“工”字型 3M 胶布贴在老年无齿气管插管固定中的应用研究
Application of "I" type 3M adhesive tape in the fixation of toothless tracheal intubation in the elderly
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| DOI |
10.12208/j.jmnm.202200431 |
| 刊名 |
Journal of Modern Nursing MedicineJPCNS
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| 年,卷(期) |
2022, 1(7) |
| 作者 |
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| 作者单位 |
深圳市罗湖区人民医院 广东深圳 ;
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| 摘要 |
分析老年无齿气管插管固定中“工”字型 3M 胶布贴的干预效果。方法 选择近 1 年本院收治的危重症气管插管上呼吸机辅助呼吸的老年无齿患者 50 例,随机分为研究组(采用“工”字型 3M 胶布贴进行固定气管插管,25 例)和对照组(采用传统的扁带加胶布固定气管插管,25 例),对比两组应用效果。结果 研究组口腔溃疡发生率、口唇压疮发生率、口腔异味情况均明显更低,患者舒适度明显更高,与对照组相比差异有统计学意义(P<0.05),两组患者均无一例出现非计划拔管、VAP;研究组一次性医疗耗材费用更低,护士依从性更高,与对照组相比差异有统计学意义(P<0.05)。结论 采用“工”字型 3M 胶布贴的固定方式,有效提高患者的舒适度,降低皮肤黏膜的并发症率,且节省了无菌棉垫和纱布的使用,临床应用价值确切。
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| Abstract |
Objective To analyze the intervention effect of "I" type 3M adhesive tape in the elderly toothlesstracheal intubation fixation. Methods Fifty elderly toothless patients who were treated in our hospital in recent oneyear with ventilator assisted respiration on endotracheal intubation were randomly divided into the study group (25cases were fixed with "I" type 3M adhesive tape for endotracheal intubation) and the control group (25 cases werefixed with traditional flat tape and adhesive tape for endotracheal intubation). The application effects of the twogroups were compared. Results In the study group, the incidence of oral ulcer, the incidence of mouth and lippressure ulcers, and the situation of oral odor were significantly lower, and the patients comfort was significantlyhigher than that in the control group (P<0.05). There was no unplanned extubation or VAP in either group; The costof disposable medical consumables in the study group was lower, and the compliance of nurses was higher, with astatistically significant difference compared with the control group (P<0.05). Conclusion The fixation method of"I" type 3M adhesive tape can effectively improve the comfort of patients, reduce the complication rate of skin andmucous membrane, and save the use of sterile cotton pad and gauze. It has definite clinical application value.
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| 关键词 |
老年;无齿;气管插管;“工”字型 3M 胶布贴;扁带加胶布;效果
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| KeyWord |
The elderly; Toothless; Tracheal intubation; "I" type 3M adhesive tape; Flat belt with adhesivetape; effect
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| 基金项目 |
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| 页码 |
109-111 |
陶龙城*,李福,赖增桥,闫俊辉,韩雪飞.
“工”字型 3M 胶布贴在老年无齿气管插管固定中的应用研究 [J].
现代护理医学杂志.
2022; 1; (7).
109 - 111.