应用皮肤屏障膜治疗中心静脉置管患者的皮肤撕裂伤。

Applying Skin Barrier Film for Skin Tear Management in Patients with Central Venous Catheterization.

机构信息

At the Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, Ya-Hui Chen, BSN, RN, is Head Nurse and Hui-Ling Hsieh, MSN, RN, is Assistant Department Head. Whei-Mei Shih, PhD, RN, is Associate Professor, Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology. Acknowledgments: The authors thank Chang Gung Memorial Hospital for grant support (Grant number: CMRPG3F1891). The authors are also grateful to the patients who participated in this study. The barrier film used in this study was purchased with the research fund provided by the hospital per specified procedures. The authors have disclosed no financial relationships related to this article. Submitted February 25, 2020; accepted in revised form April 20, 2020.

出版信息

Adv Skin Wound Care. 2020 Nov;33(11):582-586. doi: 10.1097/01.ASW.0000717208.20481.a0.

DOI:10.1097/01.ASW.0000717208.20481.a0

PMID:33065679

Abstract

OBJECTIVE

To examine and compare different methods of dressing change on skin tears at the periductal wound for ICU patients with central venous catheterization (CVC).

METHODS

This research used a quasi-experimental design. Participants included 98 patients from the ICU of a medical center in Taiwan using a convenience sampling technique from April 1, 2017 to March 31, 2018.

RESULTS

Applying skin barrier film at the CVC insertion site effectively protected the skin and significantly reduced the risk of skin tears among ICU patients (P < .01).

CONCLUSIONS

This study showed that use of skin barrier film at the site of CVC insertion can increase skin strength, maintain skin integrity, and decrease the incidence of skin tears. Skin barrier film is thus recommended for routine use in peripheral skin care for patients receiving CVC.

摘要