3M圆口型自粘性敷料在气管切开患者中的应用  

Application of 3M circular opening self-adhesive wound dressing for neurosurgery patients after tracheotomy

作　　者：王芳[1] 葛东明[1] 丁涟沭[1] 

机构地区：[1]南京医科大学附属淮安第一人民医院神经外科,223300

出　　处：《中华现代护理杂志》2016年第11期1613-1615,共3页Chinese Journal of Modern Nursing

基　　金：江苏省医学重点人才基金（RC2007029）

摘　　要：目的 探讨3M圆口型自粘敷料在气管切开换药中的护理效果.方法 将2014年1-12月56例气管切开的患者随机分为观察组和对照组.两组选择不同的气管切口换药敷料,观察组使用3M圆口型自粘敷料,对照组使用传统无菌纱布,观察两组患者气管切开后皮肤情况、有无切口感染、换药频次、费用及患者满意度.结果 观察组发生皮肤不良反应3例,对照组13例,差异具有统计学意义（x2=8.750,P＜0.05）;换药频次,观察组平均1次/d,对照组3次/d,观察组换药频次少于对照组,但差异无统计学意义（P＞0.05）;住院费用差异有统计学意义（t =6.420,P ＜0.05）;观察组患者满意度为96.43％,对照组为71.43％,差异有统计学意义（x2=4.766,P＜0.05）.结论 使用3M圆口型自粘敷料可减少气管切开伤口皮肤不良反应的发生,降低切口感染率,降低住院费用,增加患者舒适感及满意度.Objective To explore the application effects of 3M circular opening self-adhesive wound dressing on changing tracheostoma dressing.Methods A total of 56 tracheotomized patients from January to December 2014 were randomly admited to either observation group or control group.Different tracheostoma dressings were chosen by the two groups,the patients of observation group adopted 3M circular opening selfadhesive wound dressing and the patients of control group received sterile gauze.Skin situation after tracheotomy,incision infection,dressing frequency,cost and patient＇s satisfaction were evaluated.Results Three cases suffered from adverse skin reaction in observation group and 13 cases in the control group,with a statistically significant difference（x2 =8.750,P 〈 0.05）;the frequency of changing dressing was no significant difference between two groups （P 〉 0.05）,the observation group was once a day,while the control group was three times a day;the hospitalization costs were （59 242.16 ± 3 276） （￥） in the observation group,while it was （50 369.22 ±2 892） （￥） in the control group （t =6.420,P 〈 0.05）;patient＇s satisfaction in observation group was 96.43%,but 71.43% in the control group （x2 =4.766,P 〈 0.05）.Conclusions 3M circular opening self-adhesive wound dressing for neurosurgery patients after tracheotomy can reduce complications,the rate of incisional infection,the hospitalization costs and improve patients＇ satisfaction and comfort,which also reduce the working load of clinical nurse.

关 键 词：护理 3M圆口型自粘敷料 气管切开 

分 类 号：R473.6[医药卫生—护理学]