Nursing Research on the Application of Film Fenestration Combined with Gauze Dressing Change in PICC Puncture Point Exudate

Abstract

Abstract: Objective To explore the nursing effect of film fenestration combined with gauze dressing change in PICC puncture point exudate. Methods A total of 40 patients with PICC puncture point exudation in the Department of oncology of the Second Affiliated Hospital of Anhui Medical University from January 2019 to January 2021were selected as the research objects for retrospective study, and they were divided into control group and observation group according to different nursing methods, with 20 cases in each group; The control group was treated with routine nursing, and the observation group was treated with film sticking and window opening combined with gauze dressing change on the basis of the control group. The healing time of puncture point exudation and the incidence of infection, catheter displacement, tube removal and contact dermatitis were compared between the two groups. Results The average healing time of puncture point exudation in the observation group was significantly lower than control group, the difference was statistically significant; The total incidence of infection, catheter displacement, catheter detachment and contact dermatitis in the observation group was significantly lower than control group , the difference was statistically significant. Conclusion The application of film fenestration combined with gauze dressing change in patients with PICC puncture point exudation can shorten the healing time of fluid leakage at the puncture point.

Key words: PICC, puncture point exudation, film fenestration, gauze dressing change, healing time

CLC Number:

R473.5

ZHANG De-xue, LI Xiao-lin, YANG Xi-yao. Nursing Research on the Application of Film Fenestration Combined with Gauze Dressing Change in PICC Puncture Point Exudate[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(8): 110-113.

References

[1] 王蕾,关欣,聂圣肖.我国PICC专科护士培养与使用现状[J].中华现代护理杂志,2019,25(1):49-53.
[2] 万春燕,王远霞.质控小组管理在肿瘤科PICC置管维护中的应用[J].护理实践与研究,2019,16(10):62-63.
[3] 黄芬,章洁苓,范彬,等.薄型泡沫敷料联合藻酸钙敷料预防老年肿瘤患者PICC置管早期并发症的临床效果[J].中国当代医药,2019,26(9):199-201.
[4] 陈竹梅,华月英,温艳艳,等.行超声引导下PICC置管患者并发症的发生情况及影响因素[J].昆明医科大学学报,2021,42(2):173-178.
[5] 张小玉. PICC穿刺点渗液的原因及护理现状[J].全科护理,2019,17(30):3763-3766.
[6] 翟晓梅,高俊平,秦素芳,等.静脉治疗护理实践指南在本科护生临床教学中的应用[J].护理研究,2018,32(12):1938-1940.
[7] DOROTHEA M, ANDREA W, ULF T.Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment[J].Support Care Cancer,2020,28(10):4753-4760.
[8] 安瑛,谢亚利,冯国琴.藻酸盐敷料联合弹力绷带对PICC术后穿刺点的影响[J].上海护理,2020,20(3):48-50.
[9] 胡成文,杨玲.藻酸盐敷料在预防经外周静脉置入中心静脉导管穿刺点出血的效果观察[J].护理实践与研究,2015,12(12):120-121.
[10] 李玲. PICC穿刺部位渗液原因分析及护理措施[J].中国卫生标准管理,2015,6(33):213-214.
[11] 张纯,王成林.PICC置管后穿刺点渗液原因分析及护理对策[J].护理学杂志,2015,30(21):47-48.
[12] 安林静,殷婷,孙苗,等.温和灸辅助亲水性银离子敷料在PICC穿刺点渗液患者中的应用[J].西部中医药,2019,32(12):131-133.
[13] 王慧芳,朱春兰.两种抗菌敷料对PICC置管穿刺点感染合并渗液的疗效研究[J].护理与康复,2020,19(8):58-60.
[14] 李旭平,吴艳娟,张雷.植入式静脉输液港和经外周静脉穿刺置入中心静脉导管在肺部肿瘤化疗中的应用对比[J].中国药物与临床,2021,21(6):1059-1060.
[15] 钦晓英,来薇,项小燕,等.改良换药法在PICC置管口液体渗漏患者中的应用[J].浙江临床医学,2017,19(9):1730-1731.
[16] 牟丹,王彩芳,李芳梅,等.运用循证护理探讨3M液体敷料降低PICC置管患者接触性皮炎的效果观察[J].岭南现代临床外科,2019,19(5):642-645.
[17] 周维华,张建美,陈丽萍,等.葡萄糖酸氯已定抗菌透明敷贴治疗PICC置管穿刺部位感染的效果[J].中西医结合护理(中英文),2018,4(12):129-131.
[18] 孟婧雅,沈旭慧,谢新芳,等.深静脉置管相关接触性皮炎护理的研究进展[J].护士进修杂志,2018,33(2):125-128.