水胶体敷料康惠尔透明贴预防肿瘤患者PICC置管术后机械性静脉炎效果研究

Effect of hydrocolloid dressing Conwell transparent patch in preventing mechanical phlebitis in tumor patients after PICC catheterization

目的探讨在肿瘤经外周静脉置入中心静脉导管(PICC)置管患者中采取水胶体敷料康惠尔透明贴的作用。方法选取2021年5月至2023年5月该院收治的采取PICC置管治疗的肿瘤患者60例,采用随机数字表法分为观察组和对照组,每组30例。对照组行常规护理,观察组在常规护理基础上加用水胶体敷料康惠尔透明贴,均持续护理观察3个月。比较2组患者机械性静脉炎发生率、疼痛情况(疼痛数值评定量表评分)、舒适度(Kolcaba的舒适状况量表评分)、生活质量(生活质量简表评分)、患者满意度等。结果观察组患者机械性静脉炎发生率[6.67%(2/30) vs.26.67%(8/30)],以及护理后疼痛数值评定量表评分[(1.19±0.23)分vs.(2.52±0.64)分]均明显低于对照组,Kolcaba的舒适状况量表[(84.17±3.92)分vs.(68.90±3.56)分]、生活质量简表评分及满意度中材料使用、操作技术、服务态度、经济性、工作效率、需求满足、安全管理、并发症预防方面评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论肿瘤PICC置管患者接受水胶体敷料康惠尔透明贴干预可有效预防术后机械性静脉炎发生,降低患者疼痛程度,提升舒适度和生活质量,从而获得更高的患者满意度。

Objective To explore the effect of hydrocolloid dressing Conwell transparent patch in patients with tumor undergoing peripherally inserted central catheter(PICC)catheterization through peripheral vein.Methods From May 2021 to May 2023,a total of 60 patients with tumor treated with PICC in the hospital were selected and divided into the control group(30 cases)and the observation group(30 cases)by random number table method.The patients in the control group received routine nursing,and the patients in the observation group were added hydrocolloid dressing Conwell transparent patch on the basis of routine nursing.The patients in both groups were continuously nursing and observed for three months.The incidence of mechanical phlebitis,pain(pain rating scale score),comfort(Kolcaba's comfort rating scale score),quality of life(quality of life summary score)and patient satisfaction were compared between the two groups.Results The incidence of mechanical phlebitis in the observation group[6.67%(2/30) vs.26.67%(8/30)]and the score of the numerical evaluation scale of post-nursing[(1.19±0.23)points vs.(2.52±0.64)points]pain were significantly lower than those in the control group,while the scores of Kolcaba's comfort scale[(84.17±3.92)points vs.(68.90±3.56)points],short-form score of quality of life and satisfaction were significantly higher than those in the control group in terms of material use,operation technology,service attitude,economy,work efficiency,demand satisfaction,safety management and complication prevention,with statistical significance(P<0.05).Conclusion The intervention of hydrocolloid dressing Conwell transparent patch can effectively prevent the incidence of postoperative mechanical phlebitis,reduce the pain degree of patients,improve their comfort level and quality of life,and thus obtain higher patient satisfaction.