患者医用黏胶皮肤损伤现状及护理管理者相关认知现状调查

The investigation of MARSI and nursing administrators′ cognition on it

目的了解我院护理管理者对医用黏胶皮肤损伤的现状把握及患者医用黏胶皮肤损伤现状,为下一步对患者提供医用黏胶皮肤损伤标准化干预提供理论依据。方法利用自制问卷对10名护理管理者和100名患者进行横断面调查。结果我院部分护理管理者了解医用黏胶皮肤损伤(medical adhesive-related skin injuries,MARSI)具体含义并且了解发生医用黏胶皮肤损伤(MARSI)后的处理,目前我院70%的科室有对医用黏胶选择使用的相关规定。患者发生医用黏胶皮损25例,分别为皮肤(表皮)剥脱、接触性皮炎、皮肤浸渍、过敏性皮炎、张力性损伤或水泡,损伤程度多为轻、中度;患者病情、黏胶类型、黏胶使用数量、黏胶粘贴部位是MARSI发生的影响因素。结论应加强对护理人员MARSI相关知识的普及,并针对高危人群进行皮肤监测,合理使用黏胶,预防MARSI的发生。

Objective To explore the current situation of medical adhesive-related skin injuries(MARSI) and nursing administrators’ cognition on it, so as to provide a theoretical basis for future standardized intervention. Methods The cross-sectional survey was conducted among 100 patients and 10 nursing administrators using self-made questionnaires. Results Some nursing administrators were aware of the definition of MARSI as well as how to deal with patients with them. Moreover, 70% of our departments had rules on choosing medical adhesive materials. Twenty-five patients were found of MARSI of mild or moderate degree, including the skin(epidermis) exfoliation, contact dermatitis, skin impregnation, allergic dermatitis and tension damage or blisters. Certain diseases, the type of medical adhesives, the number of medical adhesives used and the site of medical adhesives applied were risking factors for MARSI. Conclusion Knowledge about MARSI should be popularized among nursing staff, and skin screening should be conducted among patients with high risks. Moreover, medical adhesives should be used reasonably to prevent MARSI.