结构化护理方案预防ICU患者医用胶粘剂相关性皮肤损伤的应用效果  

Application effect of structured nursing program in preventing medical adhesive-related skin injury in ICU patients

作　　者：方岚[1] 胡晶 李冬英[1] FANG Lan;HU Jing;LI Dong-ying(Department of Critical Care Medicine,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌大学第二附属医院重症医学科,江西南昌330006

出　　处：《中国当代医药》2021年第12期213-216,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204302)。

摘　　要：目的探讨结构化护理方案预防ICU患者医用胶粘剂相关性皮肤损伤(MARSI)的应用效果,不断提高临床皮肤护理质量,预防MARSI。方法将结构化护理活动开展前(2018年3月~2019年3月)南昌大学第二附属医院使用医用粘胶的45例ICU患者设为对照组,将结构化护理方案活动开展后(2019年4月~2020年3月)南昌大学第二附属医院使用医用粘胶的45例ICU患者设为观察组,对两组干预后的护理满意度、MARSI类型及发生率观察指标进行比较。结果干预后观察组的张力性损伤、表皮剥脱、囊炎发生率低于对照组,差异有统计学意义(P<0.05);干预后观察组的MARSI发生率低于对照组,差异有统计学意义(P<0.05);干预后观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论对ICU患者进行结构化护理方案治疗,对降低MARSI在ICU患者MARSI的发生有一定临床应用价值,显著改善患者临床效果。Objective To explore the application effect of structured nursing program to prevent medical adhesive-related skin injury(MARSI)in intensive care unit(ICU)patients,continuously improve the quality of clinical skin care,and prevent MARSI.Methods Forty-five ICU patients who used medical adhesive products in the Second Affiliated Hospital of Nanchang University before the launch of the structured nursing program from March 2018 to March 2019 were selected as the control group.Another batch of 45 ICU patients who used medical adhesive products in the Second Affiliated Hospital of Nanchang University was enrolled as the observation group after carrying out the structured nursing program from April 2019 to March 2020.The nursing satisfaction,MARSI type and incidence of the two groups after intervention were compared.Results After the intervention,the incidence rates of tension injury,exfoliation,and capsulitis in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the incidence of MARSI in the observation group was lower than that of the control group,with statistical difference(P<0.05).The patients′total satisfaction of the observation group was higher than that of the control group after intervention,and the difference was statistically significant(P<0.05).Conclusion The structured nursing treatment for ICU patients has certain clinical application value in reducing the occurrence of MARSI in ICU patients with MARSI,and has a positive effect on significantly improving the clinical effects of patients.

关 键 词：医用粘胶相关皮肤损伤 ICU患者 结构化护理 护理效果 

分 类 号：R473.75[医药卫生—护理学]