CAJ | 학술논문

目的：探讨改良后的病号服在普外科腹部手术后留置颈内中心静脉导管患者中的应用效果。方法选择普通外科腹部手术后留置颈内中心静脉导管的患者121例，按手术单双日分成观察组62例和对照组59例。观察组在术后给予穿着带有导管固定装置的改良病号服固定导管。对照组患者按常规胶布粘贴方法固定导管。比较两组患者颈内中心静脉导管的固定效果。结果观察组患者平均液体通.时长、平均导管移位时长、导管再固定平均时长、导管发生牵拉平均时长以及平均贴膜完好时长等均大于对照组，差异有统计学意义（t值分别为3．01，3．25，6．13，4．57，9．85；P＜0．05）。固定方法接受程度比较中，观察组患者在活动方便程度和舒适度方面均优于对照组，差异有统计学意义（Z值分别为-9．38，-10．62；P ＜0．01）。观察组患者的导管感染率为4．8％，脱管率为0．0％，均低于对照组（10.1％，3．4％），差异有统计学意义（χ2值分别为4．93，5．62；P＜0．05）。结论带有导管固定器的改良病号服在颈内静脉置管患者中的应用效果良好，导管固定牢固，导管感染率和脱管率低，患者穿着舒适，活动方便，减少护士工作量，可在临床应用。
목적：탐토개량후적병호복재보외과복부수술후류치경내중심정맥도관환자중적응용효과。방법선택보통외과복부수술후류치경내중심정맥도관적환자121례，안수술단쌍일분성관찰조62례화대조조59례。관찰조재술후급여천착대유도관고정장치적개량병호복고정도관。대조조환자안상규효포점첩방법고정도관。비교량조환자경내중심정맥도관적고정효과。결과관찰조환자평균액체통.시장、평균도관이위시장、도관재고정평균시장、도관발생견랍평균시장이급평균첩막완호시장등균대우대조조，차이유통계학의의（t치분별위3．01，3．25，6．13，4．57，9．85；P＜0．05）。고정방법접수정도비교중，관찰조환자재활동방편정도화서괄도방면균우우대조조，차이유통계학의의（Z치분별위-9．38，-10．62；P ＜0．01）。관찰조환자적도관감염솔위4．8％，탈관솔위0．0％，균저우대조조（10.1％，3．4％），차이유통계학의의（χ2치분별위4．93，5．62；P＜0．05）。결론대유도관고정기적개량병호복재경내정맥치관환자중적응용효과량호，도관고정뢰고，도관감염솔화탈관솔저，환자천착서괄，활동방편，감소호사공작량，가재림상응용。
Objective To explore the effect of improved hospital gown on fixing central venous catheter.Methods One hundred and twenty-one patients with internal jugular central venous catheter after abdominal surgery from April 2013 to October 2013 were chosen and divided into the observation group and the control group according to the date of operation .The observation group received the hospital gown with catheter fixer so as to fix central venous catheter , and the control group received the routine fixation method through the adhesive plaster .The fixation effect was compared between two groups .Results The average time of liquid smooth, catheter displacement , fixation catheter once again , catheter traction and film intact in the observation group were longer than those in the control group , and the differences were statistically significant ( t=3.01, 3.25,6.13,4.57,9.85, respectively;P<0.05).The patients’ comfortable and convenience in activity in the observation group were better than those in the control group , and the differences were statistically significant (Z=-9.38,-10.62, respectively;P<0.01).The rates of catheter infection and extubation were respectively 4.8%and 0.0%in the observation group, and were lower than 10.1%and 3.4%in the control group, and the differences were statistically significant (χ2 =4.93,5.62, respectively;P<0.05).Conclusions The improved hospital gown with catheter fixer can fix the internal jugular central venous catheter well , reduce the rates of catheter infection and extubation , increase patients ’ comfortable and convenience in activity , and reduce the workload of nurses , it is worthy of clinical application .