摘要
目的探讨基于皮肤力学理论的护理干预在预防老年肿瘤患者PICC维护部位医用粘胶相关性皮肤损伤中的应用效果。方法将90例行PICC维护的老年肿瘤患者随机分为对照组和观察组各45例,对照组采用常规PICC维护方法,观察组采用基于皮肤力学理论的护理干预方法,观察3个月后评价效果。结果两组医用粘胶相关性皮肤损伤发生率、首次发生医用粘胶相关性皮肤损伤时间比较,差异有统计学意义(P<0.05,P<0.01)。结论基于皮肤力学理论的护理干预能预防老年肿瘤患者PICC维护部位医用粘胶相关性皮肤损伤,保护老年肿瘤患者PICC维护部位皮肤。
Objective To evaluate the effect of nursing interventions based on biomechanical characteristics of the skin on prevention of medical adhesive-related skin injuries(MARSI)at PICC insertion site in elderly cancer patients.Methods Ninety elderly cancer patients with PICC lines were randomized into a control group and an intervention group of 45,receiving either conventional PICC maintenance care or alternative interventions based on biomechanical characteristics of the skin.The effect was compared between the two groups after 3 months of intervention.Results The incidence rate of MARSI and time for first-onset of MARSI had significant differences between the two groups(P<0.05,P<0.01).Conclusion Provision of PICC line maintenance care based on biomechanical characteristics of the skin can prevent MARSI in elderly cancer patients and protect skin integrity at PICC insertion site.
作者
毛丽娜
文素芳
冯淑慧
Mao Lina;Wen Sufang;Feng Shuhui(Department of Injection,Affiliated Hospital of Guilin Medical University,Guilin 541001,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第17期49-51,共3页
Journal of Nursing Science
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2015402)
桂林市科学研究与技术开发计划项目(20190218-5-10)。
关键词
皮肤力学理论
老年
肿瘤
外周静脉置入中心静脉导管
维护
医用粘胶相关性皮肤损伤
biomechanical characteristics of the skin
advanced age
cancer
peripherally inserted central catheter
maintenance
medical adhesive related skin injury