|
|
|
| Influence of skin protective film combined with semipermeable membrane dressing on critical patients in ICU |
| ZHENG Hongjie1 DU Juan1 TIAN Yuan2 ZHOU Chunhui2 |
1.Department of Nursing, Fuxin Mine General Hospital of Liaoning Health Industry Group, Liaoning Province, Fuxin 123000, China;
2.Intensive Care Unit, Fuxin Mine General Hospital of Liaoning Health Industry Group, Liaoning Province, Fuxin 123000, China |
|
|
|
Abstract Objective To approach influence of critical patients in intensive care unit (ICU) by skin protective film combined semipermeable membrane dressing. Methods Three hundred critical patients admitted to ICU of Fuxin Mine General Hospital of Liaoning Health Industry Group from June 2018 to June 2019 were selected as the research objects. According to the random number table method, the patients were divided into the observation group and the control group, with 150 cases in each group. The control group was treated with Conway 3533 hydrocolloid semi permeable membrane dressing, and the observation group was treated with skin protective membrane + semi permeable membrane dressing. The Braden scale score, quality of life score, incidence, occurrence time and severity of incontinence related dermatitis of two groups were observed. Results The scores of Braden inventory and quality of life of two groups were compared before intervention, the differences were no statistical significance (P > 0.05). The scores of Braden inventory and life quality in two groups after intervention were higher than before intervention, and those scores of the observation group were higher than control group, the differences were highly statistical significance (P < 0.01). The incidence of incontinence associated dermatitis was lower than control group, the occurrence time was longer than control group, the severity was lower than control group, the differences were highly statistical significance (P < 0.01). Conclusion The application of skin protective film combined semipermeable membrane dressing in critical patients in ICU, which could increase life quality of patients, protect skin function, decrease incontinence associated dermatitis rate. It is worthy of clinical application.
|
|
|
|
|
|
[1] Boronat-Garrido X，Kottner J，Schmizt G，et al. Incontinence-associated dermatitis in nursing homes：prevalence，severity，and risk factors in residents with urinary and/or fecal incontinence [J]. J Wound Ostomy Cont，2016，43（6）：630-635.
[2] 宋娟，蒋琪霞，王雪妹.不同护理措施预防重症患者失禁相关性皮炎的对比研究[J].中华护理杂志，2016，51（1）：62-65.
[3] Borchert K，Bliss DZ，Savik K，et al. The incontinence-associated dermatitis and its severity instrument：development and validation [J]. J Wound Ostomy Cont，2010，37（5）：527-535.
[4] 陈瑞平，李晓君，王淑霞，等．三种护理干预方法预防危重患者失禁相关性皮炎的临床研究[J].中国实用护理杂志，2016，32（10）：725-728.
[5] 陈爱妹，卢万俊，于金美，等．Braden评分对急性脑卒中病人失禁相关性皮炎的预测价值及护理策略[J].护理研究，2015，29（7C）：2585-2587.
[6] 郑菁，陈鑫鑫，陈刚.造口袋联合液体敷料在大便失禁危重症患者中的应用[J].福建医药杂志，2016，38（4）：159-161.
[7] 刘兴红，喻姣花，黄海燕，等.基于循证构建失禁相关性皮炎护理质量评价指标体系[J].护理研究，2019，33（5）：786-789.
[8] Wong DT，Mbchb SL，Gomez M，et al. Evaluatim of predictive ability of APACHE Ⅱ system and hoapital out come in canadion intensive care patients [J]. Crit Care Med，1995，23（7）：1171-1183.
[9] Bergstrom N，Demuth PJ，Braden BJ. A clinical trial of the Braden Scale for predicting pressure sore risk [J]. Nurs Clin N Am，1987，22（2）：417-428.
[10] 张磊，徐德忠，黄久仪，等.SF-36量表中文版的应用及分级截断点选择的研究[J].中华流行病学杂志，2004， 25（1）：69-73.
[11] Skogestad IJ，Martinsen L，Borsting TE，et al. Supplementing the braden scale for pressure ulcer risk among medical inpatients：the contribution of self-reported symptoms and standard laboratory tests [J]. J Clin Nurs，2017，26（1）：202-214.
[12] 杨小凤，蒋争艳，黄莉丽，等.樟树皮粉联合造口袋治疗失禁性皮炎的效果观察[J].当代护士：下旬刊，2016，23（5）：115-116．
[13] 赵煜华，王俊霞.重症监护病区病人失禁相关性皮炎的研究进展[J].护理研究，2019，33（17）：3001-3004.
[14] 黎贵湘，王定玺，程桂兰，等.胰周感染合并浸渍性皮炎患者应用康乐宝造口护肤粉联合3M液体敷料的效果观察[J].护理学报，2016，23（16）：53-55．
[15] 徐一松.综合护理干预预防ICU失禁性皮炎的临床观察[J].中国现代医生，2018，56（12）：141-143.
[16] Fader M，Clark-O′Neill S，Cook D，et al. Management of night-time urinary incontinence in residential setting for older people：an investigation into the effects of different pad changing regimes on skin health [J]. Clin Nurs，2003，12（3）：374-386.
[17] Bliss DZ，Savik K，Thorson MA，et al. Incontinence-associated dermatitis in a long-term acute care facility[J].J Wound Ostomy Cont，2012，38（4）：359-370.
[18] 王国州，任慈，王青龙，等.成人失禁相关性皮炎高危因素的系统评价[J].临床与病理杂志，2019，39（8）：1760-1772.
[19] 王靓，王海播，杨豆，等.ICU护士失禁相关性皮炎知信行影响因素的调查研究[J].全科护理，2019，17（27）：3341-3344.
[20] 汪慧娟，郑红云，蒋红.神经外科重症患者失禁相关性皮炎的风险预警护理[J].护理学杂志，2018，33（11）：55-57.
[21] 杨文静，刘云，高佳．一次性3L手术粘贴巾在预防重症患者失禁相关性皮炎中的应用[J].护士进修杂志，2017， 32 （4）：360-362．
[22] 李敏，赵玉洁，岳媛媛，等.联合使用造口袋和皮肤保护膜对大便失禁患者皮肤的保护作用[J].蚌埠医学院学报，2016，41（3）：401-403． |
|
|
|
