Effect and cost analysis of two kinds of transparent dressings on the central venous maintenance / 现代临床护理

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.