自粘性软聚硅酮泡沫敷料联合3M透明敷料在肝硬化腹水患者腹腔置管护理中的应用

doi:10.20047/j.issn1673-7210.2023.18.32

Abstract
Figure/Table
References (25)
Related Citation (2)

Download: PDF (803 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application of self-adhesive soft silicone foam dressing（Mepilex Lite） combined with 3M transparent dressing in nursing care of patients with cirrhotic ascites. Methods This study used a prospective randomized controlled trial. A total of 100 patients with cirrhosis ascites who underwent peritoneal catheterization in the Department of Gastroenterology, the First Affiliated Hospital of Guangxi Medical University from January 2020 to June 2022 were included. According to random number table method, the patients were divided into intervention group and control group, with 50 cases in each group. In the intervention group, Mepilex Lite combined with 3M transparent dressing was used to cover the puncture point of abdominal catheterization after abdominal catheterization, in the control group, only 3M transparent dressing was used to cover the puncture point after abdominal catheterization. The occurrence of adverse reactions at puncture points, such as body temperature, local bleeding and fluid exudation at puncture points, subcutaneous hematoma, tube slippage, pain degree during excipient replacement, dressing replacement frequency, patients’ subjective feelings and tube maintenance cost were compared between the two groups. Results The body temperature and visual analog score of the intervention group were lower than that of the control group, and the pipeline maintenance cost was lower than that of the control group, the differences were statistically significant (P＜0.05). The dressing changing times in the intervention group was lower than that in the control group, and the dressing changing interval was longer than that in the control group, the difference was statistically significant (P＜0.05). Comfort and nursing satisfaction of intervention group were better than control group, the differences were statistically significant (P＜0.05). The total incidence of adverse reactions in the intervention group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion The application of Mepilex Lite combined with 3M transparent dressing in patients with ascites of cirrhosis with intraperitoneal catheterization is remarkable. The incidence of adverse reactions such as local exudation, exudation and subcutaneous hematoma is lower, the body temperature remained stable, and the degree of pain was reduced, comfort and satisfaction of nursing was higher.

Key words： Cirrhotic ascites Abdominal catheterization 3M transparent dressing Mepilex Lite

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Xiaohong1 WU Xiaomeng2 HUANG Zhongxian1 ZHONG Antong1 MO Wenyu1 LIN Yuan1 MO Yan1▲

Cite this article:

WANG Xiaohong1 WU Xiaomeng2 HUANG Zhongxian1 ZHONG Antong1 MO Wenyu1 LIN Yuan1 MO Yan1▲. Application of self-adhesive soft silicone foam dressing combined with 3M transparent dressing in nursing care of patients with cirrhotic ascites[J]. 中国医药导报, 2023, 20(18): 143-146,150.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.18.32 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I18/143

[1] 田玉，洪佳，王冰琼，等.肝硬化腹水患者长期应用白蛋白治疗的现状与前景[J].临床肝胆病杂志，2021，37（1）：173-175.
[2] 邵雪芳，陈亚红.双环固定贴在多功能腹腔引流管固定中的设计及应用[J].中国实用护理杂志，2020，36（33）：2596-2600.
[3] 张桂荣，白雪景，王芝云，等.百克瑞纱布敷料联合3M透明敷料对预防中心静脉导管相关感染的疗效观察[J].河北医药，2020，42（21）：3324-3326.
[4] 杨亚辉，武彦霞，王玉慧.水胶体敷料与3M敷料对腹膜透析患者隧道管口感染的预防效果对比及导管出口处感染的危险因素分析[J].中国血液净化，2021，20（10）：707-710.
[5] 李芳家，温贤秀，闵丽华，等.软聚硅酮泡沫敷料在神经外科糖尿病患者伤口修复中的应用[J].实用医院临床杂志，2021，18（3）：34-36.
[6] 中华医学会肝病学分会.肝硬化腹水及相关并发症的诊疗指南[J].实用肝脏病杂志，2018，21（1）：21-31.
[7] Waterfield J，Sim J. Clinical assessment of pain by the visual analogue scale [J]. Br J Ther Rehabil，2013，3（2）：94-97.
[8] 张猛，刘娇，陈晹，等.围手术期应用托伐普坦治疗肝硬化腹水的随机对照研究[J].实用医学杂志，2021，37（16）：2137-2141.
[9] 朱云燕，邵小萍.多元化护理干预对肝硬化腹水患者临床疗效的影响[J].西部中医药，2021，34（3）：143-145.
[10] 步光奎，廖江涛.腹腔置管引流治疗肝硬化顽固性腹水的效果及脱管的影响因素分析[J].河北医学，2021，27（9）：1522-1526.
[11] 王娜，吉慧聪，周慧莹.PDCA模式结合临床路径护理在肝硬化腹水患者中的应用效果[J].中国实用护理杂志，2020，36（24）：364-368.
[12] 莫伟，刘智超，阳秀春，等.透明敷料联合粘性敷料在经皮肝穿刺胆道引流术管路固定的应用[J].介入放射学杂志，2022，31（4）：397-400.
[13] 陈妮娜，牛迪，王宁.湿润烧伤膏联合3M液体敷料治疗新生儿尿布皮炎效果观察[J].儿科药学杂志，2020，26（2）：25-28.
[14] 王健芝.两种透明敷料应用于急诊躁动患者固定静脉留置针的效果观察[J].检验医学与临床，2020，17（1）：86- 89.
[15] 李玲玲，李智，乔安花，等.2种不同材质防护贴对防护用具导致的面部损伤/不适的防护效果观察[J].第二军医大学学报，2021，42（12）：1444-1448.
[16] 陈海燕，张丽萍，王智忠，等.泡沫敷料联合磺胺嘧啶银在急性重度放射性皮炎中的应用[J].护理学杂志，2021， 36（1）：54-55，59.
[17] 齐晓娜，孟彦，任远征.不同时期泡沫敷料对ICU无创机械通气患者医疗器械相关性压疮的预防效果[J].中国医药导报，2021，18（11）：181-184.
[18] 彭智丽，陆宝荣，黄娥.龙骨牡蛎粉联合康惠尔泡沫敷料治疗失禁相关性皮炎的效果[J].中国医药导报，2022， 19（6）：131-134.
[19] 李芳家，温贤秀，闵丽华，等.软聚硅酮泡沫敷料在神经外科糖尿病患者伤口修复中的应用[J].实用医院临床杂志，2021，18（3）：34-36.
[20] 恽文娟，宋凯飞，徐宇红.泡沫敷料反向粘贴法改善护士器械相关性压力损伤的效果[J].护理研究，2020，34（7）：1134-1136.
[21] 王歆怡，季翠玲.新型泡沫敷料在神经重症眼睑闭合不全患者眼部护理中的应用[J].中国临床研究，2020，33（2）：283-284，288.
[22] 王红英，李海珍.泡沫敷料换药法在腹腔引流管渗漏中的应用[J].浙江医学，2015，37（12）：1107-1108.
[23] 尚文媛，俞群，许莉莉，等.泡沫敷料在复杂先心性心脏病术后压力性损伤预防中的应用效果观察[J].中国医学装备，2020，17（10）：129-131.
[24] 黄朵，李兵发.薄型泡沫敷料在大面积表皮剥脱重症药疹病人中的应用效果[J].护理研究，2021，35（2）：349- 351.
[25] 郑可欣，曹淼，徐禹，等.泡沫敷料联合3M液体敷料对ECMO患者股静脉置管处皮肤保护的效果研究[J].现代中西医结合杂志，2020，29（10）：1123-1125.