摘要
目的探讨敷料组合使用在ICU患者失禁相关性皮炎(IAD)护理中的效果。方法选择2016年10月~2018年11月首都医科大学宣武医院ICU住院IAD患者74例,采用随机数字表法将其分为对照组和观察组,每组37例。在皮肤护理一致的基础上,对照组采用造口粉和皮肤保护膜进行保护;观察组采用水胶体敷料与透明贴膜、泡沫敷料与透明贴膜组合使用进行保护,连续干预7 d。比较IAD的愈合率、愈合时间及敷料更换次数、耗费护理时间。结果观察组患者IAD的愈合率高于对照组,差异有统计学意义(P<0.05),其中1级IAD的愈合率观察组高于对照组,但差异无统计学意义(P>0.05),2级IAD愈合率观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者愈合时间及1级、2级IAD愈合时间均短于对照组、敷料更换次数及耗费护理时间均少于对照组,差异均有统计学意义(均P<0.05)。结论在ICU失禁相关性皮炎中使用敷料组合方法处理IAD,可以提高愈合率、缩短愈合时间、减少敷料更换次数、减少护理工作量。
Objective To explore the effect of dressing combination in ICU patients with incontinence associated dermatitis(IAD).Methods From October 2016 to November 2018,74 patients with IAD were selected from ICU in Xuanwu Hospital,Capital Medical University,and they were divided into two groups by random number table methed,each group included 37 cases.On the basis of the consistency of skin care,the control group used skin care powder joint skin protective film,the observation group was protected by a combination of hydrocolloid dressing and transparent lamination,foam dressing and transparent lamination,and continued intervention for 7 d.The healing rate,healing time,dressing replacement times and nursing time of IAD in the two groups were compared.Results The healing rate of IAD in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).And The healing rate of grade 1 IAD in the observation group was higher than that in the control group,but the difference was not statistically significant(P>0.05).The healing rate of grade 2 IAD in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The healing time and healing time of grade 1 and grade 2 IAD in the observation group were shorter than those in the control group,the number of dressing changes and the time spent on care were less than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Treating IAD in ICU incontinence associated dermatitis with dressing combination method can improve the healing rate,shorten the healing time,reduce the number of dressing changes and reduce the care workload.
作者
赵晓维
王硕
张文婷
张宇
王霞
ZHAO Xiaowei;WANG Shuo;ZHANG Wenting;ZHANG Yu;WANG Xia(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing100053,China)
出处
《中国医药导报》
CAS
2019年第32期144-147,共4页
China Medical Herald
基金
北京市属医院科研培育计划基金项目（PX2016037）
关键词
敷料
组合
重症监护
失禁相关性皮炎
Dressing
Combination
Intensive care
Incontinence associated dermatitis
