Objective To design polygonal E-shaped elastic wide tape,and evaluate its application effects.Methods The polygonal E-shaped tape was made based on a 25 cm × 2.5 cm elastic wide tape.We selected any long edge,cut a triangular notch towards the center of the tape every 1 cm,and continued to cut from the triangle's vertex inward to 1 cm,to form the polygonal E-shaped tape.Convenience sampling was employed to select 280 patients who underwent central venous catheterization in the intensive care unit of a tertiary Grade A comprehensive hospital in Yinchuan city from July 2020 to July 2022 as the subjects.Using a random number table,they were divided into experimental and control groups,with 140 cases each.Both groups underwent standard catheter maintenance procedures.The experimental group was fixed with butterfly clips,edgeless transparent film and polygonal E-shaped elastic wide tape,while the control group was directly fixed with butterfly clips and edged transparent film.Catheter displacement,catheter slippage,local infections,film rolling,and catheter-related bloodstream infections were observed in the both groups.Results Catheter displacement(x2=7.578,P=0.006),catheter slippage(x2=4.632,P=0.031),local infections(x2=6.637,P=0.010),and film rolling(x2=73.736,P＜0.001)were all lower in the experimental group than those in the control group,with statistically significant differences(P＜0.05).There was no statistically significant difference in catheter-related bloodstream infections between the two groups(P＞0.05).Cost-effectiveness analysis showed that the fixation method in the experimental group was cost-effective with good outcomes.Conclusion The use of butterfly clips,edgeless transparent film and polygonal E-shaped elastic wide tap to fix central venous catheters can reduce catheter displacement,catheter slippage,local infection,and film rolling occurrence rates.Furthermore,its cost was lower.
关键词
中心静脉导管/固定/重症医学科/血流感染/危重病护理
Key words
Central Venous Catheter/Fixation/Department of Critical Care/Bloodstream Infection/Critical Care Nursing
维普
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