手术患者医用黏胶相关性皮肤损伤的集束化干预效果研究  

A Study on Intervention Effects of Reducing Medical Adhesive-Related Skin Injury in Surgical Patients by Bundles of Care

作　　者：别逢桂[1] 常后婵[1] 罗彩霞[1] 周培明[1] 周楠[1] BIE Feng-gui;CHANG Hou-chan;LUO Cai-xia;ZHOU Pei-ming;ZHOU Nan(Operating Theatre,Guangdong Provincial People.. s Hospital,Guangdong Academy ofMedical Sciences,Guangzhou 510080,China)

机构地区：[1]广东省人民医院手术室广东省医学科学院,广州510080

出　　处：《循证医学》2019年第2期109-111,共3页The Journal of Evidence-Based Medicine

基　　金：广东省医学科学技术研究基金资助项目(A2017167)

摘　　要：目的探讨集束化干预措施在降低手术患者医用黏胶相关性皮肤损伤的应用效果。方法将403例符合标准的手术患者作为研究对象,其中2017年7月至9月的198例采用传统方法的手术患者作为对照组,2017年10月至12月的205例采用集束化干预措施的患者作为干预组,比较两组患者医用黏胶相关性皮肤损伤的发生率。结果干预前后手术患者医用黏胶相关性皮肤损伤的最好发部位均为一次性手术巾粘贴处,最常见类型为红斑。干预组医用黏胶相关性皮肤损伤发生例数为65例(32.8%),干预组发生例数为31例(15.1%),两组的发生率差异有统计学意义(χ~2=17.4,P<0.01)。结论集束化护理能有效减少手术患者医用黏胶相关性皮肤损伤的发生。Objective To investigate the effect of bundles of care in reducing medical adhesive-related skin injury(MARSI) in surgical patients. Methods 403 patients who met the criteria were included in this study,in which 198 patients were treated with traditional methods as the control group and 205 patients were treated with bundles of care as the observation group. The MARSI incidences of two groups were compared. Results The predilection site of MARSI in surgical patients was where one-time surgical towel attachment at,and the most common type was erythema. 65(32.8%)cases got MARSI in the observation group,while 31(15.1%) patients got MARSI in the intervention group. The difference of two groups was statistically significant(c2=17.4,P<0.01). Conclusions Bundles of care could significantly reduce the rate of MARSI in surgical patients.

关 键 词：手术患者 集束化 医用黏胶相关性皮肤损伤 

分 类 号：R472.3[医药卫生—护理学]