer patients. Methods100 cancer patients with PICC were divided into observation group （n=50） and control group （n=50）. Hydrocolloid dressing was used in observation group and hotwet compress was used in control group. Incidence of mechanical phlebitis, comfort degree, and implementation time between two groups were compared.ResultsThe incidence of mechanical phlebitis in observation group and control group were 4.0%（2/50）and 22.0%（11/50）respectively, grade of mechanical phlebitis in observation group was significantly lower than control group（P〈0.05）. The rates of skin irritation, activity limitation, and body exposure in observation group were all significantly lower than control group（0 vs 10.0%, 2.0% vs 14.0%, 0 vs 16.0%, respectively, all P〈0.05）, the implementation time of observation group and control group were （2.8±1.1）and （35.2±7.4） minutes respectively, difference was statistically significant（P〈0.05）. ConclusionHydrocolloid dressing can significantly reduce the mechanical phlebitis induced by PICC, enhance patients’ comfort degree, and reduce nurses’ workload.
出处
《中国感染控制杂志》
CAS
北大核心
2017年第2期166-168,172,共4页
Chinese Journal of Infection Control
