潮湿环境相关性皮肤损伤问题及护理对策 -(5)
发布时间:2021-06-05
发布时间:2021-06-05
备保护伤口、吸收渗液、保持潮湿的伤口基底环境以及清除过多引流液的作用。每种敷料适用范围和优缺点各不相同,应根据临床实际需要评判性地选择。例如,藻酸盐类敷料属于纤维凝胶类敷料,它能吸收渗液并根据伤口的形状形成一种凝胶填塞于伤口中,适用于渗出量中等以上的伤口[24]。水凝胶类敷料属于密闭式附着性敷料,适用于少量渗出液的伤口。银离子泡沫敷料是临床应用效果较好的抗菌型敷料,可有效抵挡细菌、真菌等,对于防治伤口周围皮肤浸渍、控制伤口感染效果显著[25]。
另外,在日常护理的过程中,也要注意因护理不当引起的不必要的皮肤损伤,如指导肥胖患者穿宽松舒适的衣物、鞋袜等,注意全身皮肤的清洁、干燥。更换敷料或其他保护性装置时手法轻盈,避免过多的机械性刺激。
潮湿环境相关性皮肤损伤是临床常见的护理问题,这一问题值得引起护理人员的关注和重视,但目前相关的研究和证据不足,尚需要更多的临床试验去探讨不同护理干预措施以及各种皮肤保护方案对于防治MASD的有效性,为临床护理实践提供最佳证据。
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