CAJ | 학술논문

目的：：观察康惠尔透明贴预防蔗糖铁致静脉炎的效果。方法：将224例经外周静脉输注蔗糖铁患者按第一次输注日期单双号分为两组各112例，观察组在距穿刺点近心端2cm处，沿静脉走向覆盖10cm ×10cm康惠尔透明贴，再用3M透明敷贴固定留置针，对照组仅采用3M透明敷贴固定留置针，观察两组患者静脉炎发生率、输液部位疼痛及护理舒适度。结果：观察组静脉炎发生率为9．8%(11/112)，明显低于对照组30．4%(34/112)，差异有统计学意义(P<0．05)；输液部位疼痛发生率为6．3%(7/112)，明显低于对照组24．1%(27/112)，差异有统计学意义(P<0．05)；护理舒适率为92．8%(104/112)，明显高于对照组80．4%(90/112)，差异具有统计学意义(P<0．05)。结论：康惠尔透明贴能有效预防蔗糖铁致静脉炎的发生，减轻输液部位疼痛，提高患者舒适度，值得临床推广应用。
목적：：관찰강혜이투명첩예방자당철치정맥염적효과。방법：장224례경외주정맥수주자당철환자안제일차수주일기단쌍호분위량조각112례，관찰조재거천자점근심단2cm처，연정맥주향복개10cm ×10cm강혜이투명첩，재용3M투명부첩고정류치침，대조조부채용3M투명부첩고정류치침，관찰량조환자정맥염발생솔、수액부위동통급호리서괄도。결과：관찰조정맥염발생솔위9．8%(11/112)，명현저우대조조30．4%(34/112)，차이유통계학의의(P<0．05)；수액부위동통발생솔위6．3%(7/112)，명현저우대조조24．1%(27/112)，차이유통계학의의(P<0．05)；호리서괄솔위92．8%(104/112)，명현고우대조조80．4%(90/112)，차이구유통계학의의(P<0．05)。결론：강혜이투명첩능유효예방자당철치정맥염적발생，감경수액부위동통，제고환자서괄도，치득림상추엄응용。
Objective: To observe the effect of Comfeel Plus Transparent Dressing in preventing phlebitis induced by iron sucrose injection. Methods:Two hundred and twenty-four patients who accepted iron sucrose intravenous infusion were divided into two groups with 112 cases each according to the start date of chemotherapy: odd-numbered and plural-numbered group. In observation group, the site 2cm away from the proximal part of the puncturing point was covered by 10cm × 10cm Comfeel Plus Transparent Dressing , then a 3M transparent dressing was used to fix the detaining needle. In the control group, only the 3M transparent dressing was used to fix the detaining needle. The incidence of phlebitis, pain in the puncturing area, and nursing comfort were observed in both groups. Results:The incidence of phlebitis in observation group was 9. 8% (11/112), which was lower than that in control group(30. 4% , 34/112) (P<0. 05) significantly. The incidence of pain in puncturing point was 6. 3% (7/112) in observation group and 24. 1% (27/112) in control group with significant difference(P<0. 05) . The rate of nursing comfort was 92. 8% (104/112) in observation group, which was higher than that in control group(80. 4%, 90/112) (P <0. 05) significantly. Conclusion: Comfeel Plus Transparent Dressing can effectively prevent phlebitis which is induced by iron sucrose injection, as well as reduce the pain in punctu-ring area and improve the nursing comfort of patients. It is worthy of clinical application.