In search of a standard for pin site care.

In search of a standard for pin site care.
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寻找针部位护理的标准。

DOI:
10.1097/00006416-199903000-00010
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发表时间:
1999
期刊:
Orthopedic nursing
影响因子:
--
通讯作者:
L. McKenzie
L. McKenzie
中科院分区:
--
文献类型:
--
作者:
L. McKenzie

文献摘要

被引文献

相似文献

到目前为止,一个标准的引脚现场护理尚未确定。针部位护理建议通常基于临床医生的偏好,而不是研究结果。此外,不同临床医生对别针护理治疗的推荐存在很大差异。回顾了护理和医学文献,试图根据科学发现确定穿刺部位护理标准。不幸的是,对针位点的预防性治疗的研究是有限的。作者推荐的穿刺针部位护理方案是基于穿刺针部位感染发生的病理生理过程以及研究文献中发现的信息。建议的程序包括:(a)使用生理盐水作为清洁剂;(B)避免在清洁后护理中使用药膏;(c)去除痂皮;(d)对住院病人使用无菌技术,而病人出院后则使用清洁技术;(e)在针刺部位敷上敷料;及(f)如有排水情况,则每天护理别针三次,如无排水情况,则每天护理别针一次。
To date, a standard for pin site care has yet to be identified. Pin site care recommendations are more often based upon clinician preference rather than research findings. Further, there are great variations in recommendations for pin care treatments from clinician to clinician. The nursing and medical literature were reviewed in an attempt to identify a pin site care standard based upon scientific findings. Unfortunately, the research on prophylactic treatment of pin sites is limited. The pin site care protocol recommended by this author is based on pathophysiologic processes involved in the development of pin site infections, as well as information found in the research literature. The recommended protocol includes the following: (a) using normal saline as the cleansing agent; (b) avoiding ointments for postcleansing care; (c) removing crusts; (d) using sterile technique for the hospitalized patient while clean technique is used once the patient is discharged from the hospital; (e) applying dressings to pin sites; and (f) providing pin care three times a day if drainage is present or once daily in the absence of drainage.