有黏胶泡沫敷料在喉癌患者气道造瘘换药中的应用

Application of viscose foam dressing in dressing change for airway fistula in patients with laryngeal cancer

目的探讨有黏胶泡沫敷料在喉癌气管切开患者中的应用效果。方法选取2017年1月至2018年8月我院收治的60例喉癌气管切开患者,随机等分成对照组和试验组。对照组采用传统无菌纱布换药,试验组采用有黏胶泡沫敷料换药。比较两组患者的舒适度、换药次数、造口愈合时间、感染发生情况、换药费用及满意度。结果试验组患者换药次数少于对照组,舒适度和满意度高于对照组,造口愈合时间短于对照组,感染发生率低于对照组,差异均具有统计学意义(P<0.05)。试验组的换药费用与对照组相比,差异无统计学意义(P>0.05)。结论使用有黏胶泡沫敷料可减少喉癌气管切开患者的换药次数,缩短造口愈合时间,提升患者舒适度,降低患者感染发生率,同时提高了护理工作效率,使患者更加满意,值得临床推广应用。

Objective To investigate the application effect of viscose foam dressing in patients with laryngeal cancer undergoing tracheotomy.Methods We selected 60 cases of patients with laryngeal cancer undergoing tracheotomy treated in our hospital from January 2017 to August 2018.They were randomly divided into a control group and a test group.The control group was given a dressing change with traditional sterile gauze,and the test group was given a dressing change with viscose foam dressing.The comfort,the frequency of dressing changes,the time of stoma healing,the incidence of infections,the cost of dressing changes,and the satisfaction were compared between the two groups.Results The the times of dressing change in the test group was less than that in the control group,the comfort and satisfaction were higher than those in the control group,the time of stoma healing was shorter than that in the control group,the incidence of infections was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the cost of dressing changes between the two groups(P>0.05).Conclusion The application of viscose foam dressing could reduce the frequency of dressing changes in patients with laryngeal cancer undergoing tracheotomy,shorten the time of stoma healing,improve patient's comfort,reduce the incidence of patient's infection,and improve the efficiency of nursing work,making patients more satisfied,which was worthy of clinical promotion and application.