摘要
目的探讨神经外科医用粘胶相关性皮肤损伤(Medical adhesive related skin,MARSI)的主要影响因素,并实施针对性策略。方法选取2019年3月~2020年3月在我科治疗使用医用粘胶剂的210例患者作为研究对象,观察MARSI发生情况,并对相关因素进行分析。结果210例患者中,发生MARSI(损伤组)49例(23.33%),未损伤(未损伤组)161例(76.67%)。对损伤组患者的医疗护理因素(操作技术、粘胶性质、皮肤消毒剂)、患者自身因素(性别、年龄、基础疾病、文化程度、皮肤过敏史、是否手术)等资料进行分析,并与未损伤组比较,差异具有统计学意义(P<0.05)。结论医用粘胶引起患者皮肤损伤的原因较多,临床上应针对患者的情况制定相应的预防措施,同时加强护士风险识别和技能操作培训,提高防范意识,减少医源性因素对皮肤造成的损伤,保证患者的皮肤安全。
Objective To investigate the main influencing factors of Medical adhesive related skin injury(MARSI)in neurosurgery and to implement suitable strategies.Methods 210 patients who used medical adhesive in our department from March 2019 to March 2020 were selected as the research objects to observe the occurrence of MARSI and analyze the data collected by the patients.Results 49 cases(23.33%)had MARSI and 161 cases(76.67%)had no injury in 210 patients with medical viscose.There were significant differences between patients with and without medical mucilage-related skin injuries in terms of medical care factors(operating technology,nature of mucilage,skin disinfectant)and patients'own factors(age,underlying disease,history of skin allergy,operation or not)(P<0.05),are the main influencing factors of MARSI.Conclusion The causes of skin injury caused by medical viscose are various,such as the nature of the use of adhesive,the choice of skin disinfectant,the operation techniques of different nurses and other medical nursing factors,the age of patients,the existence of basic diseases and other personal factors.The corresponding preventive measures should be formulated according to the situation of patients and departments,and the risk identification and technical operation training of nurses should be strengthened to improve the awareness of prevention,so as to avoid all the risk factors that may cause skin damage and ensure the skin safety of patients.
作者
黄少泳
赖海燕
秦丽平
叶夏兰
蓝雪文
HUANG Shao-yong;LAI Hai-yan;QIN Li-ping;YE Xia-lan;LAN Xue-wen(The First Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530021,China)
出处
《蛇志》
2020年第3期317-319,共3页
Journal of Snake
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(课题名称:菜单式健康教育在颅内动脉瘤介入栓塞术治疗蛛网膜下腔出血中的应用研究,课题号:Z20190687)。
