文献类型：期刊文献

中文题名：基于激光雕刻的个性化鼻贴设计及应用效果评价

英文题名：Evaluation of laser engraving based personalized nasal patch design and application effect

作者：王敏[1];李翻翻[1];王婷[1];王盼盼[1];王小兰[1];马国婧[1];岳勤[1];赵丹[1];马敏杰[2];马晓丽[2]

第一作者：王敏

机构：[1]甘肃中医药大学护理学院,甘肃兰州730000;[2]兰州大学第一医院胸外科,甘肃兰州730000

第一机构：甘肃中医药大学护理学院

年份：2024

卷号：62

期号：4

起止页码：90

中文期刊名：中国现代医生

外文期刊名：China Modern Doctor

基金：甘肃中医药大学硕士研究生创新基金项目。

语种：中文

中文关键词：固定装置;激光雕刻;鼻导管;护理

外文关键词：Fixation device;Laser engraving;Nasal catheter;Nursing

摘要：目的探讨激光雕刻的个性化鼻贴应用于鼻导管留置患者的效果。方法选取2022年2月至2023年2月于兰州大学第一医院行食管癌手术需经鼻留置管道的124例患者为研究对象,按照随机数字表法将其分为试验组和对照组,每组各62例。对照组患者采用常规裁剪的鼻贴固定鼻导管,试验组患者采用激光雕刻的个性化鼻贴。观察两组固定装置下的导管移位或滑脱、鼻贴卷边及更换次数、鼻部医疗器械相关压力性损伤、医用粘胶相关皮肤损伤及患者舒适度。结果试验组患者的导管移位率、鼻贴卷边次数及更换次数均显著低于对照组(P<0.05);试验组患者的鼻腔黏膜压痕、鼻腔疼痛、鼻部压力性损伤及医用粘胶相关性皮损发生率均显著低于对照组(P<0.05);试验组患者的生理维度舒适度显著优于对照组(P<0.05)。结论激光雕刻的个性化鼻贴可降低临床鼻导管移位、鼻贴卷边及更换次数,减少鼻部医疗器械相关压力性损伤及医用粘胶相关皮肤损伤的发生,提高患者的舒适度。
Objective To investigate the effect of laser engraving personalized nasal patch applied to patients with nasal catheter indentation.Methods A total of 124 patients who underwent esophageal cancer surgery in the First Hospital of Lanzhou University from February 2022 to February 2023 and required indwelling nasal catheter were selected as study objects,and were divided into experimental group and control group according to random number table method,with 62 cases in each group.The control group used conventionally cut nasal patches to fix the nasal catheters,and the experimental group used laser engraved personalized nasal patches.Catheter displacement or slippage under the fixation device,nasal patch rolled edges and number of replacement,nasal medical device-related pressure injury,medical adhesive-related skin lesions and patients’comfort were observed in two groups.Results The rate of catheter displacement,number of rolled edges of nasal patches and numbers of replacement in experimental group were significantly lower than those in control group(P<0.05).The incidence of nasal mucosal indentation,nasal pain,nasal pressure injury and medical adhesive related skin lesions in experimental group were significantly lower than those in control group(P<0.05).The comfort of patients at the physiological level of experimental group was significantly better than that of control group(P<0.05).Conclusion Laser engraved personalized nasal patches can reduce the frequency of clinical nasal catheter displacement,nasal patch rolled edges and number of replacement,reduce the occurrence of nasal medical device related pressure injuries and medical adhesive-related skin lesions,and increase patients’comfort.