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目的:减少按压时间,节省护士的工作时间,减轻护士工作量及保障患者安全。方法:随机选择患者,对于表浅动静脉拔针时或患者输液或抽血结束后,准备一条5~8 cm PE膜弹力透气医用胶布,然后将一根无菌棉签上的棉球放置胶布的中心,将患者头皮针处的胶布全部揭下,这时将准备好的胶布两端向两头轻拉,然后将棉球对上针眼处,胶布按压牢固(注意不要将胶布粘贴住针柄,要将胶布完全粘附在患者的皮肤上,由于拉力作用,起到加压的作用),然后一手按压棉球处,另一手将拿住针柄将针拔出,按压5 s后松开,再观察5 s后棉球处无出血,即可放心离去。通过应用PE膜弹力透气医用胶布覆盖棉球给予加压止血,观察患者的止血效果。结果:临床共研究74例,失败6例,成功率为92%。结论:通过对表浅动静脉拔针后应用PE膜弹力透明医用胶布加压止血的研究,可有效的减少按压时间,节省护士的工作时间,减轻护士工作量及保障患者安全,可在全院推广。
Objective: To reduce the pressing time, save the working hours of nurses, reduce the nurses workload and ensure the safety of patients. Methods: Patients were randomly selected. When superficial arteriovenous injection or infusion or blood withdrawal was completed, a 5 ~ 8 cm PE elastic elastic breathable medical tape was prepared, and the cotton ball on a sterilized cotton swab was placed on the tape Center, the patient scalp needle at the tape all the exposed, then the tape ready to the ends of the two gently pull, then the cotton ball on the pinhole Department, tape firmly pressed (be careful not to stick the tape to the needle handle to The tape will be completely adhered to the skin of patients, due to the role of tension, play a role in pressure), and then one hand press the cotton ball at the other hand will hold the needle handle to pull out the needle, release after pressing 5 s, and then 5s after the cotton ball at no bleeding, you can safely leave. Through the application of PE film stretch breathable medical tape covered with cotton balls to give pressurized hemostasis to observe the patient’s hemostatic effect. Results: A total of 74 cases of clinical study, failure in 6 cases, the success rate was 92%. Conclusion: The application of superficial arteriovenous venous needle PE needle elastic transparent medical tape compression hemostasis can effectively reduce the pressing time, save the working hours of nurses, reduce nurses workload and ensure patient safety, in the hospital Promotion.