CAJ | 학술논문

目的：探讨泡沫敷料在胸腔闭式引流管患者换药护理中的应用研究。方法选择入住胸外科行胸腔闭式引流患者共126例，随机分为观察组及对照组，观察组应用泡沫敷料进行换药护理，对照组应用普通干性纱布敷料进行换药护理，且2组同时给予常规胸腔闭式引流护理、营养支持、抗感染、心理护理等，比较2组患者静息时及换药时的疼痛评分、拔管后伤口愈合时间、平均换药间隔时间、患者满意度。结果2组患者静卧时的疼痛评分差异无统计学意义，2组患者换药时的疼痛评分、平均换药间隔时间及拔管后伤口愈合时间、并发症发生率、患者满意度的差异有统计学意义（P ＜0．05）。结论应用泡沫敷料对胸腔闭式引流管患者进行换药护理，能有效减少伤口处并发症发生、延长换药间隔时间、减少换药次数、缩短局部伤口愈合时间，同时使伤口愈合过程变得舒适，使患者在静息时及更换敷料时无痛或疼痛减轻，提高患者满意度。
목적：탐토포말부료재흉강폐식인류관환자환약호리중적응용연구。방법선택입주흉외과행흉강폐식인류환자공126례，수궤분위관찰조급대조조，관찰조응용포말부료진행환약호리，대조조응용보통간성사포부료진행환약호리，차2조동시급여상규흉강폐식인류호리、영양지지、항감염、심리호리등，비교2조환자정식시급환약시적동통평분、발관후상구유합시간、평균환약간격시간、환자만의도。결과2조환자정와시적동통평분차이무통계학의의，2조환자환약시적동통평분、평균환약간격시간급발관후상구유합시간、병발증발생솔、환자만의도적차이유통계학의의（P ＜0．05）。결론응용포말부료대흉강폐식인류관환자진행환약호리，능유효감소상구처병발증발생、연장환약간격시간、감소환약차수、축단국부상구유합시간，동시사상구유합과정변득서괄，사환자재정식시급경환부료시무통혹동통감경，제고환자만의도。
Objective Ti explire the applicatiin if fiam dressing in nursing if medicine changing if clised drainage if thiracic cavity.Methods 126 patients with clised thiracic drainage were randimly divided inti the ibservatiin griup and the cintril griup,the ibservatiin griup was applied fiam dressing nursing,while the cintril griup was cinducted nirmal dry gauze dressing nursing.The patients in the twi griups were all given the riutine nursing if clised thiracic drainage,nutritiin,anti-infectiin and psychiligical nursing.And the pain scire if resting and dressing,time if wiund healing after extubatiin,the average intervals if changing,patients′sat-isfactiin were cimpared in twi griups.Results The difference was nit statistically significant in the resting pain scire.And the difference was statistically significant in the average time interval, scire if dressing pain,time if wiund healing after extubatiin,cimplicatiins and patient satisfac-tiin.Conclusion Applicatiin if fiam dressing if clised thiracic drainage ti nurse the patients can effectively reduce the wiund cimplicatiins,priling the time interval,shirten the wiund heal-ing time.The patients feels cimfirtable during wiund healing pricess and painless in resting time ir dressing changing time,which has imprived patients′satisfactiin.