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预测性护理下 Algoplaque 水胶体敷料联合纳米银抗菌凝胶治疗医疗器械相关性压力损伤的效果。

Effect of Algoplaque Hydrocolloid Dressing Combined with Nanosilver Antibacterial Gel under Predictive Nursing in the Treatment of Medical Device-Related Pressure Injury.

机构信息

Department of Neurosurgery, Chongqing Qijiang District People's Hospital, Chongqing 401420, China.

Department of Endocrinology, Chongqing Qijiang District People's Hospital, Chongqing 401420, China.

出版信息

Comput Math Methods Med. 2022 Jul 11;2022:9756602. doi: 10.1155/2022/9756602. eCollection 2022.

Abstract

It was aimed at the clinical value of predictive nursing and Algoplaque hydrocolloid dressing (AHD) combined with nanosilver antibacterial gel in treating medical device-related pressure injury (MDRPI). 100 patients, who underwent surgery in Chongqing Qijiang District People's Hospital from February 2019 to February 2020, were selected as the research objects and were randomly divided into the experimental group (50 cases) and the control group (50 cases). For the characterization test, a nanosilver antibacterial gel was created first. Patients in both groups received predictive nursing, but those in the experimental group received AHD and nanosilver antibacterial gel, and those in the control group received gauzes. MDRPI incidence, pressed skin injury severity, comfort level, clothing changes, nursing satisfaction, and other factors were all compared. The particle size of the nanosilver gel was 45-85 nm, with a relatively homogeneous distribution with the medium size, according to the findings. The incidence of MDRPI in the experimental group was lower than that in the control group significantly (6% vs. 30%, < 0.05). The degree of injury of pressured skin in the experimental group was milder than that in the control group ( < 0.05), the degree of comfort and nursing satisfaction was higher in the experimental group than in the control group ( < 0.05), and dressing change count was lower than that in the control group ( < 0.05). In the treatment of MDRPI, predictive nursing and AHD using nanosilver antibacterial gel showed high clinical application value.

摘要

本研究旨在探讨预测性护理与 Algoplaque 水胶体敷料(AHD)联合纳米银抗菌凝胶在治疗医疗器械相关性压力性损伤(MDRPI)中的临床价值。选取 2019 年 2 月至 2020 年 2 月在重庆市綦江区人民医院行手术治疗的 100 例患者作为研究对象,随机分为实验组(50 例)和对照组(50 例)。对纳米银抗菌凝胶进行特性测试。两组患者均给予预测性护理,实验组采用 AHD 联合纳米银抗菌凝胶,对照组采用普通纱布。对比两组患者 MDRPI 发生率、受压皮肤损伤严重程度、舒适度、衣物更换情况、护理满意度等。纳米银凝胶的粒径为 45-85nm,中值粒径分布较均匀。研究结果显示,实验组 MDRPI 发生率显著低于对照组(6%比 30%, < 0.05);实验组受压皮肤损伤程度轻于对照组( < 0.05);实验组舒适度和护理满意度高于对照组( < 0.05),衣物更换次数少于对照组( < 0.05)。预测性护理与 AHD 联合纳米银抗菌凝胶治疗 MDRPI 具有较高的临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/110d/9293497/f1968854c189/CMMM2022-9756602.001.jpg

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