David Holm, PhD, Solventum, Maplewood, MN.
Kimberly Schommer, RN, BSN, PHN, VA-BC, Solventum, Maplewood, MN.
J Wound Ostomy Continence Nurs. 2024;51(5S Suppl 5):S9-S17. doi: 10.1097/WON.0000000000001115. Epub 2024 Sep 20.
In clinical practice, a large variety of medical devices adhere to skin to perform their function. The repeated application and removal of these devices can lead to skin damage or medical adhesive-related skin injury. Awareness of this problem has increased in the past decade, and this adverse event can be prevented with appropriate selection of adhesive products and the appropriate techniques for application and removal. A wide variety of adhesives and backing systems have been developed to create medical devices with an array of attributes, so they can accomplish many different indications in the clinical setting and meet various needs, including doing the clinical job without damaging the skin and causing further patient complications. The selection of an adhesive product should take into consideration a patient's skin assessment and history of medical adhesive-related skin injury, and using only the minimal adhesive strength needed to perform the function while protecting the skin from damage.
在临床实践中,有大量的医疗器械黏附于皮肤以发挥其功能。这些设备的反复应用和去除可能会导致皮肤损伤或与医用黏胶相关的皮肤损伤。在过去的十年中,人们对这个问题的认识有所提高,通过适当选择黏胶产品以及应用和去除的适当技术,可以预防这种不良事件。已经开发出了各种各样的黏胶和背衬系统,以创造出具有多种属性的医疗设备,从而可以在临床环境中完成许多不同的适应证,并满足各种需求,包括在不损伤皮肤和导致进一步患者并发症的情况下完成临床工作。黏胶产品的选择应考虑患者的皮肤评估和与医用黏胶相关的皮肤损伤史,并仅使用执行功能所需的最小黏胶强度,同时保护皮肤免受损伤。