腹部引流球悬挂固定装置的制作与应用.pdf
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1、Shanghai Nursing,October 2023,Vol.23,No.10 腹部引流球悬挂固定装置的制作与应用张玲,马莉娜,余晓芬,唐雯洁(复旦大学附属肿瘤医院护理部 复旦大学上海医学院肿瘤学系,上海 201300)摘要:目的制作腹部引流球悬挂固定装置,并探讨其在胰十二指肠切除术后患者中的应用效果。方法选择2021年7月至2021年12月收治于复旦大学附属肿瘤医院胰腺外科行胰十二指肠切除且术后留置负压引流球的70例患者作为研究对象,按其入院先后顺序进行分组。以2021年78月入院的患者作为对照组,使用传统的负压引流球悬挂固定方法;以1112月入院的患者为观察组,使用自行设计制作的腹部
2、引流球悬挂固定装置。比较两组患者引流球留置期间的导管滑脱率、术后起床准备时间、术后活动步数及引流液倾倒时间。结果观察期间,观察组患者未发生导管滑脱,对照组有5例患者发生部分导管滑脱,两组比较,差异有统计学意义(P0.05)。导管留置期间,观察组患者术后起床准备时间少于对照组 (5.740.36)min vs(7.290.61)min,术后第37天的活动步数均多于对照组,差异均有统计学意义(P0.05)。护士倾倒观察组患者引流液的用时短于对照组 (7.050.42)s vs(18.362.02)s,差异有统计学意义(P0.05)。结论自制引流球悬挂固定装置较传统固定方法更安全、有效,且操作方便,
3、有助于提高临床护理工作效率和质量。关键词:胰十二指肠切除术;术后护理;负压引流;引流球;腹部;导管;悬挂固定装置中图分类号:R473.6 文献标志码:A DOI:10.3969/j.issn.1009-8399.2023.10.015Manufacture and Application of a Hanging and Fixing Device for Abdominal Drainage BalloonsZHANG Ling,MA Lina,YU Xiaofen,TANG Wenjie(Department of Nursing,Cancer Hospital Affiliated to
4、 Fudan University,Department of Oncology,Shanghai MedicCollege,Fudan University,Shanghai 201300)Abstract:ObjectiveTo make a hanging and fixing device for abdominal drainage balloons and explore its effect on patients after pancreaticoduodenectomy.Methods A total of 70 patients were selected who unde
5、rwent pancreaticoduodenectomy in the Pancreatic Surgery Department of Fudan University Shanghai Cancer Hospital from July to December 2021 and were left with negative pressure drainage balloons after surgery.They were divided into two groups according to their admission order.Patients admitted to th
6、e hospital from July to August 2021 were divided into the control group and their negative pressure drainage balloons were hung and fixed with a traditional method.Patients admitted to the hospital from November to December 2021 were divided into the observation group,and their abdominal drainage ba
7、lloons were hung and fixed with a self-designed device.The tube slippage rate,the preparation time for ambulation after surgery,the number of walking steps after surgery and the dumping time of drainage fluid were compared between the two groups.ResultsDuring the observation period,no tube slippage
8、was observed in the observation group,while partial tube slippage was observed in 5 patients in the control group,with a significant difference(P0.05).During tube indwelling,the preparation time for ambulation after surgery in the observation group was shorter than that in the control group(5.740.36
9、)min vs.(7.290.61)min,and the number of walking steps from day 3 to day 7 after surgery was higher than that in the control group,with statistical significance(P0.05).Nurses took less time to dump the drainage fluid in the observation group than in the control group(7.050.42)s vs.(18.362.02)s,with a
10、 statistical significance(P0.05)。详见表1。2.2干预方法两组患者均接受常规围手术期宣教及术后护理。宣教内容包括:疾病及手术相关知识、术后起床三步曲、引流管及引流球留置期间的注意事项、镇痛泵的使用方法。两组患者采用不同的引流球固定方法。对照组:采用常规引流球固定方法进行双重固定。即在患者近伤口处用3M胶带或导管固定贴高举平台法3进行固定导管,然后使用引流球自带的夹子将其固定于患者衣服或腹带上。观察组:近伤口处导管固定方法同对照组,并根据引流球的数量选择合适大小的悬挂固定装置,将引流球一一放入固定盒内,将下出口从底部镂空处穿出,并根据引流球的位置写上对应的标签。患
11、者平躺时,可将肩包悬挂于床边;活动时,可根据自身情况和喜好斜跨于肩膀上或拎在手中。表1两组患者一般资料比较n(%)项目性别男女平均年龄(岁,xs)学历小学及以下初中/高中/中专大专及以上手术方式腹腔镜开腹基础疾病糖尿病高血压冠心病腹腔引流管数量(xs)2根3根4根观察组(n=35)21(60.00)14(40.00)56.5713.0910(28.57)17(48.57)8(22.86)16(45.71)19(54.29)7(20.00)9(25.71)2(5.71)14(40.00)15(42.86)6(17.14)对照组(n=35)26(74.29)9(25.71)60.3711.0811
12、(31.42)19(54.29)5(14.29)14(40.00)21(60.00)8(22.86)7(20.00)2(5.71)12(34.29)19(54.29)4(11.42)统计值1.6191.3110.8510.2330.5211.024P值0.2030.5180.6530.6290.9600.599注:2值;t值;FisherFreemanHalton检验注:1.可伸缩肩带;2.引流球;3.卡槽;4.挂钩;5.固定盒图1腹部引流球悬挂固定装置示意图 71Shanghai Nursing,October 2023,Vol.23,No.10 2.3评价指标2.3.1导管滑脱情况统计两组
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- 腹部 引流 悬挂 固定 装置 制作 应用