Effect of Mepilex on postoperative skin reactions and phlebitis for peripherally inserted central catheter in critical patients
10.3760/cma.j.issn.1672-7088.2017.02.015
- VernacularTitle:美皮康对危重患者中心静脉置管术后皮肤不良反应及静脉炎的预防效果研究
- Author:
Xiaofang MA
;
Chunxia YANG
;
Rong WANG
;
Chunyan DENG
- Keywords:
Critical illness;
Catheterization,central venous;
Mepilex;
Adverse effect
- From:
Chinese Journal of Practical Nursing
2017;33(2):137-139
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of two different kinds of wound dressing on postoperative skin reactions and phlebitis for PICC in critical patients. Methods A total of 313 PICC critical patients were divided into control group (157 cases) and treatment group (156 cases) by random digits table method. After PICC, the control group was attached to transparent dressing, the experimental group was attached to Mepilex, all of the patients were received routine nursing. The incidences of adverse effect, and the degree of local skin pruritus by Visual Analogue Scale(VAS) were compared in two weeks. Results The incidence of skin allergy, infection, and mechanical phlebitis were 24.20%(38/157), 10.83%(17/157), 18.47%(29/157) in control group and 7.69%(12/156),4.49%(7/156), 3.21%(5/156) in treatment group, and there were significant differences between two groups (χ2=13.99, 4.44, 18.83, P<0.01 or<0.05). The score of VAS in control group and treatment group were (4.84±1.29) points and (3.15± 1.82) points respectively, and the difference was statistically significant (t=8.66, P<0.01). Conclusions Application of Mepilex for PICC in critical patients can decrease the incidences of adverse effect, and increase the degree of comfort. It is worth utilizing widely in the clinic.
