ABSTRACT
Objective To compare the effects and medical cost of 2 kinds of transparent dressings on the central venous catheter maintenance. Methods Selecting 75 patients with single lumen central venous catheter in the Geriatrics and ICU of the Tertiary Hospital during April to June 2017,according to the number of puncture, 38 cases (odd numbers)with bordered transparent dressings were selected as the experimental group, and 37 cases (even numbers) with transparent dressings were selected as control group. The dressings were changed weekly,and will be changed if there's rolling edge, dermatitis, seepage and wet. Unplanned tube drawing after 28 days, adverse reaction in the site of puncture, unwell fixed condition of dressings and the related medical costs was evaluated.Results The incidence rate of loosing dressings and dermatitisin the experimental group is significantly lower than those in the control group(P<0.05).The direct cost,indirect cost and total cost in experimental group were significantly lower than those in control group(P<0.05). Conclusion Bordered transparent dressings can promote the effect of tube fixing and decrease nursing manpower cost and medical cost in central venous catheter maintenance,which can be popularized in clinics.
ABSTRACT
Objective To investigate and compare the effect of two kinds of transparent dressings in the use of fixed intravenous indwelling needle in restless patients in emergency first aid. Methods A total of 160 restless patients who were required to use intravenous indwelling needle were randomly divided into conventional dressing group and 3M dressing group by random digits table method, 80 patients in each group. The medical transparent dressings(Specification:6 cm × 7 cm) were used for the patients of conventional dressing group, and 3M dressings(Specification:6.5 cm×7.0 cm ) for 3M dressing group. The fixity time, number of cases intravenous indwelling needle detached, replaced time of transparent dressing, number of crimping cases were compared. Results For the conventional dressing group, fixity time was (19.67 ± 7.02) h, replaced time was (18.92 ± 6.58) h, 15 detached cases and 24 crimping cases happened. While for the 3M dressing group, fixity time was (41.64±17.79) h, replaced time was (41.11 ± 17.76) h, 4 detached cases and 7 crimping cases happened. The difference was statistically significant(t=-10.27,χ2=7.23, t=-10.48,χ2=11.56, all P<0.05). Conclusions 3M transparent dressing is suggested in fixing intravenous indwelling needle in restless patient in emergency first aid. It can ensure the use of intravenous indwelling needle during the period, effectively prevents the needle from detaching due to its good fixation effect.