对鼻胃管固定方法的评估:粘附,移位和皮肤完整性
Lucia Ingridy Farias Thorpe1, Jabiael Carneiro da Silva1, Renato Barros Moraes2
1Universidade de Pernambuco, Recife, PE, Brazil.
Revista latino-americana de enfermagem
|September 25, 2024
概括
这项研究评估了三种鼻胃管固定方法,发现B固定具有较差的粘附性,而A和B方法显示了显著的探针位移,A和C方法导致皮肤病变,突出了程序的复杂性.
科学领域:
- 医疗器械 医疗器械
- 手术技巧 手术技巧
- 患者安全 患者安全
背景情况:
- 鼻胃管 (NGT) 的安置在临床实践中很常见.
- 安全的NGT固定对于防止并发症至关重要.
- 现有的固定方法可能会导致不良事件.
研究的目的:
- 为了比较三种NGT固定方法的疗效.
- 为了评估粘附,移位和皮肤完整性.
- 为了确定与NGT固定相关的潜在并发症.
主要方法:
- 使用猪皮肤模型进行的ex vivo研究.
- 测试了三种固定方法:两个带 (A,B) 和一个装置 (C).
- 在12-24小时内,在不同的引力 (50-500g) 下测试了粘附性,探针位移和皮肤完整性.
主要成果:
- 固定B显示粘附性显著降低 (p <0.001).
- 方法A和B显示了相当大的探头位移 (平均52.17毫米).
- 观察到A和C固定的皮肤病变增加 (p = 0.001).
结论:
- 所有测试的NGT固定方法都出现了并发症.
- 并发症包括不充分的附着性,探针位移和皮肤损伤.
- NGT固定的复杂性需要仔细考虑,以尽量减少对患者的伤害.
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