CAJ | 학술논문

目的对比分析0.5%碘伏和75%酒精用于清醒病员气管切开切口换药时的刺激性及病员满意度。方法将100例清醒气管切开患者随机分为试验组和对照组，试验组气管切开切口外周皮肤消毒剂用0.5%碘伏，对照组用75%酒精，通过数字疼痛评分尺(NRS)结合评分脸谱图来判断消毒剂对切口皮肤引起的疼痛程度，进而比较刺激性大小及病员的满意度。结果试验组消毒剂对气管切开切口周边皮肤的刺激性反应发生率明显低于对照组(P<0.05)，患者满意度明显高于对照组(P<0.05)。结论清醒患者气管切口外周皮肤消毒用0.5%碘伏其刺激性小于75%酒精，病员满意度高于75%酒精，使用0.5%碘伏为清醒气管切开患者切口消毒能为患者提供优质的护理服务。
목적대비분석0.5%전복화75%주정용우청성병원기관절개절구환약시적자격성급병원만의도。방법장100례청성기관절개환자수궤분위시험조화대조조，시험조기관절개절구외주피부소독제용0.5%전복，대조조용75%주정，통과수자동통평분척(NRS)결합평분검보도래판단소독제대절구피부인기적동통정도，진이비교자격성대소급병원적만의도。결과시험조소독제대기관절개절구주변피부적자격성반응발생솔명현저우대조조(P<0.05)，환자만의도명현고우대조조(P<0.05)。결론청성환자기관절구외주피부소독용0.5%전복기자격성소우75%주정，병원만의도고우75%주정，사용0.5%전복위청성기관절개환자절구소독능위환자제공우질적호리복무。
Objective To compare the irritant of 0.5% povidone iodine and 75% alcohol and patient satisfaction when using them respectively on the cut of conscious patients’ trachea when changing the dressing. Method To divide 100 conscious patients who are cut on their trachea into experimental group and control group randomly.In experimental group, 0.5% povidone iodine is applied as disinfectant on the surrounding skin of the cut on conscious patients’ trachea, while 75% ethyl alcohol is applied in the control group. Then according to NRS and Face Rating Graph, to analysis the degree of the pain on the cut caused by the two different disinfectant so that to compare their medical irritant and patient satisfaction on the two disinfectant. Result The irritative response of surrounding skin of the cut in experimental group is much less than that in control group (P<0.05),and patients in experimental group are more satisfied than those in control group (P<0.05). Conclusion 0.5% povidone iodine is less irritant to the surrounding skin of the cut on conscious patients’ trachea than 75% alcohol, and patients are more satisfied with 0.5% povidone iodine . Thus, nurses can take care of patients better by applying 0.5% povidone iodine as disinfectant on surrounding skin of the cut on conscious patients’ trachea.