| 陈畅,饶翮,谢亚丽,邓前红,周艳萍,安瑛.藻酸盐敷料与弹力绷带联合对PICC术穿刺点出血及二十四小时换药情况分析[J].上海护理,2020,20(3): |
| 藻酸盐敷料与弹力绷带联合对PICC术穿刺点出血及二十四小时换药情况分析 |
| Analysis of alginate dressing combined with elastic bandage for puncture point bleeding and 24-hour dressing change in PICC |
| DOI： |
| 中文关键词: PICC 藻酸盐敷料 弹力绷带 穿刺点出血 换药 |
| 英文关键词:PICC alginate dressing elastic bandage puncture point bleeding dressing change |
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| 中文摘要: |
| 目的 探讨和分析藻酸盐敷料联合弹力绷带对PICC术穿刺点出血及二十四小时换药情况的影响。方法 选取2017年10月至2017年12月期间在我科行PICC术进行肿瘤化疗的88例患者作为临床研究对象,采用随机数字表法将入选研究对象随机分为研究组45例和对照组43例,观察组采用PICC术进行肿瘤化疗的患者给予藻酸盐敷料与弹力绷带的联合治疗,对照组采用PICC术进行肿瘤化疗的患者则给予一般常规治疗,并分别对两组患者PICC术穿刺点出血情况,二十四小时换药情况,皮肤感染情况及满意度情况进行比较和分析。结果 与对照组相比,研究组患者PICC术穿刺点出血为0级的比率75.56%(34/45)明显提高,而出血总发生率24.44%(11/45)则明显降低,差异均具有显著性意义(P＜0.05)；研究组患者PICC术12h内无换药病例,且24h换药的比率4.44%(2/45)明显降低,差异均具有显著性意义(P＜0.05)；研究组患者PICC术刺点皮肤红肿、硬化、化脓等总发生率6.67%(3/45)明显降低,差异具有显著性意义(P＜0.05)；研究组患者对PICC术非常满意的比率63.04%(29/46)和总满意度95.65%(44/46)均明显提高,差异均具有显著性意义(P＜0.05)。结论 藻酸盐敷料联合弹力绷带对PICC术患者穿刺点出血状况的好转,二十四小时换药情况的改善,皮肤感染情况的降低及整体满意度情况的提升均具有积极的现实意义。 |
| 英文摘要: |
| Objective: To probe into the effect of alginate dressing combined with elastic bandage for puncture point bleeding and 24-hour dressing change in PICC. Methods: From October 2017 to December 2017, 88 tumor chemotherapy patients with PICC were selected in our department as clinical subjects. The randomized digital table method was used to randomly divide the selected subjects into 45 study groups and 43 control groups. The tumor chemotherapy patients with PICC in the observation group were treated with alginate dressing and elastic bandage combination. The tumor chemotherapy patients with PICC in the control group were treated with routine treatment. The bleeding of the PICC puncture site, the 24-hour dressing change, skin infection and satisfaction of the patients in two groups were compared and analyzed. Results: Compared with control group, the patients in study group, the ratio of PICC puncture point bleeding in grade 0 was 75.56% (34/45), there was increased significantly, while the total incidence of bleeding was 24.44% (11/45), there was decreased significantly, the differences were significant statistically (P＜0.05); the patients in study group, there was no dressing change within 12 hours of PICC, and the rate of change of 24h was 4.44% (2/45), there was decreased significantly, the differences were significant statistically (P＜0.05); the patients in study group, the total incidence in PICC was 6.67% (3/45), included skin redness, sclerosis, suppuration, there was reduced significantly, the differences were significant statistically (P＜0.05); the patients in study group, the ratio of very satisfactory for PICC was 63.04% (29/46) and total satisfaction was 95.65% (44/46), there were increased significantly, the differences were significant statistically (P＜0.05). Conclusions: Alginate dressing combined with elastic bandage has positive and practical significance in improvement the bleeding status of puncture points the improvement of 24-hour dressing change, the reduction of skin infection and the improvement of overall satisfaction for patients with PICC. |
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