非粘贴式加压服对接受心脏植入式电子设备患者的有效性。
Effectiveness of a Non-Taped Compression Dress in Patients Receiving Cardiac Implantable Electronic Devices.
作者信息
Chien Chih-Yin, Chang Ya-Hui, Wu Yih-Jer, Lin Po-Lin, Chiou Wei-Ru, Chi Bo-Ching, Wu Hsu-Ping, Liao Feng-Ching, Lee Ying-Hsiang
机构信息
Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management; New Taipei City.
Department of Nursing.
出版信息
Acta Cardiol Sin. 2019 May;35(3):320-324. doi: 10.6515/ACS.201905_35(3).20190107A.
BACKGROUND
Hematoma and skin damage are not uncommon after cardiac implantable electronic device (CIED) placement. The use of conventional hemostatic gauze and tape seems to be suboptimal in controlling these complications. This study aimed to evaluate the impact of a novel compression dress with a special pad and elastic bands for postoperative care.
METHODS
A total of 175 CIED recipients were randomly divided into two groups: an experimental group with 85 patients who used a non-taped compression dress and a control group with 90 patients who used conventional gauze ball and elastic tapes. Skin integrity, hematoma, and oozing were compared between these two groups within 7 days after surgery.
RESULTS
The mean age of the patients was 71.2 ± 13.3 years, and 83 (47.4%) were male. The results of the experimental vs. control group were as follows: skin integrity - 96.5% vs. 86.7% (p < 0.05); hematoma - 0% vs. 7.8% (p < 0.05); and oozing - 1.2% vs. 7.8% (p < 0.05). All observed endpoints were better in the experimental group.
CONCLUSIONS
The use of a non-taped compression dress was associated with less unfavorable outcomes in terms of skin integrity and hemostasis.
背景
心脏植入式电子设备（CIED）植入术后血肿和皮肤损伤并不少见。使用传统的止血纱布和胶带在控制这些并发症方面似乎并不理想。本研究旨在评估一种带有特殊衬垫和弹力带的新型加压敷料用于术后护理的效果。
方法
总共175名CIED接受者被随机分为两组：实验组85例患者使用无胶带加压敷料，对照组90例患者使用传统纱布球和弹力带。比较两组术后7天内的皮肤完整性、血肿和渗血情况。
结果
患者的平均年龄为71.2±13.3岁，男性83例（47.4%）。实验组与对照组的结果如下：皮肤完整性——96.5%对86.7%（p<0.05）；血肿——0%对7.8%（p<0.05）；渗血——1.2%对7.8%（p<0.05）。实验组所有观察终点均更佳。
结论
就皮肤完整性和止血而言，使用无胶带加压敷料的不良后果更少。
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