中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
6期
708-709
,共2页
美皮康(有边型)%PICC置管%老年人%敷料%固定方法
美皮康(有邊型)%PICC置管%老年人%敷料%固定方法
미피강(유변형)%PICC치관%노년인%부료%고정방법
Mepilex border%PICC invasion%Elderly%Dressing%Fixing methods
目的 探讨防止置管术后发生不良反应的敷料选取及能有效防止老年患者PICC管脱出的固定方法.方法 将62例PICC置管术后的老年血液肿瘤病患者随机分为两组,实验组31例,用我科现已推行使用的敷料美皮康(有边型)及3条输液贴法进行固定;对照组31例,用普通贴膜进行常规换膜固定.结果 实验组31例患者仅有1例出现针眼周围发红现象,1例出现皮肤过敏现象,无静脉炎及脱出现象发生,显效率和有效率明显高于对照组,差异有统计学意义(P＜0.01或P＜0.05).结论 使用敷料美皮康(有边型)及3条输液贴进行固定不但简洁美观,而且能减少老年患者PICC置管后发生不良反应的几率,有效防止PICC管脱出,值得在临床护理中推广应用.
目的 探討防止置管術後髮生不良反應的敷料選取及能有效防止老年患者PICC管脫齣的固定方法.方法 將62例PICC置管術後的老年血液腫瘤病患者隨機分為兩組,實驗組31例,用我科現已推行使用的敷料美皮康(有邊型)及3條輸液貼法進行固定;對照組31例,用普通貼膜進行常規換膜固定.結果 實驗組31例患者僅有1例齣現針眼週圍髮紅現象,1例齣現皮膚過敏現象,無靜脈炎及脫齣現象髮生,顯效率和有效率明顯高于對照組,差異有統計學意義(P＜0.01或P＜0.05).結論 使用敷料美皮康(有邊型)及3條輸液貼進行固定不但簡潔美觀,而且能減少老年患者PICC置管後髮生不良反應的幾率,有效防止PICC管脫齣,值得在臨床護理中推廣應用.
목적 탐토방지치관술후발생불량반응적부료선취급능유효방지노년환자PICC관탈출적고정방법.방법 장62례PICC치관술후적노년혈액종류병환자수궤분위량조,실험조31례,용아과현이추행사용적부료미피강(유변형)급3조수액첩법진행고정;대조조31례,용보통첩막진행상규환막고정.결과 실험조31례환자부유1례출현침안주위발홍현상,1례출현피부과민현상,무정맥염급탈출현상발생,현효솔화유효솔명현고우대조조,차이유통계학의의(P＜0.01혹P＜0.05).결론 사용부료미피강(유변형)급3조수액첩진행고정불단간길미관,이차능감소노년환자PICC치관후발생불량반응적궤솔,유효방지PICC관탈출,치득재림상호리중추엄응용.
Objective To study the choice of dressing to prevent adverse effects of PICC and effective fixing methods to prevent PICC emersion in elderly patients. Methods 62 elderly post-PICC invasion patients with hematological tumor were randomized into two groups. 31 cases in experimental group were given Mepilex border and three-adhesive band fixing; 31 cases in control group were given routine dressing and fixing.Results Compared to the control, only one out of 31 patients in experimental group suffered skin rushing around puncture point and one had skin hypersensitivity (P ＜ 0.01 or P ＜ 0.05 ). No phlebitis and emersion occurred in experimental group. Conclusions It was sententious and beautiful to use Mepilex border. It might reduce the adverse effects of PICC invasion in elderly patients and effectively prevent PICC emersion.
