血液样本采集后施加的压力持续时间对使用抗凝剂的老年患者的湿疹的影响:一项随机对照研究
Ayla Demirtas1, Tulay Basak1, Damla Erdogan2
1University of Health Sciences Türkiye, Gulhane Faculty of Nursing, Ankara, Türkiye.
概括
血液采集后5分钟施加20N的压力显著降低了在服用抗凝药的老年患者中引起的湿疹. 这种简单的干预可以改善患者的治疗结果,并尽量减少静脉穿刺后的伤.
科学领域:
- 老年医学 老年医学
- 血管健康 血管健康
- 临床程序 临床程序
背景情况:
- 在老年人,特别是那些服用抗凝血剂的老年人中,静脉穿刺后出现伤或伤是常见的.
- 在这个人群中,预防静脉口后的瘤的最佳压力持续时间尚不清楚.
研究的目的:
- 为了评估在采血后对使用抗凝剂的老年患者中,在采血后施加20N的直接压力不同时间 (1,3,或5分钟) 对病发展的影响.
主要方法:
- 一项前性,单盲,随机对照试验,涉及164名住院老年患者.
- 患者接受了20N的压力1分钟,3分钟或5分钟后静脉穿刺.
- 使用Opsite Flexigrid在24,48小时和72小时测量了病的大小和频率.
主要成果:
- 在24小时,48小时和72小时 (p < 0.001) 观察到各组中病频率和大小的统计学显著差异 (p < 0.001).
- 与对照组相比,所有压力组中病发病率≥1cm2显著较低 (14%的发病率).
结论:
- 在5分钟内施加20N的压力有效地减少了老年患者在不产生凝血病的情况下服用抗凝血剂的湿疹.
- 这一发现为改善弱势老年人群静脉穿刺护理提供了基于证据的指导.
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