中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
36期
4576-4578
,共3页
叶丽云%张玲丽%刘彦%魏玉华%王伯丽%赵洪俊
葉麗雲%張玲麗%劉彥%魏玉華%王伯麗%趙洪俊
협려운%장령려%류언%위옥화%왕백려%조홍준
护理%多汗患者%经外周穿刺置入中心静脉导管%脱管%固定方法%更换频率
護理%多汗患者%經外週穿刺置入中心靜脈導管%脫管%固定方法%更換頻率
호리%다한환자%경외주천자치입중심정맥도관%탈관%고정방법%경환빈솔
Nursing care%Sweaty patients%PICC%Exodus%Fixation method%Replacement frequencies
目的:探讨不同PICC固定方法和更换透明敷料的频率对多汗患者PICC隐性脱管发生率的防范效果。方法选择PICC导管留置的住院患者101例,采用随机数字表法分为对照组53例和干预组48例。对照组患者采用透明敷料固定导管,每周更换1次;干预组患者采用透明敷料固定导管,每3天更换1次,同时于近穿刺点2 cm处导管上透明敷料下加贴水胶体敷料。观察两组患者脱管的发生率。结果对照组患者脱管率为28.3%,干预组脱管率为10.4%,两组比较差异有统计学意义(χ2=5.0736,P<0.05)。结论采用加强导管固定方法及增加敷贴更换频率能有效地减少多汗患者 PICC隐性脱管的发生率。
目的:探討不同PICC固定方法和更換透明敷料的頻率對多汗患者PICC隱性脫管髮生率的防範效果。方法選擇PICC導管留置的住院患者101例,採用隨機數字錶法分為對照組53例和榦預組48例。對照組患者採用透明敷料固定導管,每週更換1次;榦預組患者採用透明敷料固定導管,每3天更換1次,同時于近穿刺點2 cm處導管上透明敷料下加貼水膠體敷料。觀察兩組患者脫管的髮生率。結果對照組患者脫管率為28.3%,榦預組脫管率為10.4%,兩組比較差異有統計學意義(χ2=5.0736,P<0.05)。結論採用加彊導管固定方法及增加敷貼更換頻率能有效地減少多汗患者 PICC隱性脫管的髮生率。
목적:탐토불동PICC고정방법화경환투명부료적빈솔대다한환자PICC은성탈관발생솔적방범효과。방법선택PICC도관류치적주원환자101례,채용수궤수자표법분위대조조53례화간예조48례。대조조환자채용투명부료고정도관,매주경환1차;간예조환자채용투명부료고정도관,매3천경환1차,동시우근천자점2 cm처도관상투명부료하가첩수효체부료。관찰량조환자탈관적발생솔。결과대조조환자탈관솔위28.3%,간예조탈관솔위10.4%,량조비교차이유통계학의의(χ2=5.0736,P<0.05)。결론채용가강도관고정방법급증가부첩경환빈솔능유효지감소다한환자 PICC은성탈관적발생솔。
Objective To explore the influence on incidence of recessive pipe of PICC with different fix methods and different frequencies of replacement transparent dressing in sweaty patients .Methods Totals of 101 cases hospitalized in the pulmonary division of second hospital of Hebei Medical University undergoing PICC catheter indwelling were randomly divided into control group (n=53) and intervention group (n=48).Control group adopted transparent dressing fixed the PICC , once of week replacement .Intervention group adopted transparent dressing fixed the PICC combined with discount colloid dressing on the 2 cm to puncture part ,and replacement once of 3 days.Observed the incidence rates of PICC exodus .Results The incidence rate of PICC exodus of control group was significantly higher than that of intervention group (28.3%vs 10.4%,χ2 =5.073 6;P<0.05).Conclusions Improved methods of PICC fixed and increasing frequencies of replacement transparent dressing can effectively reduce the incidence of recessive pipe of PICC in sweaty patients .