改良“十”字裁剪法泡沫敷料在气管切开患者中的应用

Application of foam dressing with modified cross-shaped cutting method in patient undergoing tracheotomy

目的探讨改良"十"字裁剪法泡沫敷料在气管切开患者中的应用效果。方法气管切开患者92例随机分为对照组和观察组,各46例。对照组泡沫敷料采用传统的圆形裁剪法,观察组泡沫敷料采取改良"十"字裁剪法。比较2组气管切开后7 d内切口感染、切口周围刺激性皮炎、护士工作量方面的差异。结果观察组切口感染和切口周围刺激性皮炎发生率均显著低于对照组(P<0.05);观察组平均换药次数,换药时间和换药费用显著低于对照组(P<0.05)。结论泡沫敷料改良"十"字裁剪法优于常规圆形裁剪方法,能有效降低气管切口相关并发症风险,提高护士工作效率,值得借鉴。

Objective To evaluate the foam dressing with modified cross-shaped cutting method in patient undergoing tracheotomy. Methods A total of 92 patients undergoing tracheotomy were randomly divided into the control group and the observation group,with 46 cases in each group.The foam dressing with conventional circle-shaped cutting method was used in the control group while the foam dressing with modified cross-shaped cutting method was given to the observation group. The incidences of incisional wound infection and irritant dermatitis,nursing workload were compared 7 days after tracheotomy. Results The incidences of incisional wound infection and irritant dermatitis were lower in the observation group than those in the control group( P < 0. 05). The observation group had a less dressing changing times,overall changing time and less cost compared with the control group( P< 0. 05). Conclusion The foam dressing with modified cross-shaped cutting method is effective to reduce the risk of tracheotomy related complications and to improve the nursing work efficiency.