改良n型贴膜在预防头皮静脉留置针针柄处压疮中的应用  

Application of modified n-shaped sticker to prevent the pressure ulcer caused by scalp venous indwelling needle handle

作　　者：林倩[1] 陈鑫[1] 魏改艳[1] 陈晓真[1] 

机构地区：[1]河北医科大学第三医院小儿骨科,石家庄050051

出　　处：《中华现代护理杂志》2015年第1期104-105,共2页Chinese Journal of Modern Nursing

摘　　要：目的：探讨改良 n 型贴膜在减少小儿头皮静脉留置针针柄处压疮中的应用效果。方法选择2013年1—12月留置小儿头皮静脉留置针的患儿200例，按住院床号随机分为对照组和观察组，每组100例。对照组以针眼为中心无张力方法固定留置针针柄，观察组用改良n型贴膜以针眼为中心固定留置针针柄前1／4，剩余3／4露于n型空内，贴好贴膜后再用透气胶布交叉固定好针柄。比较两组患儿留置针针柄处压疮的发生率。结果观察组患儿发生Ⅰ期压疮4例，Ⅱ期压疮6例；对照组患儿发生Ⅰ期压疮为12例，Ⅱ期压疮为17例，观察组患儿留置针针柄处压疮发生率低于对照组，差异有统计学意义（χ^2＝11．499，P＜0．01）。结论改良n型贴膜固定留置针可有效减少留置针针柄处压疮，值得临床应用。Objective To explore methods to reduce the incidence of pressure ulcer caused by pediatric scalp venous indwelling needle handle .Methods All the children patients treated with scalp intravenous indwelling needle handle in our Department of Pediatric Orthopedics during January to December 2013 , 200 children patients were randomly divided into two groups equally-control group and observation group by hospital bed number .In the control group , the needle handle was fixed by tension free sticker with the pinprickin the center.A modified n-shaped sticker was applied to fix the first quarter of the needle handletaking the pinprickin the centerand the three quarters of needle handle were exposed in the n-shaped space , and then a cross fixation was administered with ventilated adhesive plaster after pasting a sticking membrane in the observation group . The incidence rate of pressure ulcer compared between two groups .Results In the observation group , 4 children patients suffered first phase pressure ulcerand 6 suffered second phase pressure ulcer compared with 12 and 17 children patients undergoing first and second pressure ulcer .The incidence of pressure ulcer in the observation group was significantly less than that of the control group , and significant difference was found （χ^2 =11.499,P〈0.01）.Conclusions The modified n-shaped sticker is effective to reduce the incidence of pressure ulcer caused by needle handle and worth of clinical application .

关 键 词：压疮 头皮静脉留置针 固定 n型贴膜 

分 类 号：R472[医药卫生—护理学]