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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4.	周紅, 姚亞春. 氣管切口不同換藥方法的效果觀察[J]. 中華醫院感染學雜志, 2010, 20(1):60-61.
5.	劉莉, 鄢秀英. 新型敷料用于頸部淋巴結核潰瘍型傷口的療效觀察[J]. 華西醫學, 2013, 28(10):1614-1615.
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7.	Carol D. The care of wounds:a guide for nurses[M]. Australla:Blackwell Publishing, 2000:81-88.
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9.	鄭萍, 賀佳, 劉薇, 等. 胸部正中切口慢性傷口的護理[J]. 華西醫學, 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.	王紅霞, 李冬眉, 徐邁. 泡沫敷料在氣管切開護理中的應用[J]. 護理與康復, 2011, 10(12):1055-1056.
12.	郭玉妍, 張朝建, 侯毅. 泡沫敷料在氣管切開傷口換藥中的應用效果觀察[J]. 現代臨床護理, 2010, 9(11):25-26.

1. 陳亮, 鄭穎, 馬冬媛. 外科手術切口感染病原菌的耐藥性調查[J]. 中華醫院感染學雜志, 2010, 20(3):419-420.
2. 黃湘暉, 楊美麗, 鄭翠紅. 氣管切開術后使用金屬套管患者氣切創面護理的改進[J]. 國際護理學雜志, 2010, 29(10):1472-1474.
3. 唐志紅, 田永明, 李霞. 氣管切開術后專用一次性護理包的設計[J]. 華西醫學, 2013, 28(2):322.
4. 周紅, 姚亞春. 氣管切口不同換藥方法的效果觀察[J]. 中華醫院感染學雜志, 2010, 20(1):60-61.
5. 劉莉, 鄢秀英. 新型敷料用于頸部淋巴結核潰瘍型傷口的療效觀察[J]. 華西醫學, 2013, 28(10):1614-1615.
6. 何其英, 柳焱. 創可貼在泌尿外科傷口護理中的應用[J]. 華西醫學, 2012, 27(2):284-285.
7. Carol D. The care of wounds:a guide for nurses[M]. Australla:Blackwell Publishing, 2000:81-88.
8. 劉歡, 寧寧, 田永明, 等. 某院262名ICU護士濕性愈合理論認知現狀分析[J]. 護理學報, 2014, 21(5):8-11.
9. 鄭萍, 賀佳, 劉薇, 等. 胸部正中切口慢性傷口的護理[J]. 華西醫學, 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. 王紅霞, 李冬眉, 徐邁. 泡沫敷料在氣管切開護理中的應用[J]. 護理與康復, 2011, 10(12):1055-1056.
12. 郭玉妍, 張朝建, 侯毅. 泡沫敷料在氣管切開傷口換藥中的應用效果觀察[J]. 現代臨床護理, 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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