Department of Surgery, Peking Union Medical College Hospital, Beijing, China.
Int Wound J. 2022 Dec;19(8):2055-2061. doi: 10.1111/iwj.13805. Epub 2022 May 15.
To evaluate the intervention efficacy of medical adhesive-related skin injury (MARSI) nursing management at peripherally inserted central catheter (PICC) insertion site on oncological patients. This study used the case-control research method. We randomly divided 156 patients with PICCs implanted in our hospital's surgery department from January 2019 to December 2020 into a control group (85 patients) and an intervention group (71 patients). The control group was the conventional nursing care group, and the intervention group was the MARSI nursing management group. Through implementing a series of interventions (ie, risk assessment, risk prevention, and risk management) for the MARSI nursing care management group, the incidence rate of MARSI, and its types (including mechanical injury, dermatitis, maceration, and folliculitis) were compared between the two groups. The total incidence rate of MARSI was 30.59% in the control group and 7.04% in the intervention group (P < .05), and the difference was statistically significant. The incidence rate of mechanical injury in the control group was 12.94%, which decreased to 2.82% after intervention (P < .05), and the difference was statistically significant. The incidence rate of dermatitis in the intervention group was 11.76%, which decreased to 2.82% after intervention (P < .05), and the difference was statistically significant. By implementing MARSI nursing care management, the incidence rate of MARSI at PICC insertion site can be effectively reduced.
评价医用黏胶相关性皮肤损伤（MARSI）护理管理对肿瘤患者经外周静脉置入中心静脉导管（PICC）置管部位的干预效果。本研究采用病例对照研究方法，将我院外科 2019 年 1 月至 2020 年 12 月收治的 156 例 PICC 置管患者随机分为对照组（85 例）和观察组（71 例）。对照组为常规护理组，观察组为 MARSI 护理管理组。通过对 MARSI 护理管理组实施一系列干预措施（即风险评估、风险预防和风险管理），比较两组 MARSI 的发生率及其类型（包括机械性损伤、皮炎、浸渍和毛囊炎）。对照组 MARSI 总发生率为 30.59%，观察组为 7.04%（P<0.05），差异有统计学意义。对照组机械性损伤发生率为 12.94%，干预后降至 2.82%（P<0.05），差异有统计学意义。观察组皮炎发生率为 11.76%，干预后降至 2.82%（P<0.05），差异有统计学意义。实施 MARSI 护理管理可有效降低 PICC 置管部位 MARSI 的发生率。
