置管患者应用PICC管简易洗澡保护套效果  

Effect of simple bath protective sleeve in patients with PICC

作　　者：任晓敏[1] 陈蓉[2] 徐英华[3] REN Xiaomin;CHEN Rong;XU Yinghua(Inpatient Department of Venous Transfusion Nursing,Wuxi People′s Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214023;Department of Internal Medicine,Wuxi People′s Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214023;Oncology Department,Wuxi People′s Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214023)

机构地区：[1]南京医科大学附属无锡市人民医院静脉输液护理门诊,江苏无锡214023 [2]南京医科大学附属无锡市人民医院大内科,江苏无锡214023 [3]南京医科大学附属无锡市人民医院肿瘤科,江苏无锡214023

出　　处：《实用临床医药杂志》2018年第8期73-75,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省无锡市卫生和计划生育委员会面上项目(MS201636)

摘　　要：目的探讨PICC管简易洗澡保护套在置管患者中的应用效果。方法选取本院能自行居家洗澡的PICC置管患者300例,随机分为对照组和观察组各150例,对照组采用传统保鲜膜缠绕,观察组采用PICC管简易洗澡保护套法,比较2组患者洗澡后贴膜潮湿和松动发生率、PICC并发症发生率、患者舒适度和满意度。结果观察组贴膜潮湿、松动发生率低于对照组(P<0.05),PICC局部湿疹、穿刺点感染、导管轻中度脱出及总并发症发生均低于对照组(P<0.05),舒适度和满意度高于对照组(P<0.05)。结论 PICC置管淋浴时使用简易洗澡保护套能有效避免置管处贴膜潮湿和松动,并减少PICC导管脱出、局部湿疹和穿刺点感染并发症,提高患者使用时的舒适度和效果满意度。Objective To explore the application effect of the PICC simple bath protective sleeve in catheter patients.Methods Three hundred home-bathing patients with PICC tube were divided into control group(n=150)and observation group(n=150),given plastic wrap to protect the tube,simple bath protector,respectively.The incidence rates of dampness and looseness,the incidence rate of PICC-related complications,comfort and satisfaction were compared.Results The incidence rates of dampness and looseness in the observation group was lower than that in the control group(P<0.05).PICC local eczema,puncture point infection,mild and moderate prolapse of catheter and incidence of complications were lower than that in the control group(P<0.05),comfort and satisfaction were higher than that in the control group(P<0.05).Conclusion Simple bath cover can effectively avoid dampness and loosening of catheter,reduce PICC prolapse,local eczema and puncture point infection,and improve comfort and nursing satisfaction.

关 键 词：PICC置管 导管插入术 简易洗澡保护套 

分 类 号：R472.4[医药卫生—护理学]