壳聚糖抗菌成膜喷剂预防一次性心电电极片相关性皮肤损伤的效果观察
|
摘要
[目的]探讨壳聚糖抗菌成膜喷剂(医用功能性敷料A型)预防重症监护室(ICU)病人使用一次性心电电极片所致皮肤损伤的效果。[方法]选取某三级甲等医院综合ICU 42例持续心电监护的成年病人进行自身对照实验,右锁骨第二肋间电极片粘贴处为对照组,采用常规方法粘贴电极片,左锁骨第二肋间电极片粘贴处为观察组,先在粘贴电极片的部位喷洒壳聚糖抗菌成膜喷剂,待干后粘贴电极片,两侧均间隔3d更换一次电极片。观察两组有无发生皮肤损伤、皮肤损伤发生时间及严重程度。[结果]观察组皮肤损伤发生率低于对照组,皮肤损伤发生时间晚于对照组,皮肤损伤的严重程度轻于对照组,差异均有统计学意义(P<0.05)。[结论]壳聚糖抗菌成膜喷剂预防ICU成年病人一次性心电电极片相关性皮肤损伤的效果良好。
引文
[1]郑文雅,张连红.外科监护室心电监护电极片引起皮损的相关因素分析和对策[J].护士进修杂志,2007,22(13):1241-1242.
[2]阳绪容,吴小玲,蒋丽,等.液体敷料预防老年患者心电监护时电极片致皮肤损伤的效果观察[J].护理学报,2014,21(22):4244.
[3]皮晨曦.皮肤保护膜在老年心电监护患者中的应用效果观察[J].实用临床护理学电子杂志,2017,2(31):27;31.
[4]帅苏蓉,施常琴,朱玫玉,等.皮炎平预防心电监护仪电极致皮肤损伤[J].护理学杂志,2007,22(3):66.
[5]CUTTING K F.Impact of adhesive surgical tape and wound dressings on the skin,with reference to skin stripping[J].Wound Care,2008,17(4):157.
[6]DENYER J.Reducing pain during the removal of adhesive and adherent products[J].Br J Nurs,2011,20(15):28-35.
[7]GROOM M,SHANNON R J,CHAKRAVARTHY D,et al.An evaluation of costs and effects of a nutrient-based skin care program as a component of prevention of skin tears in an extended convalescent center[J].Wound Ostomy Continence Nurs,2010,37(1):46-51.
[8]MCNICHOL L,LUND C,ROSEN T,et al.Medical adhesives and patient safety:state of the science:consensus statements for the assessment,prevention,and treatment of adhesive-related skin injuries[J].Wound Ostomy Continence Nurs,2013,40(4):365-380.
[9]郭晓霞,高娟,陈翠,等.面部化妆品接触性皮炎50例致病因素分析[J].实用皮肤病学杂志,2011,4(4):209-210.
[10]Infusion of Nurses Society.Infusion therapy standards of practice2016[M].5ed.Massachusetts:INS,2016:1.
[11]严海珠.芦荟胶预防一次性电极片致皮肤损伤[J].护理学杂志,2010,25(17):15.
[12]滕筱丽,申萍.炉甘石与VC预防老年患者电极片致皮肤损伤的护理[J].世界最新医学信息文摘.2013,24:211.
[13]苏庭丽,蒋雅琼.3M伤口保护膜联合造口粉在预防ICU老年患者一次性心电电极所致接触性皮炎的临床研究[J].实用临床护理学电子杂志,2018,3(25):77-78.
[14]HARRIS P N,ASHHURST-SMITH C,BERENGER S J,et al.Adhesive tape in the health care setting:another high-risk fomite?[J].Med J Aust,2012,196(1):34.
[15]KONYA C,SANADA H,SUGAMA J,et al.Skin injuries caused by medical adhesive tape in older people and associated factors[J].J Clin Nurs,2010,19(9/10):1236-1242.
[16]刘美芹,朱桂娇,卞军.今福生壳聚糖抗菌成膜喷剂预防老年男性患者留置尿管并发尿路感染的作用[J].现代临床护理,2013,12(4):34-36.
[17]黎秀.今福生防治留置针输注甘露醇所致静脉炎的效果观察[J].全科护理,2017,15(10):1244-1246.
[18]陈佳阳,陈实,乐学义.壳聚糖抗菌膜的研究进展[J].广东农业科学,2012,39(12):122-126.
[19]薛金玲,李健军,白艳红,等.壳聚糖及其衍生物抗菌活性的研究进展[J].高分子通报,2017(11):26-36.
[20]胡新良,王勤.壳聚糖及其衍生物抗菌活性研究进展[J].园艺与种苗,2011(6):103-105.
[2]阳绪容,吴小玲,蒋丽,等.液体敷料预防老年患者心电监护时电极片致皮肤损伤的效果观察[J].护理学报,2014,21(22):4244.
[3]皮晨曦.皮肤保护膜在老年心电监护患者中的应用效果观察[J].实用临床护理学电子杂志,2017,2(31):27;31.
[4]帅苏蓉,施常琴,朱玫玉,等.皮炎平预防心电监护仪电极致皮肤损伤[J].护理学杂志,2007,22(3):66.
[5]CUTTING K F.Impact of adhesive surgical tape and wound dressings on the skin,with reference to skin stripping[J].Wound Care,2008,17(4):157.
[6]DENYER J.Reducing pain during the removal of adhesive and adherent products[J].Br J Nurs,2011,20(15):28-35.
[7]GROOM M,SHANNON R J,CHAKRAVARTHY D,et al.An evaluation of costs and effects of a nutrient-based skin care program as a component of prevention of skin tears in an extended convalescent center[J].Wound Ostomy Continence Nurs,2010,37(1):46-51.
[8]MCNICHOL L,LUND C,ROSEN T,et al.Medical adhesives and patient safety:state of the science:consensus statements for the assessment,prevention,and treatment of adhesive-related skin injuries[J].Wound Ostomy Continence Nurs,2013,40(4):365-380.
[9]郭晓霞,高娟,陈翠,等.面部化妆品接触性皮炎50例致病因素分析[J].实用皮肤病学杂志,2011,4(4):209-210.
[10]Infusion of Nurses Society.Infusion therapy standards of practice2016[M].5ed.Massachusetts:INS,2016:1.
[11]严海珠.芦荟胶预防一次性电极片致皮肤损伤[J].护理学杂志,2010,25(17):15.
[12]滕筱丽,申萍.炉甘石与VC预防老年患者电极片致皮肤损伤的护理[J].世界最新医学信息文摘.2013,24:211.
[13]苏庭丽,蒋雅琼.3M伤口保护膜联合造口粉在预防ICU老年患者一次性心电电极所致接触性皮炎的临床研究[J].实用临床护理学电子杂志,2018,3(25):77-78.
[14]HARRIS P N,ASHHURST-SMITH C,BERENGER S J,et al.Adhesive tape in the health care setting:another high-risk fomite?[J].Med J Aust,2012,196(1):34.
[15]KONYA C,SANADA H,SUGAMA J,et al.Skin injuries caused by medical adhesive tape in older people and associated factors[J].J Clin Nurs,2010,19(9/10):1236-1242.
[16]刘美芹,朱桂娇,卞军.今福生壳聚糖抗菌成膜喷剂预防老年男性患者留置尿管并发尿路感染的作用[J].现代临床护理,2013,12(4):34-36.
[17]黎秀.今福生防治留置针输注甘露醇所致静脉炎的效果观察[J].全科护理,2017,15(10):1244-1246.
[18]陈佳阳,陈实,乐学义.壳聚糖抗菌膜的研究进展[J].广东农业科学,2012,39(12):122-126.
[19]薛金玲,李健军,白艳红,等.壳聚糖及其衍生物抗菌活性的研究进展[J].高分子通报,2017(11):26-36.
[20]胡新良,王勤.壳聚糖及其衍生物抗菌活性研究进展[J].园艺与种苗,2011(6):103-105.