胸腹腔引流管拔除后切口愈合不良相关因素分析  

Risk factors of poor wound healing after the removal of thoracic and abdominal cavity drainage tube

作　　者：王红玉[1] 李惠玲[2] 张芹玉[1] 景秀琛[1] 胡化刚[2] 徐清玲[1] 陆艳[1] 曹影婕[1] 王玉珍[1] 

机构地区：[1]苏州大学附属第一医院,苏州市215006 [2]苏州大学护理学院

出　　处：《中华护理杂志》2014年第4期410-413,共4页Chinese Journal of Nursing

摘　　要：目的调查胸腹腔引流管拔除后切口愈合不良的发生情况,探讨其影响因素。方法运用前瞻性监测的方法,自制《胸腹腔引流管拔除后伤口愈合不良影响因素调查表》。对2012年10月至2013年3月行胸腹腔手术后置引流管患者300例进行调查,并对资料进行单因素分析与logistic多因素回归分析。结果 300例胸腹腔手术后置引流管患者拔管后切口愈合不良的发生率为18.9%。logistic回归结果提示:置管时渗液量(OR=2.694)、持续时间(OR=61.900)、血清白蛋白(OR=46.074)、有无非计划拔管(OR=42.446)、是否带管出院(OR=20.073)为拔管后切口愈合不良的危险因素。结论外科护士应高度关注置管期间渗液量多、持续时间长、非计划拔管、血清白蛋白低于正常值、带管出院患者,其发生拔管后切口愈合不良的风险较高。护士应通过评估及时进行干预,从而减少拔管后切口愈合不良的发生。Objective To investigate the incidence and risk factors of poor wound healing after the removal of thoracic and abdominal cavity drainage tube. Methods Totally 300 patients with thoracic and abdominal cavity drainage tube from October 2012 to March 2013 were investigated with a self-designed questionnaire. Data were analyzed by logistic regression analysis. Results The incidence of poor wound healing was 18.9%. Logistic regres-sion analysis indicated that the volume of exudation during catheterization（OR=2.694）,the duration of exudation （ OR =61.900）, low level serum albumin （ OR =46.074 ）, unplanned extubation （ OR =42.446 ）, discharge from hospital with the tube（OR=20.073） were risk factors of poor wound healing. Conclusions The patients with long duration and large volume of exudation during catheterization,unplanned extubation,discharge from hospital with the tube and low level serum albumin are high risk populations of poor wound healing after the removal of thoracic and abdominal cavity drainage tube. Nurses should take timely risk assessment and interventions to reduce the occur-rence of poor wound healing.

关 键 词：引流术 伤口愈合 危险因素 

分 类 号：R473.6[医药卫生—护理学]