PICC携管患者洗澡用防水透气保护袖套的临床效果评价

Evaluation of clinical effect of PICC carrying waterproof and breathable protective sleeve for patients taking bath

目的应用并评价PICC携管患者洗澡的防水透气保护袖套的临床效果。方法选择2018-01—2018-12在某三级甲等医院神经介入科PICC携管患者242例为研究对象,其中在此防水透气保护袖套装置应用于临床前就诊的120例为对照组,未使用任何保护措施;防水透气保护袖套用于临床后的122例为实验组,比较2组发生导管脱出、穿刺点感染、过敏性皮炎、导管相关性血流感染的发生率,并对PICC携管患者使用该设计前后满意度进行调查。结果实验组发生导管脱出0,穿刺点感染1.64%,过敏性皮炎1.64%,导管相关性血流感染0;对照组发生导管脱出1.67%,穿刺点感染10%,过敏性皮炎12.50%,导管相关性血流感染0.84%。2组比较,差异具有统计学意义(χ2=2.5,P=0.005,P<0.05)。2组患者使用本研究设计防水透气保护袖套装置的满意率调查实验组满意率为98.36%,对照组的满意率为85.83%,差异具有统计学意义(χ2=0.000,P=0.001,P<0.05)。结论PICC携管患者洗澡的防水透气保护袖套装置可减少PICC携管患者并发症的发生,避免浪费医疗资源,提高了患者的满意度。

Objective To make a waterproof breathable protective sleeve for PICC patients with bath and evaluate its application effect.Methods 242 patients with PICC in the department of oncology,a hospital of henan province from From January 2018 to December 2018 were selected as the study subjects.Among them,120 patients with preclinical treatment with waterproof and breathable sleeve protection device were selected as the control group without any protective measures.After the application of waterproof and breathable protective sleeve in clinical practice,122 patients in the experimental group were enrolled.The incidence rates of tension blister,catheter detachment,puncture point infection,allergic dermatitis and catheter-related bloodstream infection in the two groups were compared.ResultsIn The experimental group,catheter prolapse 0,puncture site infection 1.64%,allergic dermatitis 1.64%,catheter-related bloodstream infection 0,in the control group,catheter prolapse 1.67%,puncture site infection 10%,allergic dermatitis 12.50%,catheter-related bloodstream infection 0.84%.The difference was statistically significant(χ2=2.5,P=0.005,P<0.05).The satisfaction rate of the two groups of patients using the waterproof and breathable protective sleeve device designed in this study was 98.36%in the experimental group and 85.83%in the control group.The difference was statistically significant(severityχ2=0.000,P=0.001,P<0.05).Conclusion The waterproof breathable cuff protection device for PICC patients can reduce the incidence of complications in PICC patients,avoid wasting medical resources,and improve the satisfaction of patients.Therefore,it is worthy of clinical application.