腹膜透析导管及出口处二合一功能护理用具的设计与应用  

Design and Application of A Two-in-one Peritoneal Dialysis Catheter Exit Site Care Device

作　　者：陈巧敏[1] 李莉云 李宇慧 杨桂阳 Chen Qiaomin;Li Liyun;Li Yuhui;Yang Guiyang(Department of Nephrology,The First Affiliated Hospital of Xiamen University,Xiamen Fujian 361000,China)

机构地区：[1]厦门大学附属第一医院肾内科,福建厦门361000

出　　处：《医疗装备》2022年第23期160-164,共5页Medical Equipment

摘　　要：目的探讨腹膜透析导管及出口处二合一功能护理用具在保持腹膜透析患者出口处皮肤完整性及腹膜透析导管完好状态中的效果。方法选取2020年1—12月医院随访的90例腹膜透析患者,利用随机数字表法,将患者分为观察组,对照组A、对照组B,每组30例。观察组使用医院肾内科腹膜透析护理小组成员设计发明的实用新型专利——腹膜透析导管及出口处二合一功能护理用具固定腹膜透析导管腹外段及延伸管(短管)并保护出口处皮肤;对照组A使用现有的方法即腹膜透析导管腰袋固定腹膜透析导管及短管,出口处贴医用无菌敷料贴;对照组B使用与对照组A同款的腹膜透析导管腰袋,出口处敞开。比较3组导管出口处感染情况[采用出口评分系统(ESS)评估]及腹膜透析导管腹外段及短管异常情况。结果干预后,3组ESS评分比较,差异有统计学意义(P<0.05);3组ESS评分均低于干预前,差异有统计学意义(P<0.05);观察组ESS评分低于对照组A、对照组B,差异有统计学意义(P<0.05)。3组腹膜透析导管腹外段及短管异常率比较,差异有统计学意义(P<0.05),且观察组异常率最低。结论腹膜透析导管及出口处二合一功能护理用具可以有效保持腹膜透析患者出口处皮肤完整性及腹膜透析导管完好状态,是护理腹膜透析患者的有效用具。Objective The effect of two-in-one peritoneal dialysis catheter exit site care device in maintaining skin integrity at the exit of peritoneal dialysis patients,with the integrity of the peritoneal dialysis catheter,was explored.Methods 90 patients with peritoneal dialysis were followed up in the hospital from January to December 2020,were divided into observation group,control group A and control group B,with 30 patients in each group,by using the random number table and the randomized block design.In the observation group,twoin-one peritoneal dialysis catheter exit site care device,the utility model patent designed and invented by members of peritoneal dialysis nursing group in the Department of Nephrology of the hospital,were used to fix the external abdominal segment and extension tube(short tube)of peritoneal dialysis catheter and protect the skin at the exit-site;In control group A,with the use of conventional method,the peritoneal dialysis catheter and short tube were fixed through lumbar bag of peritoneal dialysis catheter,medical sterile dressing paste was pasted at the exitsite;In control group B,with the use of lumbar bag of peritoneal dialysis catheter of the same model as control group A,the exit-site was open.The infection at the exit-site of the catheter(evaluated by the exit-site scoring system(ESS))and the abnormalities of the external abdominal segment and short tube of the peritoneal dialysis catheter were compared among the three groups.Results After intervention,the ESS score of the three groups was compared,and the difference was statistically significant(P<0.05).The ESS scores of the three groups were lower than those before intervention,and the differences were statistically significant(P<0.05).The ESS score of observation group was lower than that of control group A and control group B,and the difference was statistically significant(P<0.05).There were statistically significant differences in the abnormal rates of the external abdominal segment and short tube of the peritoneal dialysis cat

关 键 词：腹膜透析 护理用具 出口处 导管 

分 类 号：R473[医药卫生—护理学]