一种恒温消毒装置的研制及临床应用效果评价  

Development of a constant temperature disinfection device and evaluation of its clinical application effect

作　　者：张晓东 冀璇 张静 贺利平 倪圆圆 李丽[3] 王昕[4] Zhang Xiaodong;Ji Xuan;Zhang Jing;He Liping;Ni Yuanyuan;Li Li;Wang Xin(Science and Education Department of Nanjing Lishui People′s Hospital,Nanjing 211200,China;Nursing Department of Changzhi Medical College,Changzhi 046000,China;Obstetrics Department of Xuzhou Maternity and Child Health Care Hospital,Xuzhou 221000,China;Obstetrics Department,He Ping Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]南京市溧水区人民医院科教科,南京211200 [2]长治医学院护理学系,长治046000 [3]徐州市妇幼保健院妇产科,徐州221000 [4]长治医学院附属和平医院妇产科,长治046000

出　　处：《中国实用护理杂志》2022年第3期203-207,共5页Chinese Journal of Practical Nursing

基　　金：长治医学院2019年度春晖计划(QDZ201912);南京市溧水区人民医院2021年院级课题(LY202102)。

摘　　要：目的研制一种恒温消毒装置,并评价其在产后会阴部消毒中的临床应用效果。方法采用随机对照研究,2020年11—12月选取长治医学院附属和平医院符合纳入排除标准的产妇300例,使用随机数字表法分为对照组、试验组各150例。对照组采用常规方法进行分娩后会阴部消毒,试验组进行恒温消毒装置辅助下的会阴部消毒。比较2组产妇会阴部消毒后的温度舒适感受、存在会阴撕裂或侧切的产妇会阴伤口愈合情况。结果对照组与试验组产妇会阴部消毒后的温度舒适感受分别为3(1.5)、5(0)分,试验组产妇的温度舒适感受得分较高,2组比较差异有统计学意义(Z=-13.73,P<0.05);2组产妇会阴伤口均无丙级愈合,对照组产妇的会阴伤口甲、乙级愈合构成比分别为89.61%(69/77)、10.39%(8/77),试验组分别为93.75%(90/96)、6.25%(6/96),后者会阴伤口愈合情况较好,但2组比较差异无统计学意义(Z=0.99,P>0.05)。结论该恒温消毒装置符合临床护理需求,通用性强,能够增强产妇的舒适体验,对促进产后会阴伤口愈合有一定的效果。Objective To develop a constant temperature disinfection device and evaluate its clinical effect in perineal disinfection after delivery.Methods A total of 300 cases of puerpera who met the inclusion and exclusion criteria were selected from Heping Hospital Affiliated to Changzhi Medical College from November to December 2020.The study was designed as a randomized control study.Subjects were randomly divided by random digit table into the control group and the experimental group of 150 cases respectively.The former used conventional methods for perineal disinfection after delivery.The latter performed perineal disinfection assisted by a thermostatic disinfection device.The temperature comfort of perineal disinfection and the perineal wound healing of perineal tear or lateral incision were compared between two groups.Results The score of temperature comfort feeling of puerpera in the control group and the experimental group was 3(1.5)and 5(0),respectively.The maternal temperature comfort feeling score in the experimental group was higher,and the difference between the two groups was statistically significant(Z=-13.78,P<0.05).There was no grade C healing of perineal wounds in the two groups.The composition ratios of grade A and grade B healing of perineal wounds in the control group were 89.61%(69/77)and 10.39%(8/77),and those in the experimental group were 93.75%(90/96)and 6.25%(6/96).The healing of perineal wound in the latter group was better,but the difference between the two groups was not statistically significant(Z=0.99,P>0.05).Conclusions The constant temperature disinfection device meets the clinical nursing needs,enhances the comfort experience of puerpera,and has certain effect on promoting the healing of perineal wound after delivery.

关 键 词：会阴部消毒 温度 恒温消毒 人性化护理 设备设计 

分 类 号：R472[医药卫生—护理学]