[1]孙春艳,徐南娇,张 蕾,等.加温聚维酮碘在心内科介入患者皮肤消毒中的循证护理实践[J].介入放射学杂志,2021,30(05):512-518.
SUN Chunyan,XU Nanjiao,ZHANG Lei,et al.Evidence-based nursing practice of using warmed povidone-iodine in skin disinfection for patients receiving cardiac intervention[J].journal interventional radiology,2021,30(05):512-518.
点击复制
加温聚维酮碘在心内科介入患者皮肤消毒中的循证护理实践()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
-
30
- 期数:
-
2021年05
- 页码:
-
512-518
- 栏目:
-
护理论坛
- 出版日期:
-
2021-05-25
文章信息/Info
- Title:
-
Evidence-based nursing practice of using warmed povidone-iodine in skin disinfection for patients receiving cardiac intervention
- 作者:
-
孙春艳; 徐南娇; 张 蕾; 何 佳; 丁金玲; 陆剑嵘
-
- Author(s):
-
SUN Chunyan; XU Nanjiao; ZHANG Lei; HE Jia; DING Jinling; LU Jianrong.
-
Department of Cardiovascular Medicine, Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province 210008, China
-
- 关键词:
-
【关键词】 加温; 聚维酮碘; 介入患者; 皮肤消毒; 循证实践
- 文献标志码:
-
A
- 摘要:
-
【摘要】 目的 循证并实践加温聚维酮碘在心内科介入患者中的皮肤消毒效果。方法 应用澳大利亚循证护理中心循证卫生保健模式,收集加温皮肤消毒液的证据,进行证据综合及证据传播,对护理人员展开系统培训,并将证据综合结果运用到心内科介入患者的临床实践。结果 加温聚维酮碘(37℃)不影响消毒后细菌培养阳性率(P=0.693)、伤口感染率,能提高患者体温(P<0.001),减少消毒时(P=0.006)和消毒后(P=0.012)冷感觉发生率。结论 应用循证护理实践为心内科介入患者皮肤消毒的聚维酮碘温度提供建议,在聚维酮碘允许的温度范围内加温,减少患者不适感,提高优质护理服务质量。
参考文献/References:
[1] 钟红珊,徐 克.中国介入医学发展的亮点、痛点与焦点[J]. 介入放射学杂志, 2019, 28:407- 410.
[2] 朱海云,程永德. 介入放射学抑或介入医学[J]. 介入放射学杂志, 2017, 26:577- 578.
[3] TinnfEalt IU. Patients’experiences of intraoperative care during abdominal aortic aneurysm repair under local anesthesia[J]. J PeriAnesth Nurs, 2011, 26: 81- 88.
[4] Moslemi- Kebria M, El- Nashar SA, Aletti GD, et al. Intraoperative hypothermia during cytoreductive surgery for ovarian cancer and perioperative morbidity[J]. Obstet Gynecol, 2012, 119: 590- 596.
[5] Pearson A, Wiechula R, Court A, et al. The JBI model of evidence- based healthcare[J]. Int J Evid Based Healthc, 2005, 3: 207- 215.
[6] 莫 伟,向 华,阳秀春,等. 股动脉穿刺介入术后制动时间的循证证据研究[J]. 介入放射学杂志, 2019, 28:85- 88.
[7] 肖雨清,党玉莲,姜美蓉,等. 薄膜反注培养基法监测加温后的碘伏消毒效果[J]. 中国感染控制杂志, 2005, 4: 115- 116+111.
[8] 党玉连,肖雨清,李文珍,等. 不同温度碘伏对手术野消毒后患者生理功能的影响[J]. 护理学杂志, 2007, 22: 31- 32.
[9] 王青云.两种温度的碘伏对手术部位消毒效果比较[J]. 中国消毒学杂志, 2014, 31:431- 432.
[10] 汪惠娟,申培培,苏露露. 加温碘伏消毒对剖宫产患者寒战的影响[J]. 浙江临床医学, 2016, 18:698- 699.
[11] 陈 婧,罗 丹,吴若梅. 不同温度碘伏对手术野消毒后患者生理功能的影响[J]. 母婴世界, 2017:29, 33.
[12] Wistrandc, Nilsson U. Effects and experiences of warm versus cold skin disinfection[J]. Br JNurs, 2011, 20: 148,150- 151.
[13] Wistrand C, Soderquist B, Magnusson A, et al. The effect of preheated versus room- temperature skin disinfection on bacterial colonization during pacemaker device implantation: a randomized controlled non- inferiority trial[J]. Antimicrob Resist Infect Control, 2015, 4: 44.
[14] Wistrand C, Soderquist B, Nilsson U. Positive impact on heat loss and patient experience of preheated skin disinfection: a randomised controlled trial[J]. J Clin Nurs, 2016, 25: 3144- 3151.
[15] Gezer S, Yalvac HM, Gungor K, et al. Povidone- iodine vs chlorhexidine alcohol for skin preparation in malignant and premalignant gynaecologic diseases:A randomized controlled study[J]. Eur J Obstet Gynecol Reprod Biol, 2020, 244: 45- 50.
[16] 胡 雁,郝玉芳. 循证护理学[M]. 北京:人民卫生出版社, 2018:58- 65.
[17] 王 清,史慧玲,薛俐俐,等. 早期活动对急性脑卒中患者预后影响的Meta分析[J]. 中华护理杂志, 2016, 51:1443- 1450.
[18] 张新月,叶红芳,袁 玲,等. 隔衣厚度对住院病人血压测量值影响的循证护理实践[J]. 护理研究, 2019, 33:2198- 2204.
[19] 王春青,胡 雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30:964- 967.
[20] Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations[J]. BMJ, 2008, 336: 924- 926.
[21] 汪洋玉,张 霞. 聚维酮碘加温40℃有效碘含量的观察[J]. 中华医院感染学杂志, 2011, 21:2636.
[22] 李 刚,肖汉扬,吴 骏,等. 加温到40℃对0.5%聚维酮碘溶液稳定性的影响[J]. 药学实践杂志, 2007, 25:267.
备注/Memo
- 备注/Memo:
-
(收稿日期:2020- 03- 19)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2021-05-20