ICU卧床患者足部清洗装置的设计与应用

The design and application of a foot cleaning device for bedridden patients in ICU

目的自制一种ICU卧床患者足部清洗装置,并探讨其在ICU卧床患者足部清洗中的应用效果。方法便利选择2021年4月至2022年2月在杭州市第一人民医院ICU住院患者200例为研究对象。按随机数字表将患者分为对照组和观察组各100例。对照组采用普通洗脚盆用毛巾蘸取温水进行足部擦拭清洗,观察组采用自制的卧床患者足部清洗装置进行足部清洗,2组均在清洗之后进行20 min的温水足浴。观察2组的不良事件发生率、平均足部清洗时间、总足部清洗时间、患者主观舒适度与满意度以及操作者的满意度。结果观察组患者足部清洗过程中的不良事件发生率2.00%(28/1400),低于对照组的4.36%(61/1400),差异有统计学意义(χ2=11.88,P<0.05);观察组患者平均足部清洗时间(27.77±1.34)min,长于对照组的(24.63±2.36)min,差异有统计学意义(t=9.30,P<0.05);观察组患者足部总清洗时间(27.77±1.34)min,短于对照组的(49.26±4.71)min,差异有统计学意义(t=42.51,P<0.05);观察组患者足部清洗的主观舒适度、满意度、足部清洗操作者的满意度分别为91.00%(91/100)、97.00%(97/100)、91.67%(55/60),高于对照组的75.00%(75/100)、85.00%(85/100)、75.00%(45/60),差异有统计学意义(Z=-3.04、-4.82、-2.71,均P<0.05)。结论本研究中自制的ICU卧床患者足部清洗装置可在重症患者中使用,同时可有效降低患者足部清洗过程中的不良事件发生率,缩短患者的足部清洗时间,提高患者的舒适度及满意度,并提高操作者的满意度,值得在临床上推广应用。

Objective A foot cleaning device for bedridden patients in ICU was made,and its application effects in foot cleaning for bedridden patients in ICU was discussed.Methods A total of 200 inpatients in the department of ICU from April 2021 to October 2021 were selected as the research objects.According to the random number table,the patients were divided into two groups,including 100 patients in the control group and 100 patients in the experimental group.The patients in the control group used an ordinary foot basin and dipped warm water by a towel for foot wiping and cleaning.The patients in the experimental group used a foot cleaning device for bedridden patients developed and designed by our hospital.Both groups received warm water foot bath for 20 minutes after cleaning.The incidence of adverse events,average foot washing time,total foot washing time,the subjective comfort and satisfaction of the patients and the satisfaction of the operator were observed.Results The incidence of adverse events during foot cleaning in the experimental group was 2.00%(28/1400)lower than 4.36%(61/1400)in the control group,the difference was statistically significant(χ^(2)=11.88,P<0.05).The foot washing time in the observation group[(27.77±1.34)min]was longer than that in the control group[(24.63±2.36)min],the difference was statistically significant(t=9.30,P<0.05).The total foot washing time in the observation group[(27.77±1.34)min]was shorter than that in the control group[(49.26±4.71)min],the difference was statistically significant(t=42.51,P<0.05).The subjective comfort of foot cleaning,the satisfaction of foot cleaning of patients and the satisfaction of foot cleaning operators in the experimental group were 91.00(91/100),97.00%(97/100),91.67%(55/60),while the control group were 75.00%(75/100)、85.00%(85/100),75.00%(45/60),and the differences between the two groups were statistically significant(Z=-3.04,-4.82,-2.71,all P<0.05).Conclusions The self made foot cleaning device for bedridden patients in this study can be used in ICU patients.It can effectively reduce the incidence of adverse events in the process of foot washing and shorten the time of foot washing.It can also improve the comfort and satisfaction of patients,and improve the satisfaction of operators.