爱立敷敷料对延长留置针留置时间护理方式.docVIP

爱立敷敷料对延长留置针留置时间护理方式 　[摘要] 目的 探讨延长静脉留置针留置时间的有效方法。 方法 将80例使用静脉留置针的患者随机分为观察组和对照组。对照组采用常规的无菌透明贴膜固定留置针，观察组首先使用5 cmtimes;6 cm大小的爱立敷薄型泡沫敷料紧贴穿刺点上方沿静脉走向粘贴在局部皮肤上，然后再按常规使用无菌透明贴膜固定留置针。观察并比较两组留置针留置时间。 结果 观察组留置针留置时间明显长于对照组，静脉炎发生率明显低于对照组，差异有统计学意义（Plt;0.05）。 结论 使用爱立敷薄型泡沫敷料能有效延长留置针留置时间，减少静脉炎的发生，减轻患者痛苦，值得临床推广。 　[关键词] 留置针；留置时间；爱立敷薄型泡沫敷料；无菌透明贴膜 　[中图分类号] R472 [文献标识码] B [文章编号] 1673-9701（2015）01-0084-03 　Effect of ALLEVYN thin to extend indwelling time of the indwelling needle 　WANG Jianyun LI Lanzhi CUI Nini 　Orthopaedics Department， the No.9 Peoples Hospital of Qingdao City， Qingdao 266002， China 　[Abstract] Objective To study the effective methods to extend indwelling time of the venous indwelling needle. Methods Eighty cases of patients who used intravenous indwelling needle were randomly divided into observation group and control group. Control group was used conventional sterile transparent sticker to fix the needle， observation group were used 5 cmtimes;6 cm size ALLEVYN thin to paste on the skin where we punctured veins firstly， and then used the sterile transparent sticker to fix the needle. The needle indwelling time of the two groups were observed and contrasted. Results The indwelling time of observation group was significantly longer than the control group. Incidence rate of phlebitis of observation group was significantly lesser than the control group. The difference between two groups was statistically significant （Plt;0.05）. Conclusion ALLEVYN thin can effectively extend Indwelling time of the venous indwelling needle， decrease the occurrence of phlebitis， relieve patient’s pain， it is worth applying in clinic. 　[Key words] Indwell needle； Indwelling time； ALLEVYN thin； Sterile transparent sticker 　近年来，静脉留置针以其在抢救患者、输注化疗药物和静脉营养等诸多方面的优势而得到临床的广泛应用[1]。静脉留置针作为一项护理技术，穿刺技术固然重要，但留置时间的长短成为护士及患者最为关注的问题[2]。对于留置针留置时间的问题有大量的文献研究报道，美国输液护理学会将套管针留置时间规定为3 d，我国目前尚无严格规定。有报道套管针可留置5～7 d，在无静脉炎发生时留置7 d是完全可行的[3]。留置时间过长，患者发生局部并发症的危险性增加；留置时间过短，丧失了其本身的作用，也增加了护理工作量和患者的痛苦。因此，如何减少留置针的并发症，延长留置时间