摘要
目的:探讨自行设计的一种新型医用引流器具在ICU腹内压测量患者中的临床应用效果。方法:选取浙江大学医学院附属邵逸夫医院ICU2018年4—9月收治的65例重症急性胰腺炎患者为试验组,2017年10月至2018年3月收治的54例重症急性胰腺炎患者为对照组。对照组采用传统引流袋进行腹内压测量,试验组则采用自行设计的新型医用引流器具进行腹内压测量,比较2组患者测量首次使用的耗材成本、针刺伤发生率、导尿管渗漏发生率、导尿管气囊破裂发生率以及护士操作满意度,同时将对照组在2018年1—3月收治的32例患者在传统引流袋腹内压测量停止时予更换新型引流器具再次行腹内压测量1次,比较2种方法测得腹内压的准确率。结果:腹内压试验组首次测量人均耗材成本5.71元、针刺伤0例、导尿管渗漏0例,均低于对照组的22.36元、1例、7例,比较差异有统计学意义(P<0.01);护士操作满意度为(13.85±0.93)分,高于对照组的(10.00±1.05)分,差异有统计学意义(t值为-20.323,P<0.01)。结论:在腹内压测量操作中使用新型医用引流器具在保证测量准确性的同时能降低耗材成本,减少针刺伤、降低导尿管渗漏发生率,提高护士操作满意度。
Objective To explore the clinical application of a new type of medical drainage device designed to measure the intra-abdominal pressure of ICU patients.Methods The 65 patients with severe acute pancreatitis treated in our hospital from April to September 2018 were selected as the experimental group;the 54 patients with severe acute pancreatitis treated from October 2017 to March 2018 were selected as the control group.Patients in the control group used traditional drainage bags to measure intra-abdominal pressure,while patients in the experimental group used a new-designed medical drainage device to measure intra-abdominal pressure.Compare the cost of consumables used for the first time in the experimental group with the control group,the incidence of acupuncture injuries,the incidence of urethral leakage,the incidence of rupture of the catheter balloon,and the satisfaction of the nurses.The 32 patients admitted from January to March 2018 in the control group were measured again using a new drainage device after the abdominal pressure measurement operation was stopped in order to compare the accuracy of the two methods.Results The per capita consumable cost of the experimental group was 5.71 yuan,0 cases of needle stick injury,0 case of catheter leakage,which were lower than the control group(22.36 yuan,1 case,7 cases),the difference was significant(P<0.05).The nurse operation satisfaction score was 13.85±0.93,which was higher than the control group(10.00±1.05).The difference was statistically significant(t value was-20.323,P<0.05).Conclusion In the operation of intra-abdominal pressure measurement,the use of a new type of medical drainage device can ensure the accuracy of the measurement,reduce the cost of consumables,needle stick injuries and the incidence of urinary catheter leakage,and improve nurse operation satisfaction.
作者
董莲莲
陈香萍
劳月文
张奕
Dong Lianlian;Chen Xiangping;Lao Yuewen;Zhang Yi(Department of Intensive Care Medicine,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)
出处
《中国实用护理杂志》
2020年第16期1255-1259,共5页
Chinese Journal of Practical Nursing
关键词
腹内压测量
引流器具
ICU
Intra-abdominal pressure measurement
Drainage device
ICU
