CAJ | 학술논문

目的：应用精细化分级对肿瘤患者PICC置管处及其周围皮肤的接触性皮炎实施护理并评价其效果。方法：选取2012-2014年留置PICC管并在中山大学肿瘤防治中心放疗三区住院的患者326例，运用精细化分级护理处理PICC置管处及其周围皮肤接触性皮炎，并记录护理效果。结果：326例患者中74例发生接触性皮炎，发生率为22.7%。其中接触性皮炎为1级50例，2级21例，>2级有3例，分别占接触性皮炎的67.6%、28.4%、4.1%；启用精细化分级护理，1级接触性皮炎2~4 d皮疹消退，2级7 d内皮疹消退，无复发，>2级7~14 d皮疹消退，无复发。结论：精细化分级护理防止接触性皮炎进一步加重，促进已发生的接触性皮炎尽早痊愈，值得在临床推广。
목적：응용정세화분급대종류환자PICC치관처급기주위피부적접촉성피염실시호리병평개기효과。방법：선취2012-2014년류치PICC관병재중산대학종류방치중심방료삼구주원적환자326례，운용정세화분급호리처리PICC치관처급기주위피부접촉성피염，병기록호리효과。결과：326례환자중74례발생접촉성피염，발생솔위22.7%。기중접촉성피염위1급50례，2급21례，>2급유3례，분별점접촉성피염적67.6%、28.4%、4.1%；계용정세화분급호리，1급접촉성피염2~4 d피진소퇴，2급7 d내피진소퇴，무복발，>2급7~14 d피진소퇴，무복발。결론：정세화분급호리방지접촉성피염진일보가중，촉진이발생적접촉성피염진조전유，치득재림상추엄。
Objective:To explore nursing process based on dermatitis severity scale for patients with contact dermatitis on and around percutaneously inserted central catheter(PICC)sites,and evaluate its effect.Method:326 patients with PICC and admitted in radiology department of San Yat-sun Cancer Center during 2012 and 2014 were selected,they were given nursing process based on dermatitis severity scale to deal with PICC catheter and its surrounding skin contact dermatitis,and the nursing results were recorded.Result:326 patients were enrolled in this study and 74 of them were developed with PICC contact dermatitis on and around sites which incidence rate was 22.7%.50 cases were grade 1 contact dermatitis,21 cases were grade 2,and 3 cases were more than grade 2,accounted for contact dermatitis in 67.6%,28.4%,4.1%.And with the appliance of fine grading nursing care,grade 1 contact dermatitis took 2-4 days to got the eruption completely disappeared,grade 2 took less than 7 days without recurrence,and more than grade 2 took 7-14 day without recurrence.Conclusion:Nursing process based on dermatitis severity scale can not only avoid PICC contact dermatitis become more serious,but also promote the eruption become better sooner,which can be applied on clinical nursing care of PICC.