双环固定贴在多功能腹腔引流管固定中的设计及应用

The design and application of double ring fixation in fixing the multifunctional abdominal drainage tube

目的改进腹腔引流管固定方法,减少管道相关不良事件。方法选取3M棉质纺织物肤色压敏感胶带材料剪裁特定形状用于管道固定,选取浙江大学医学院附属第二医院外科病区2018年7—12月腹部术后留置唯朗®分体式多功能腹腔引流管患者95例,采用随机数字表法分为观察组48例,对照组47例,观察组采用双环固定贴固定,对照组采用工字贴固定。比较2组固定贴剪裁时间;两种固定贴粘贴时间;更换固定贴次数;管道固定相关不良事件;患者管道牵拉感疼痛分值。结果护理工作量比较,单次固定贴剪裁时间,观察组(6.27±1.07)s,对照组(11.04±0.91)s,2组比较差异有统计学意义(t值为-23.457,P<0.05)。人均固定贴使用个数观察组(1.10±0.31)个,对照组(2.32±0.47)个,2组比较差异有统计学意义(t值为-14.896,P<0.05);管道牵拉疼痛分值≥4分例数,观察组0例,对照组7例,2组比较差异有统计学意义(χ^2值为5.690,P=0.017)。结论双环固定贴固定唯朗®分体式多功能腹腔引流管更加牢固,安全,值得推广。

Objective The aim of this study was to improve the method of pipe fixation and reduce pipes-related adverse events.Methods A 3M cotton fabric skin color pressure sensitive tape was chosen and cut to the double ring shape.A total of 95 patients used the Weilang®split multifunctional abdominal drainage tube after abdominal surgery in the surgical ward of the second affiliated hospital of Zhejiang University Medical College from July 2018 to December 2018 were recruited and then randomly divided into the observation group(48 cases)and the control group(47 cases).The observation group was fixed by double ring fixation and the control group was fixed by traditional method.The cutting time,fixing time,changing time,the adverse events related to the fixation and the pain score of the patients were compared between the two groups.Results The incidence of adverse events in the observation group was lower than that in the control group.The time of cutting fixed patches was(6.27±1.07)s in the observation group and(11.04±0.91)s in the control group,which had a significant difference(t value was-23.457,P<0.05).The number of fixed patches used per capita was 1.10±0.31 in the observation group and 2.32±0.47 in the control group,which had a significant difference(t value was-14.896,P<0.05).In addition,the number of cases whose pain score of pipeline pulling was greater than 4 was 0 in observation group.By contrast the number was 7 in the control group,which had a significant difference(χ^2 value was 5.690,P=0.017).Conclusions The use of double ring fixation in fixing the Weilang®split multifunctional abdominal drainage tube was safe and worthy of being expanded.