婴幼儿头皮医用粘胶相关性皮肤损伤防护方案的构建与应用  

Development and application of nursing and prevention plan for medical adhesive related skin injuries on the scalp of infants and young children

作　　者：王海勤[1] 胡玲[2] 唐业玲 喻筱倩 宋庆[3] Wang Haiqin;Hu Ling;Tang Yeling;Yu Xiaoqian;Song Qing(Department of Nursing,Wuhan Children′s Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430016,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院护理部,湖北武汉430016 [2]华中科技大学同济医学院附属武汉儿童医院神经内科,湖北武汉430016 [3]华中科技大学同济医学院附属武汉儿童医院呼吸内科,湖北武汉430016

出　　处：《护理学杂志》2024年第4期49-52,共4页Journal of Nursing Science

基　　金：湖北省儿童神经发育障碍临床医学研究中心建设项目(HST 2020-19-8);武汉儿童医院临床医学科研项目(2022FE004)。

摘　　要：目的降低视频脑电图监测婴幼儿头皮医用粘胶相关性皮肤损伤。方法采用历史对照设计,将2018年1月至2019年12月入住癫痫监测单元行头皮视频脑电图监测的患儿856例纳入对照组,实施常规皮肤护理;将2021年1月至2022年12月入住癫痫监测单元行头皮视频脑电图监测的患儿851例纳入观察组,构建和实施医用粘胶相关性皮肤损伤防护方案。比较两组头皮医用粘胶相关性皮肤损伤发生率。结果观察组头皮医用粘胶相关性皮肤损伤发生率显著低于对照组(P<0.05)。结论婴幼儿头皮医用粘胶相关性皮肤损伤防护方案的应用,可有效降低婴幼儿头皮医用粘胶相关性皮肤损伤发生率。Objective To reduce medical adhesive related skin injury(MARSI)in infants and young children′s scalp during video EEG monitoring(VEEG).Methods Using a historical controlled design,856 children admitted to the epilepsy monitoring unit from January 2018 to December 2019 who underwent scalp VEEG were included in the control group and received routine skin care;851 children from January 2021 to December 2022 were included in the experimental group,and an MARSI nursing and prevention plan was implemented.The incidence rate of scalp MARSI between two groups was compared.Results The incidence rate of scalp MARSI in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion The nursing and prevention plan can effectively reduce the incidence rate of scalp MARSI infants and young children.

关 键 词：婴幼儿 癫痫监测 视频脑电图监测 医用粘胶相关性皮肤损伤 预防 管理流程 皮肤护理 

分 类 号：R473.72[医药卫生—护理学]