奇美醫研發「醫用引流管固定減壓裝置」有效降低壓力性損傷!
2022-11-23 記者 蘇旋/台南報導
73歲方先生,今年7月因橫結腸腫瘤到奇美醫學中心接受腹腔鏡結腸切除手術,醫療團隊由於手術時需胃部減壓,故放置沙朗式鼻胃管,以往做法係以剪成工字型的宜拉膠將鼻胃管黏貼於鼻頭,但這次則使用創新研發的「醫用引流管固定減壓裝置」讓鼻胃管貼於方先生左側臉頰,手術時間歷經4小時30分鐘,術後檢視鼻黏膜及人中處皮膚均正常且無發紅,回病房仍持續使用,治療過程均無管路滑脫,移除鼻胃管後,固定處也未出現壓力性損傷,大大提升手術病人的照護品質。
2016年美國國家壓傷諮詢委員召開全球專家共識會議,將使用醫療相關器材所產生的皮膚局部損傷,包含鼻胃管、氧療裝置、約束及各類管路,稱為「醫療器材相關性壓力性損傷」。
奇美醫學中心手術團隊於2022年7月創新研發了「醫用引流管固定減壓裝置」,除可提供管路置放後有「位置固定」及「皮膚防壓」二項照護要點之外,更可讓病人舒適無異物感。自7月實施至今,使用此「醫用引流管固定減壓裝置」病人皆無產生醫療器材相關性壓力性損傷。
病人就醫過程中,幾乎每位病人都至少需要一種醫療器材來進行診斷或治療,由於醫用材質通常質地較硬,加上設備裝置的大小也會造成皮膚的壓力,因此病人使用醫療器材時,常得面臨使用設備所帶來的壓力性損傷風險。
奇美醫學中心護理部手術專責護理小組長顧正婷指出,當病人進行腸胃外科手術前,會放置鼻胃管引流胃部液體以避免吸入性肺炎,若固定黏貼鼻胃管處防護不當,或者當無菌布單覆蓋病人腹部的各項管路時,因厚重的布單壓迫產生壓力點等狀況,就可能引發「醫療器材相關性壓力性損傷」。
「醫用引流管固定減壓裝置」可適用於各種外科管路,且具有親膚性的皮膚防壓(護)效能,因此能將管路固定於皮膚而不發生管路移位,而且還有預防皮膚損傷效果。
「醫用引流管固定減壓裝置」具有「三易一不」的特性:易操作、易移除、易清潔、不傷害皮膚,對於提供照護者的作業方便性大大提升,目前運用在手術室及病房,使用者皆無發生醫療器材相關性壓力性損傷,病人回饋非常舒適沒有異物感,操作的護理人員也回饋使用方便、固定性佳,只要花9秒鐘,便可以完成固定及皮膚防壓。
顧正婷表示,奇美醫學中心研發「醫用引流管固定減壓裝置」具皮膚防護及管路固定功能,操作容易,且能有效改善醫療器材相關性壓力性損傷發生率,維護病人安全,對於照護者助益非常大。「醫用引流管固定減壓裝置」已通過醫療器材許可,極具推廣價值。
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