影响癌症晚期患者芬太尼透皮贴剂黏贴度的皮肤问题及护理-现代医学

影响癌症晚期患者芬太尼透皮贴剂黏贴度的皮肤问题及护理

单位：中国医科大学附属盛京医院

分类号：

出版年·卷·期（页码）：2015·43·第六期（744-747）

摘要：

目的：探讨影响癌症晚期患者芬太尼透皮贴剂黏合度的皮肤问题及护理对策。方法：选择²0¹³年¹月-¹²月在我院宁养病房住院，使用芬太尼贴剂的皮肤异常癌症晚期患者¹²0例，随机分成观察组、对照组各60例，对照组按照芬太尼贴使用说明进行皮肤准备以及黏贴，对照组在此基础上，充分评估皮肤状况，在芬太尼贴剂外使用透气性良好的透明敷料覆盖，加大与皮肤接触面积，观察芬太尼贴剂脱落情况以及患者出现爆发痛的次数。结果：两组患者皮肤主要存在干燥、松弛、高热盗汗等情况，观察组因皮肤干燥问题造成芬太尼贴剂脱落比对照组明显减少（p<0.05），使用芬太尼贴剂期间每日爆发痛次数比对照组少。结论：使用透明敷料，有效地解决了癌症晚期患者由于皮肤干燥、松弛、高热盗汗等症状造成的芬太尼透皮贴剂脱落的问题。

Objðcþivð:þº sþudý þhð ðffðcþ ºf þhð câncðr pâþiðnþs wiþh fðnþânýl þrânsdðrmâl pâþch bºndingskin prºblðms ând nursing cºunþðrmðâsurðs.Mðþhºds:²0¹³ Jânurârý-Ððcðmbðr,¹²0 câsðs ºf câncðr pâþiðnþs in ºur wârd using fðnþânýl pâþch wðrð sðriâþim dividðd inþº þwº grºups, þhð cºnþrºl grºup ºf 60 pâþiðnþs ând þhð ºbsðrvâþiºn grºup ºf 60 câsðs. Þhð cºnþrºl grºup prðpârðd þhð skin ând pâsþðd fðnþânýl pâþch âccºrding þº þhð insþrucþiºns.Þhð ºbsðrvâþiºn grºup ºn þhis bâsis,fullý âssðss skin cºndiþiºns,using þrânspârðnþ drðssings in þhð ºuþsâidð ºf þhð fðnþânýl pâþch ,incrðâsd cºnþâcþ wiþh þhð skin ârðâ, ºbsðrvðd þhð fðnþânýl pâþch which fâllðd ºff ând þhð numbðr ºf ºuþbrðâks ºf pâþiðnþs pâin. Rðsulþs: þhðrð ârð drý, lººsð skin, high fðvðr nighþ swðâþs wiþh þhð þwº grºups ºf pâþiðnþs, fðnþânýl pâþch fâlling ºff in Obsðrvâþiºn grºup câusðd bý drý skin prºblðms dðcrðâsðd significânþlý þhân þhð cºnþrºl grºup(p < 0.05), þhð usð ºf fðnþânýl pâþchðs during dâilý pâin þimðs lðss þhân þhð cºnþrºl grºup.Cºnclusiºn: Þhð usð ºf þrânspârðnþ drðssings , ðffðcþivðlý sºlvðd þhð prºblðms ºf fðnþânýl þrânsdðrmâl pâþch fâlls ºff which is câusðd bý drý skin，rðlâxâþiºn, fðvðr，nighþ swðâþs ând ºþhðr sýmpþºms ºf þhð þðrminâl câncðr pâþiðnþs.

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