Comparison of Clinical Effects between Two Kinds of Treatment Methods to Nurse the Wound after Tracheotomy_West China Medical Journal

Authors：

 LIUYan , LIAOYan , ZHANGXue-lin , LIUPing , ZHANGYan

Department of Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Tracheotomy; Incision management; Effectiveness evaluation

DOI：

10.7507/1002-0179.20140582

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Objective To explore the clinical effectiveness of two kinds of treatment methods to nurse wound after tracheotomy. Methods We collected 108 cases and randomly divided them into two groups between March 2012 and May 2013. The experimental group (n=52) received tracheotomy care with PermaFoam dressing, while the control group (n=56) was treated with traditional sterile absorbent gauze. We analyzed the differences in terms of infection of wound, errhysis and frequency of dressing changes between the two groups. Results The experimental group had a lower rate of wound infection than the control group (P<0.05). Moreover, the experimental group was superior to the control group in the total number of dressing changes, wound redness and oozing (P<0.05). Conclusion PermaFoam dressing can reduce wound complications and frequency of dressing changes effectively. It is easy to operate, and can reduce the workload of clinical nursing, and deserves clinical application.

Citation： LIUYan, LIAOYan, ZHANGXue-lin, LIUPing, ZHANGYan. Comparison of Clinical Effects between Two Kinds of Treatment Methods to Nurse the Wound after Tracheotomy. West China Medical Journal, 2014, 29(10): 1930-1932. doi: 10.7507/1002-0179.20140582 Copy

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11.	王红霞, 李冬眉, 徐迈. 泡沫敷料在气管切开护理中的应用[J]. 护理与康复, 2011, 10(12):1055-1056.
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1. 陈亮, 郑颖, 马冬媛. 外科手术切口感染病原菌的耐药性调查[J]. 中华医院感染学杂志, 2010, 20(3):419-420.
2. 黄湘晖, 杨美丽, 郑翠红. 气管切开术后使用金属套管患者气切创面护理的改进[J]. 国际护理学杂志, 2010, 29(10):1472-1474.
3. 唐志红, 田永明, 李霞. 气管切开术后专用一次性护理包的设计[J]. 华西医学, 2013, 28(2):322.
4. 周红, 姚亚春. 气管切口不同换药方法的效果观察[J]. 中华医院感染学杂志, 2010, 20(1):60-61.
5. 刘莉, 鄢秀英. 新型敷料用于颈部淋巴结核溃疡型伤口的疗效观察[J]. 华西医学, 2013, 28(10):1614-1615.
6. 何其英, 柳焱. 创可贴在泌尿外科伤口护理中的应用[J]. 华西医学, 2012, 27(2):284-285.
7. Carol D. The care of wounds:a guide for nurses[M]. Australla:Blackwell Publishing, 2000:81-88.
8. 刘欢, 宁宁, 田永明, 等. 某院262名ICU护士湿性愈合理论认知现状分析[J]. 护理学报, 2014, 21(5):8-11.
9. 郑萍, 贺佳, 刘薇, 等. 胸部正中切口慢性伤口的护理[J]. 华西医学, 2009, 24(11):3071-3073.
10. Martínez Cuervo F, Segovia Gómez T, Alonso Pérez F, et al. Evaluation of the clinical effectiveness of the dressing PermaFoam for the treatment of chronic ulcers[J]. Rev Enferm, 2005, 28(6):29-34.
11. 王红霞, 李冬眉, 徐迈. 泡沫敷料在气管切开护理中的应用[J]. 护理与康复, 2011, 10(12):1055-1056.
12. 郭玉妍, 张朝建, 侯毅. 泡沫敷料在气管切开伤口换药中的应用效果观察[J]. 现代临床护理, 2010, 9(11):25-26.

West China Medical Journal

Comparison of Clinical Effects between Two Kinds of Treatment Methods to Nurse the Wound after Tracheotomy

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