摘要
目的 比较3M皮肤保护膜和氧化锌软膏预防危重症患者失禁相关性皮炎(IAD)的效果.方法 选取大便失禁的危重症患者152例,随机分为A组51例、B组51例和C组50例.A组给予IAD常规护理,在此基础上B、C2组分别使用3M皮肤保护膜和氧化锌软膏.观察3组IAD发生情况,比较B、C2组预防OAD的药品费用支出.结果 与A组比较,B、C2组OAD发生率降低(P<0.05);B组IAD发生率低于C组(P<0.05).C组药品费用少于B组(P<0.05).结论 在常规护理基础上应用3M皮肤保护膜预防危重症大便失禁患者IAD的效果优于氧化锌软膏,但氧化锌软膏经济成本低,临床在预防时应根据患者具体情况进行选择.
Objective To compare the efficacy between 3M Cavilon No Sting Barrier Film and zinc oxide ointment for the prevention of incontinence-associated dermatitis(IAD)among critically ill patients. Methods Totally 152 critically ill patients with fecal incontinence were assigned to the group A(n=51), group B(n=52)and group C(n=50). All patients received routine care for the prevention of IAD, and those in the group B and group C were given local application of 3M Cavilon No Sting Barrier Film and zinc oxide ointment, respectively. The incidence of IAD and financial costs of IAD prevention were compared between two groups. Results The incidence of IAD in the group A was higher than that in group B and group C(P<0.05);the incidence of IAD in group B was lower than that in group C(P<0.05). The cost of zinc oxide ointment was less than that of 3M Cavilon No Sting Barrier Film(P<0.05). Conclusion The skin care intervention with 3M Cavilon No Sting Barrier Film showed a better efficacy in prevention of IAD, while the skin care intervention with zinc oxide ointment has the advantage of low-cost. More consideration on patients’ physical and financial conditions should be taken before choosing skin care interventions.
作者
徐洋
张红梅
XU Yang;ZHANG Hongmei(Department of Respiratory Medicine, Nantong First People's Hospital, Nantong, Jiangsu, 226001)
出处
《中西医结合护理（中英文）》
2019年第6期81-83,共3页
Journal of Clinical Nursing in Practice
关键词
危重症
失禁相关性皮炎
炎性反应
皮肤保护膜
氧化锌软膏
critical ill
incontinence-associated dermatitis
inflammatory reaction
skin protection film
zinc oxide ointment
