摘要
目的探讨康惠尔无粘胶泡沫敷料在气管切开伤口换药中的护理效果。方法将60例气管切开的患者随机分为对照组和实验组各30例。实验组以康惠尔无粘胶泡沫敷料作为气管切开换药敷料，对照组以普通无菌纱布作为气管切开换药敷料。观察两组患者气管切开后周围皮肤情况、切口感染情况、平均换药间隔时间及患者舒适程度。结果实验组6例患者发生皮肤损害，对照组12例患者发生皮肤损害，组间比较差异具有统计学意义（X^2=2．86，P〈0．05）。观察组敷料更换时间为（3．63±1．30）d，对照组为（1．28±0．50）d，组间比较差异具有统计学意义（t=9．24，P〈0．01）。观察组患者本拔管时间为（15．98±2．54）d，对照组为（21．05±3．15）d，组间比较差异具有统计学意义（t=6．86，P〈0．01）。结论泡沫敷料可有效减少皮肤不良反应的发生，降低切口感染率的发生。减少了换药次数及医护人员的工作量，增加了患者的舒适感。
Objective To estimate nursing effection of comfeel non adhesive foam dressing in the dressing tracheotomy. Methods 60 patients with tracheotomy were randomly divided into control and experimental group, each group had 30 cases respectively. The experimental group used the comfeel non-adhesive foam dressing for traeheotomy, The control group used ordinary sterile gauze dressing for tracheotomy. The skin condition after tracheotomy, incision infection, the average time between dressing changes and patient comfort were observed. Results 6 patients got skin lesion in experimental group and 12 in the control group, there was obviously different between the. two groups （ X^2 = 2.86, P 〈 0. 05 ）. Dressing changing time were（3.63 ±1.30） days and （ 1.28 ±0.50） days in experimental and control group, respectively. there was statistically difference（t =9. 24,P 〈0. 01 ）; Extubafion time in experimental group was less than the control group ,it was （ 15.98 ±2.54） days and（21.05 ±3.15） days （t =6. 86,P 〈0. 01）. Conclusions Foam dressing is effective in reducing the incidence of skin reactions and wound infection. It can reduce the frequency of dressing change and increase the patient＇ s comfortable.
出处
《中华现代护理杂志》
2011年第34期4119-4120,共2页
Chinese Journal of Modern Nursing
基金
基金项目：江苏省医学重点人才基金（RC2007029）
江苏省社会发展项目（BS2007037）
淮安市科技发展基金（HAS07025）
南京医科大学科技发展基金重点项目（06NblUZ047）
