美皮康在骨科外固定架患者护理中的应用

目的:探讨美皮康应用于外固定架针孔换药方式的临床效果。方法:将骨科50例四肢骨折行外固定架固定的患者随机分成实验组24例和对照组26例。实验组以美皮康有边型敷料换药,对照组以临床常用的络合碘纱布条进行换药,比较两组每天更换敷料频次,外固定针孔及周围皮肤红肿、渗出情况,护士更换污染床单被套频次及护士满意度。结果:实验组每天更换敷料频次少于对照组(P<0.05),外固定针孔及周围皮肤红肿、渗出等情况,实验组均优于对照组(P<0.05),实验组中护士更换污染床单被套频次明显少于对照组(P<0.05),护士满意度高于对照组(P<0.05)。结论:美皮康对保护骨科外固定针孔的治疗效果优于传统络合碘纱布条换药,对预防外固定针道感染有效,同时减轻护士维持床单位整洁、减少床单被套的更换频次,提高护士的满意度。

Application of Mepilex Border in nursing patients with external pin fixation

Objective: To explore the clinical effects of Mepilex Border used in the dressing change for the pinholes of external fixation.Methods: 50 patients with external fixation for the treatment of fracture of extremities were divided into two groups at random:24 patients in the control group and 26 patients in the experimental group.The experimental group used the edge-type Mepilex Border to change dressings,while the control group was dealt with the commonly used iodine gauze in clinic.The two groups were compared in terms of the frequencies of dressing change;the conditions of the pinholes of external fixation;the redness,swelling,and exdation of surrounding skin;the frequencies of replacement of contaminated bedding and nurses satisfaction.Results: The frequency of daily dressing change in the experimental group was lower than that of the control group(P<0.05),the conditions of the external fixation pinh-ole and the redness,swelling and exudation of surrounding skin were better than that of the control group(P<0.05),the frequency of replacement of the contaminated bedding was obviously lower than that in control group(P<0.05),and nurses satisfaction was higher than that in control group(P<0.05).Conclusion: The therapeutic effect of the Mepilex Border to protect the pinholes of external fixation was better than that of traditional dressing change with iodine gauze.The Mepilex Border effectively prevents the infections of needle passage of external fixation,and also reduce nurse’s workload to maintain the neatness of bed,and reduces the frequency of replacement of the contaminated bedding,and improves the nurses satisfaction.