CN106823104A - A kind of fixing patch for stomach tube, fixing means and its pulling experiment method - Google Patents
A kind of fixing patch for stomach tube, fixing means and its pulling experiment method Download PDFInfo
- Publication number
- CN106823104A CN106823104A CN201710108754.2A CN201710108754A CN106823104A CN 106823104 A CN106823104 A CN 106823104A CN 201710108754 A CN201710108754 A CN 201710108754A CN 106823104 A CN106823104 A CN 106823104A
- Authority
- CN
- China
- Prior art keywords
- stomach tube
- patch
- fixing
- fixed
- shape
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0053—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
- A61J15/0065—Fixing means and tube being one part
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N19/00—Investigating materials by mechanical methods
- G01N19/04—Measuring adhesive force between materials, e.g. of sealing tape, of coating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
- A61M2025/0226—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0266—Holding devices, e.g. on the body using pads, patches, tapes or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3327—Measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1053—Stomach
Abstract
It is that a plane is pasted the present invention relates to a kind of fixing patch for stomach tube, fixing means and its pulling experiment method, plane pastes top center and both sides are provided with multiple otch, forms many hemp nettle shapes.Cleaning skin of nose, is waited to do, and stomach tube front end is inserted into nasal cavity to behind assigned position, takes fixing patch for stomach tube a piece of；Infolding is made sure to keep in mind into long-tail end, small not sticking veneer is formed, then the backing paper of many hemp nettle shape parts is opened, patient's bridge of the nose side is pasted onto, afterbody backing paper long is opened；It is first that axially inwardly doubling is pasted with many hemp nettle shape junction pad pastings by the initial segment, outward appearance forms linear；Then stomach tube is held up, it is pressed close to wing of nose side, it is smooth to be pasted onto on stomach tube wall by pad pasting afterbody long along stomach tube traveling；Stomach tube is in hanging shape after stickup.Substantially reduced using the de- pipe rate of patient's stomach tube of the present invention, revolutionize traditional stomach tube fixed mode, solve the problem of Preserving time stomach tube patient home nursing, have received good social benefit.
Description
Technical field
The present invention relates to a kind of stomach tube technique for fixing, specifically a kind of fixing patch for stomach tube, fixing means and its pulling force
Experimental technique.
Background technology
Indwelling gastric tube is clinical conventional nursing manipulative skill, is used to check, treats, supplementing the nutrients and moisture etc..Stomach tube
Reasonably fix particularly important after inserting, fixed loosely patient Chang Yin stands up, activity, undress, cause stomach tube to deviate from；Stupor,
The patient that delirium, restless etc. can not be cooperated, slightly carelessness patient will certainly be about to stomach tube and pull out.Repeated intubation not only increases to patient
Add pain, increase the workload of nurse, more seriously put and easily cause nausea during pipe, choke and cough, cause patient to suffocate, aggravate
The state of an illness even induces the serious consequences such as death, and such malignant event, clinic happens occasionally, and there is larger medical-risk, Yi Yin
Play doctor-patient dispute.Stomach tube is kept correct position for a long time during indwelling, do not release firmly, it is scientific and rational solid
Surely it is crucial.
For many years, a reasonable fixed problem for being always to perplex clinical nursing staff of indwelling gastric tube.Many nursing are special
Family and scholar are studied and have been improved to stomach pipe fixing method, and main method has elastic tape (tourniquet) pullover type nose catheter
Fixation；T-shaped nose pastes gastric tube fixation method；Flat cotton yarn tape fixation etc., the advantage and disadvantage of the above method differ.
There is certain shortcoming in traditional fixed form (mode that textbook is specified, as shown in Figure 1), the fixed patch nose of tradition is
Global design, when external force is pulled, pulling force transient conduction causes to come off：1. sticker intersects, overlap is integrated stickup, the local pine of sticker
It is de- overall to release, cause stomach tube to deviate from；2. sticker juxtaposition position is located just at nostril, influence nose ventilation；3.
Sticker cross winding removes difficulty on stomach tube when changing sticker, and Chang Yin removes sticker undue force, by the abjection of stomach tube portion；
4. bronchia mucosal is rubbed, oppressed, and mucous membrane scratch or ulcer easily occur；5. the selection of sticker material is improper, skin easily occurs bad
Reaction.
The content of the invention
Easily caused for fixing patch for stomach tube in the prior art and come off etc. not enough, the problem to be solved in the present invention is to provide one kind
The fixing patch for stomach tube that the de- pipe rate of stomach tube can effectively be reduced, reduces medical-risk, reduce the unnecessary duplication of labour, fixing means and
Its pulling experiment method.
In order to solve the above technical problems, the technical solution adopted by the present invention is：
A kind of fixing patch for stomach tube of the present invention, is that a plane is pasted, and plane pastes top center and both sides are provided with multiple and cut
Mouthful, form many hemp nettle shapes.
Many hemp nettle shapes are seven valves, and the top is a single valve, and it is six symmetrical valves that it is lower, with single valve phase
Offside is portion long.
Long-tail portion distal end is provided with stickup to be made sure to keep in mind.
Many hemp nettle shape edge are arc.
A kind of fixing patch for stomach tube fixing means of the present invention, comprises the following steps：
Cleaning skin of nose, is waited to do, and stomach tube front end is inserted into nasal cavity to behind assigned position, takes fixing patch for stomach tube a piece of；
Infolding is made sure to keep in mind into long-tail end, small not sticking veneer is formed, then the backing paper of many hemp nettle shape parts is opened,
Patient's bridge of the nose side is pasted onto, afterbody backing paper long is opened；
It is first that axially inwardly doubling is pasted with many hemp nettle shape junction pad pastings by the initial segment, outward appearance forms linear；
Then stomach tube is held up, it is pressed close to wing of nose side, it is smooth to be pasted onto stomach tube pipe by pad pasting afterbody long along stomach tube traveling
On wall；Stomach tube is in hanging shape after stickup.
The de- pipe maximum pull test of patch is fixed including the different fixed de- pipe maximum pull tests of patch material and different shape,
By it is different it is fixed paste the de- pipe maximum pulls of materials and test the most strong fixed patch material of selection stretching resistances and carry out different shape fix
The de- pipe maximum pull test of patch, wherein the different de- pipe maximum pull tests of fixed patch material are comprised the following steps：
Choose clinical widely used various fixed material, calibrating spring hand scale at present；
Interception standard medical 10~18cm of stomach tube, as experiment stomach tube；
Experiment is inserted into human body 0.8~1.2cm of nasal cavity with stomach tube front end, above-mentioned various different fixed materials are used successively
Nose is carried out to fix, at stomach pipe end 1cm shear a side opening, hook stomach tube end side opening using hand spring balance, with lip on be in
30 degree, the drop-down stomach tube in direction at nasal septum angle at 45 °, until fixed patch comes off, accurate recording hand spring balance display force value is every kind of
Testing of materials is repeatedly averaged, and the pulling force average value of various fixed materials is contrasted.
It is saturating that various fixed materials are respectively the ventilative paper self-adhesive tape of 3M Durapore durable silk adhesive tape 1538-0,3M, non-woven fabrics
Gas adhesive tape and 3M pressurization fixation adhesive tape 2733-75 colour of skin elastic force lagos rubbers；Various fixed material sizes are 7.5cm*3cm,
Rectangle；
Human body skin is undressed nature.
It is characterized in that different shape fixes the de- pipe maximum pull testing procedure of patch being：
Stretching resistance is most strong determines patch for selection, and conventional shape and many hemp nettle shapes are cut into respectively, and various different shapes are entered
Row nose is fixed, and hooks stomach tube end side opening, the drop-down stomach tube of 45° angle using hand spring balance successively, until fixing plaster comes off,
Record hand spring balance display force value, every kind of testing of materials is repeatedly averaged, and the pulling force average value of various fixed materials is entered
Row contrast.
The conventional shape includes rectangle, quincunx and T-shaped.
Effective bonding area of conventional shape and many hemp nettle shapes is identical.
The invention has the advantages that and advantage：
1. after fixing patch using Novel ventricular canal, the de- pipe rate of patient's stomach tube is substantially reduced, and difference is statistically significant；Thoroughly change
Traditional stomach tube fixed mode is become, innovative design " many hemp nettle shapes " shape fixes patch, Multiple insion design, from amechanical angle, by pole
Change the direction of power, pad pasting stretching resistance is substantially improved, solve the problem that external force causes de- pipe, " many hemp nettle shapes " circular arc sets
Meter, it is to avoid the conventional orthogonal design easily drawback such as tiltings, crimping from drift angle, solves Preserving time stomach tube patient and fixes difficulty
Nursing problem, effectively reduce the de- pipe rate of stomach tube, reduce medical-risk, reduce the unnecessary duplication of labour of nurse；More
Patient suffering is alleviated, meanwhile, the problem of Preserving time stomach tube patient home nursing is solved, have received good society's effect
Benefit.
2. fastness is stronger：The present invention have collected the various stomach pipe fixing methods that current clinic is commonly used, solid from difference
Determining the many-sides such as material, difference shearing shape, different fixed forms carries out laboratory contrasting detection, and experimental result shows：It is new
" many hemp nettle shapes " shape fixing patch for stomach tube, its tensile capacity is substantially better than other fixed forms of clinic and method at present.
3. it is simple to operate, easy to learn：Novel ventricular canal fixes patient of the patch suitable for Preserving time stomach tube, particularly crouches all the year round
Bed, the patient of residential care.Novel ventricular canal fixes patch shearing conveniently, and backing paper indicates scale, can be with " first draw and cut again ", compared with other
Fixing means is simpler easy to learn, and family members are easily mastered, and is more suitable for nurse and carries out high quality nursing and continue nursing.
4. comfort level, aesthetics are higher：Novel ventricular canal fixes patch, the material selection 3M pressurization fixation adhesive tape 2733-75 colours of skin
Elastic force lagos rubber, the material has good gas permeability, and gently persistently, elastic force is full, non-stimulated to skin, there is stronger for viscosity
Pad pasting can occur obvious color change after absorbability, and absorption grease, allow a caregiver to be clearly apparent, and remind caregiver
Member is changed in time, prevents from being separated with skin after pad pasting oiling causing to come off, and Multiple insion " many hemp nettle shapes " design makes locally more
Plus attractive in appearance, the nearly colour of skin design of adhesive tape, not lofty after stickup, face appearance degree is substantially better than other method.
5. the present invention greatly reduces the de- pipe rate of accident of stomach tube, occurs without the pressure sore of stomach tube correlation, and any skin does not occur
Skin adverse reaction, hence it is evident that improve the comfort level of patient, alleviates the psychological burden of patient and family members, is conducive to preferably carrying out
High quality nursing, clinic is promoted the use of, its convenient material drawing, easy to operate, the features such as safe, comfortable, firm, by nurse with suffer from
The consistent favorable comment of person, has promoted carrying out in a deep going way for high quality nursing.
Brief description of the drawings
Fig. 1 is the fixed patch nose schematic diagram of tradition in conventional art；
Fig. 2 is fixing patch for stomach tube floor map of the present invention.
Specific embodiment
With reference to Figure of description, the present invention is further elaborated.
Fixing patch for stomach tube of the present invention, is that a plane is pasted, and plane pastes both sides has symmetrically arranged multiple otch, is formed
Many hemp nettle shapes.
As shown in Fig. 2 many hemp nettle shapes are seven valves, the top is a single valve, and it is six symmetrical valves that it is lower, with list
An only valve opposite side is portion long.Long-tail portion distal end side is provided with stickup and makes sure to keep in mind.Many hemp nettle shape edge are arc.Figure
Middle tangent line represents otch.
In the present embodiment, many hemp nettle shapes are made of 3cm stickups wide, including flower-shape part and portion long, wherein most going up
Side is a single valve and portion long 1cm wide, the single a length of 0.5cm of a valve, other petal length be respectively 1cm and
Two kinds of 0.5cm, flower-shape width is 1cm, and length is two panels for the petal of 0.5cm, is arranged symmetrically in flower-shape section lower.Long-tail
Part 4cm long, stickup is made sure to keep in mind in long-tail portion distal end side, and length and width is 0.3cm, and so, fixing patch for stomach tube specification is 7.5
×3cm。
The top center of many hemp nettle shapes and " between valve " have Multiple insion to design, and wing of nose fat secretion vigorous portion is avoided during stickup
Position, it is to avoid grease influence.Multiple insion changes the direction of power by pole from amechanical angle, and when external force is pulled, pulling force disperses by pole,
Pad pasting stretching resistance is substantially improved, the problem that external force causes de- pipe is solved.
A kind of fixing patch for stomach tube fixing means of the present invention is comprised the following steps：
Cleaning skin of nose, after dry, inserts nasal cavity a piece of to fixing patch for stomach tube behind assigned position, is taken by stomach tube front end,
By many hemp nettle shape bonding partiallies in patient's bridge of the nose side, long-tail bonding partially is on the tube wall of stomach tube.
Infolding is specially made sure to keep in mind into long-tail end, small not sticking veneer is formed, then by the backing of many hemp nettle shape parts
Paper is opened, and is pasted onto patient's bridge of the nose side (flexibly avoiding the abundant place of wound, grease), and afterbody backing paper long is opened；
First by the initial segment 0.5cm, i.e., axially inwardly doubling is pasted with many hemp nettle shape junction pad pastings, and outward appearance forms linear；
Then stomach tube is held up, it is pressed close to wing of nose side (avoiding compressing nasal septum, nasal membrane), by pad pasting afterbody edge long
Stomach tube traveling, it is smooth to be pasted onto on stomach tube wall；Stomach tube is in hanging shape after stickup.
When in use, just skin of nose is cleaned the present invention using clear water first, then is cleaned with 75% alcohol degreasing, two kinds
Different skin cleaners carries out local skin cleaning, and next step operation is carried out again after dry.
Fixing patch for stomach tube of the present invention be applied to Preserving time stomach tube patient, particularly all the year round bed, the disease of residential care
People.Fixing patch for stomach tube shearing is convenient, and backing paper indicates scale, can be simpler compared with other fixing means easy with " first draw and cut again "
Learn, family members are easily mastered, be more suitable for nurse and carry out high quality nursing and continue nursing.
A kind of fixing patch for stomach tube pulling experiment method of the present invention, including the different de- pipe maximum pull tests of fixed patch material with
And different shape fixes the de- pipe maximum pull test of patch, selection stretching resistance is tested by the different fixed de- pipe maximum pulls of material that paste
Most strong fixed patch material carries out different shape and fixes the de- pipe maximum pull test of patch, wherein the different fixed de- pipes of patch material are maximum
Tensile test is comprised the following steps：
Choose clinical widely used various fixed material, calibrating spring hand scale at present；
Interception standard medical 10~18cm of stomach tube, as experiment stomach tube；
Experiment is inserted into human body 0.8~1.2cm of nasal cavity with stomach tube front end, above-mentioned various different fixed materials are used successively
Nose is carried out to fix, at stomach pipe end 1cm shear a side opening, hook stomach tube end side opening using hand spring balance, with nasal septum into
The drop-down stomach tube of 45° angle, until fixed patch comes off, accurate recording hand spring balance display force value, every kind of testing of materials is repeatedly averaged
Value, and the pulling force average value of various fixed materials is contrasted.
In the present embodiment, various fixed materials are respectively durable silk adhesive tape 1538-0,3M the air-permeable paper glue of 3M Durapore
Band, non-woven fabrics breathable adhesive tape and 3M pressurization fixation adhesive tape 2733-75 colour of skin elastic force lagos rubbers；Various fixed material sizes are
7.5cm*3cm, rectangle；
Human body skin is nature, without treatment.
Different shape fixes the de- pipe maximum pull testing procedure of patch：
Stretching resistance is most strong determines patch for selection, and conventional shape and many hemp nettle shapes are cut into respectively, and various different shapes are entered
Row nose is fixed, and hooks stomach tube end side opening, 30 ° of drop-down stomach tubes in angle using hand spring balance successively, until fixing plaster comes off,
Record hand spring balance display force value, every kind of testing of materials is repeatedly averaged, and the pulling force average value of various fixed materials is entered
Row contrast.
The conventional shape includes rectangle, quincunx and T-shaped.Conventional shape and the effective of many hemp nettle shapes glue during experiment
Veneer product is identical.
The present invention uses control variate method in the experimental stage, and clinical four kinds of widely used fixed materials at present are chosen first
Material：1) the durable silk adhesive tape 1538-0 of 3MDurapore are (hereinafter referred to as：White silk adhesive tape)；2) the ventilative paper self-adhesive tapes of 3M (letter below
Claim：Paper self-adhesive tape)；3) non-woven fabrics breathable adhesive tape (hereinafter referred to as Non-woven tape)；4) 3M pressurizations fixation adhesive tape 2733-75 colour of skin bullets
Power lagos rubber is (hereinafter referred to as：Elastic force lagos rubber)；2. standard medical stomach tube 15cm is intercepted；The chest expander of calibrating spring hand scale.
It is brief moment because stomach tube comes off in value of thrust test process, value of thrust reads and tends to have error, to ensure to survey
The accuracy of test result, test process is recorded a video using mobile phone, and according to playing back videos after test, accurate recording stomach tube comes off moment
Chest expander shows numerical value.
In the present embodiment, patch material, fixed patch shape, fixed preceding skin treatment, patient satisfaction, nurse are fixed in experiment point
Satisfaction, five experiments are carried out.
First stage：Experimental stage
Experiment one：The de- pipe maximum pull of the fixed patch material of difference is surveyed
Experiment is inserted into nasal cavity 1cm with stomach tube front end, nose is carried out using four kinds of different fixed materials successively and is fixed, stomach
A side opening is sheared at pipe end 1cm, claims to hook stomach tube end side opening, 30 ° of drop-down stomach tubes in angle, until fixing glue using hand spring
Patch comes off, and accurate recording hand spring claims the weight (value of thrust) of display, and is contrasted.
According to control variables principle, in experiment in addition to fixed patch material difference, the strict fixed patch size of control is
The irrelevant factors such as 7.5cm*3cm rectangles, draw direction, steel strand exerciser performance, experimenter's condition are identical.
Experiment can be carried out on the medical model of nursing brand room, be found in experiment, and model is sticked with human body contrast body temperature, skin
There is larger difference in the conditions such as patch degree, auricle hardness, error of test data is larger, be the accuracy of guarantee test, while abiding by
Keep principle of nonmaleficence, experimenter is changed to four nurses, skin be nature without treatment, test data result is put down using four
Average.
Experimental result：
In the case where other conditions are identical, the maximum fixed material of value of thrust is elastic force lagos rubber.Value of thrust ratio
Compared with being followed successively by elastic force lagos rubber (1.39Kg) ＞ white silk adhesive tape (1.25Kg) ＞ paper self-adhesive tape (0.75Kg) ＞ Non-woven tapes
(0.57Kg)。
Experiment two：Different shape fixes the de- pipe maximum pull test of patch
According to the experimental result of experiment one, the most strong elastic force lagos rubber of selection stretching resistance cuts into respectively：1) traditional square
Shape；2) it is traditional quincunx (non-incision between petal)；3) many hemp nettle shape shapes (have otch, also referred to as " six leaves grass " between petal
Shape)；4) T-shaped.Four kinds of different shapes are fixed hooks stomach tube end side opening using hand spring balance successively, at 45 ° with nasal septum
The drop-down stomach tube in angle, until fixed patch of pasting comes off, record each shape lower spring hand claims the weight (value of thrust) of display, goes forward side by side
Row contrast.
According to control variables principle, in experiment in addition to solid glue patch shape difference, the size of strict sticker, restrained stretching side
To, steel strand exerciser performance, the irrelevant factor such as experimenter's condition is identical.
Experimental result：
In the case where other conditions are identical, the maximum sticker of value of thrust is shaped as：Six clover shapes.
Value of thrust is relatively followed successively by quincunx (1.59kg) the ＞ tradition squares of six clover shapes (1.99Kg) ＞ T-shaped (1.85Kg) ＞
Shape (1.49Kg).
Experiment three：The test of pipe maximum pull is taken off after different skin cleaning agent cleaning local skin
Result according to experiment two preferably goes out Novel ventricular canal and fixes patch (elastic force lagos rubber " six leaves grass " shape).
Before experiment, skin of nose is used：1) clear water cleaning；2) 75% alcohol degreasing cleaning.Two kinds of different skins are clear
Clean dose carries out local skin cleaning, waits to do.Stomach tube is carried out with fixing patch for stomach tube of the present invention to fix, stomach tube is hooked using hand spring balance
End side opening, with the drop-down stomach tube in nasal septum angle at 45 °, until fixing plaster comes off, accurate recording hand spring claims the weight of display
Amount (value of thrust), and contrasted.
According to control variables principle, in experiment in addition to skin cleaner difference, the strict fixed material of control, fixing means,
The irrelevant factors such as draw direction, steel strand exerciser performance are identical.
Experimental result：In the case where other conditions are identical, value of thrust maximum is 75% alcohol degreasing cleaning, is drawn
Force value is relatively followed successively by 75% alcohol degreasing cleaning (2.19Kg) ＞ clear water cleaning (2.01Kg).
Second stage：Clinical practice contrasts the improvement stage
Put into practice one：Patient satisfaction is contrasted
The Novel ventricular canal preferably gone out using experiment fixes the flat cotton yarn tape that patch (clover shapes of 3M six) is commonly used with current clinic
Fixation and the traditional three patches nose patch fixations of 3M carry out Clinical practice satisfaction test.More than section office's Patients with Indwelling Stomach Tube is used
Three kinds of different modes carries out stomach tube and fixes；Three kinds of modes carry out skin cleaning before stomach tube is fixed and use 75% alcohol degreasing clear
It is clean；It is within every two days the observation time limit；Patient and (or) family members are from facial cleansing degree, nose cleannes, nose comfort level, fixed effect
4 contents are scored.Randomly select 5 patients every time to issue a questionnaire, extract 10 times altogether, all investigation forms are arranged in detail
As experimental data.
Put into practice two：Nurse's satisfaction is contrasted
The contrast of three kinds of fixing means during use, charge nurse is responsible for observing, record every fixed patch of experiment patient from
Begin to use to sticker edge roll or stomach tube fix occur loosen holding time, scale is satisfied with as nurse using the set time
Standard, then nurse satisfaction more long of holding time is higher.Every nurse's satisfaction situation is recorded in detail, as experimental data.
Fixed patch is rolled or stomach tube fixes time for occurring loosening and is set to the set time from beginning to use to sticker edge,
Set time >=48h, 4 points are calculated as, represent that nurse is very satisfied；36~48h of set time, is calculated as 3 points, represents nurse's satisfaction；
24~36h of set time, is calculated as 2 points, represents that nurse is relatively satisfactory；Set time<24h, is calculated as 1 point, represents that nurse is unsatisfied with.
Clinical practice comparing result：
Put into practice one：Patient satisfaction comparing result：The new fixed patch (average marks of 3M：12.6 points) the traditional three patches noses of ＞ 3M
Fixed (the average mark of patch：10.9 points) the flat cotton yarn tapes of ＞ fix (average mark：8.7 points).
Put into practice two：Nurse's satisfaction comparing result：The new fixed patch (average marks of 3M：3.3 points) the traditional three patches noses of ＞ 3M
Fixed (the average mark of patch：2.6 points) the flat cotton yarn tapes of ＞ fix (average mark：2.4 points)
Phase III：The compliance test result stage
According to first stage and second stage result of study, section office are reproduced stomach tube fixed form and flow, are used
Novel ventricular canal fixes patch, according to new stomach pipe fixing method and flow, begins from January, 2015, is promoted the use of in section office, and observation is faced
Bed application effect.
Physical data：Hospital HIS system statistics Novel ventricular canal is fixed patch and is in hospital trouble using preceding in June, -2014 in January, 2013
Person's indwelling gastric tube 183 is control group, using traditional stomach tube fixed form, wherein man 104, female 79；Age 49-93
Year, diagnosis：Cerebral infarction 176, cerebral hemorrhage 4, epilepsy 3.HIS system statisticses Novel ventricular canal is fixed 2015 1 after patch use
In June, -2016 moon inpatient indwelling gastric tube 197 is experimental group, fixes patch and flow using Novel ventricular canal, wherein male
112, female 85；Age 48-96 Sui, diagnosis：Cerebral infarction 187, cerebral hemorrhage 6, epilepsy 4.According to control variables principle,
Experimental group in addition to fixing plaster and flow are different, Terumo 160105C single use nose stomaches is using stomach tube from control group
Intestinal tube, and the aspect no significant difference (P ＞ 0.05) such as two groups of Genders, age, diagnosis is with comparativity.
Evaluation index：Contrast the de- pipe rate of two groups of Patients with Indwelling Stomach Tube stomach tubes.
Statistical method：This group research final data carries out statistical analysis, the total example of patient using the statistical softwares of SPSS 19.0
Number >=150, but 1≤T≤5, using correction for continuity chi-square criterion, P values are two-tailed test, with P ＜ 0.05 for difference has statistics
Learn meaning.
Present invention determine that 3M pressurization fixation adhesive tapes 2733-75 is fixed material.The material comfortable ventilating, includes elastic filament,
Compliance is good；Sticky gentle lasting, excitant is small；Backing indicates scale for release liners, conveniently cuts out；Absorbability is strong, absorbs oil
Glue color is deepened after fat, is easy to observation；Nearly colour of skin design, not lofty after stickup, face appearance.
The present invention is screened by science, and the most strong fixed patch material of selection stretching resistance makes fixing patch for stomach tube of the present invention, thorough
Bottom changes traditional stomach tube fixed mode, and design " six leaves grass " shape fixes patch, and Multiple insion design, from amechanical angle, changes by pole
The direction of variable force, is substantially improved pad pasting stretching resistance, solves the problem that external force causes de- pipe；" six leaves grass " circular-arc-shaped design,
Avoid the conventional orthogonal design easily drawback such as tilting, crimping from drift angle.
Pad pasting come off another major reason be grease influence." six leaves " split is designed, and wing of nose grease point is avoided during stickup
Secrete vigorous position；And strictly use 75% alcohol degreasing, it is to avoid grease influence.
Compact is pasted, and makes stomach tube in hanging shape, without discomforts such as compressing, friction, influence ventilations.
Bottom " small tail " is designed, and bottom is left and made sure to keep in mind after pasting nose patch, is separated from from making sure to keep in mind during replacing, solves patch
Film removes problem that is difficult, nowhere setting about；Importantly, the specification operation behavior of nurse.When changing pad pasting, many nurses
Arbitrarily removed since the top (wing of nose part) of pad pasting, the abjection of stomach tube portion, emergency risk are easily caused during removing
Increase；Meanwhile, pharyngeal sensitivity patient can cause the adverse reactions such as Nausea and vomiting because of stomach tube local motion；Enter from " small tail "
Hand, it then follows bottom-up operating principle, can avoid the local motion of stomach tube, and anti-falling pipe can also mitigate the discomfort of patient.
Claims (10)
1. a kind of fixing patch for stomach tube, it is characterised in that：For a plane is pasted, plane pastes top center and both sides are provided with multiple
Otch, forms many hemp nettle shapes.
2. the fixing patch for stomach tube as described in claim 1, it is characterised in that：Many hemp nettle shapes are seven valves, and the top is independent
A valve, it is six symmetrical valves that it is lower, is portion long with single valve opposite side.
3. the fixing patch for stomach tube as described in claim 2, it is characterised in that：Long-tail portion distal end is provided with stickup to be made sure to keep in mind.
4. the fixing patch for stomach tube as described in claim 1, it is characterised in that：Many hemp nettle shape edge are arc.
5. a kind of fixing patch for stomach tube fixing means, it is characterised in that comprise the following steps：
Cleaning skin of nose, is waited to do, and stomach tube front end is inserted into nasal cavity to behind assigned position, takes fixing patch for stomach tube a piece of；
Infolding is made sure to keep in mind into long-tail end, small not sticking veneer is formed, then the backing paper of many hemp nettle shape parts is opened, is pasted
In patient's bridge of the nose side, afterbody backing paper long is opened；
It is first that axially inwardly doubling is pasted with many hemp nettle shape junction pad pastings by the initial segment, outward appearance forms linear；
Then stomach tube is held up, it is pressed close to wing of nose side, it is smooth to be pasted onto stomach tube wall by pad pasting afterbody long along stomach tube traveling
On；Stomach tube is in hanging shape after stickup.
6. a kind of fixing patch for stomach tube pulling experiment method, it is characterised in that：Surveyed including the different fixed de- pipe maximum pulls of patch material
Examination and the de- pipe maximum pull test of different shape fixation patch, test selection anti-by the different fixed de- pipe maximum pulls of patch material
The most strong fixed patch material of pulling force carries out different shape and fixes the de- pipe maximum pull test of patch, wherein the different fixed de- pipes of patch material
Maximum pull test is comprised the following steps：
Choose clinical widely used various fixed material, calibrating spring hand scale at present；
Interception standard medical 10~18cm of stomach tube, as experiment stomach tube；
Experiment is inserted into human body 0.8~1.2cm of nasal cavity with stomach tube front end, is carried out using above-mentioned various different fixed materials successively
Nose is fixed, at stomach pipe end 1cm shear a side opening, hook stomach tube end side opening using hand spring balance, with lip in 30 degree,
The drop-down stomach tube in direction at nasal septum angle at 45 °, until fixed patch comes off, accurate recording hand spring balance display force value, every kind of material
Test is repeatedly averaged, and the pulling force average value of various fixed materials is contrasted.
7. the fixing patch for stomach tube pulling experiment method as described in claim 6, it is characterised in that：
Various fixed materials are respectively the ventilative paper self-adhesive tape of 3M Durapore durable silk adhesive tape 1538-0,3M, the ventilative glue of non-woven fabrics
Band and 3M pressurization fixation adhesive tape 2733-75 colour of skin elastic force lagos rubbers；Various fixed material sizes are 7.5cm*3cm, rectangle；
Human body skin is undressed nature.
8. the fixing patch for stomach tube pulling experiment method as described in claim 6, it is characterised in that different shape fixes the de- pipe of patch most
Big tensile test step is：
Stretching resistance is most strong determines patch for selection, and conventional shape and many hemp nettle shapes are cut into respectively, and various different shapes are carried out into nose
Portion is fixed, and hooks stomach tube end side opening, the drop-down stomach tube of 45° angle using hand spring balance successively, until fixing plaster comes off, record
Hand spring balance shows force value, and every kind of testing of materials repeatedly averages, and the pulling force average value of various fixed materials is carried out it is right
Than.
9. the fixing patch for stomach tube pulling experiment method as described in claim 8, it is characterised in that：The conventional shape includes square
Shape, quincunx and T-shaped.
10. the fixing patch for stomach tube pulling experiment method as described in claim 8, it is characterised in that：Conventional shape and many hemp nettles
Effective bonding area of shape is identical.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710108754.2A CN106823104A (en) | 2017-02-27 | 2017-02-27 | A kind of fixing patch for stomach tube, fixing means and its pulling experiment method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710108754.2A CN106823104A (en) | 2017-02-27 | 2017-02-27 | A kind of fixing patch for stomach tube, fixing means and its pulling experiment method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106823104A true CN106823104A (en) | 2017-06-13 |
Family
ID=59134975
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710108754.2A Withdrawn CN106823104A (en) | 2017-02-27 | 2017-02-27 | A kind of fixing patch for stomach tube, fixing means and its pulling experiment method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106823104A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| USD827144S1 (en) | 2017-09-14 | 2018-08-28 | 3M Innovative Properties Company | Nasogastric tube securement device |
| CN113164714A (en) * | 2018-11-26 | 2021-07-23 | 利物浦大学医院国民卫生服务信托基金会 | Securing means for a protruding oral or nasal device |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0845278A2 (en) * | 1996-11-28 | 1998-06-03 | Tulafor Anstalt | Fastening system for medical instrument |
| US20020143296A1 (en) * | 2001-03-29 | 2002-10-03 | Russo Ronald D. | Medical tube holder |
| US20070049859A1 (en) * | 2005-08-23 | 2007-03-01 | Tri-State Hospital Supply Corporation | Window dressing |
| US20120029435A1 (en) * | 2010-07-30 | 2012-02-02 | Miriam Gutierrez Del Rio | Ng/og support systems |
| KR20140022315A (en) * | 2012-08-14 | 2014-02-24 | 박만식 | Levin tube securement band |
| CN104353171A (en) * | 2014-11-17 | 2015-02-18 | 山东省肿瘤医院 | Double helix fixing paste for stomach tube and use method |
| US20160114135A1 (en) * | 2014-10-28 | 2016-04-28 | Perouse Medical | Device for securing an elongated element on the body of a patient, treatment kit and associated method |
-
2017
- 2017-02-27 CN CN201710108754.2A patent/CN106823104A/en not_active Withdrawn
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0845278A2 (en) * | 1996-11-28 | 1998-06-03 | Tulafor Anstalt | Fastening system for medical instrument |
| US20020143296A1 (en) * | 2001-03-29 | 2002-10-03 | Russo Ronald D. | Medical tube holder |
| US20070049859A1 (en) * | 2005-08-23 | 2007-03-01 | Tri-State Hospital Supply Corporation | Window dressing |
| US20120029435A1 (en) * | 2010-07-30 | 2012-02-02 | Miriam Gutierrez Del Rio | Ng/og support systems |
| KR20140022315A (en) * | 2012-08-14 | 2014-02-24 | 박만식 | Levin tube securement band |
| US20160114135A1 (en) * | 2014-10-28 | 2016-04-28 | Perouse Medical | Device for securing an elongated element on the body of a patient, treatment kit and associated method |
| CN104353171A (en) * | 2014-11-17 | 2015-02-18 | 山东省肿瘤医院 | Double helix fixing paste for stomach tube and use method |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| USD827144S1 (en) | 2017-09-14 | 2018-08-28 | 3M Innovative Properties Company | Nasogastric tube securement device |
| CN113164714A (en) * | 2018-11-26 | 2021-07-23 | 利物浦大学医院国民卫生服务信托基金会 | Securing means for a protruding oral or nasal device |
| CN113164714B (en) * | 2018-11-26 | 2024-03-08 | 利物浦大学医院国民卫生服务信托基金会 | Fastening device for protruding oral or nasal devices |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN106823104A (en) | A kind of fixing patch for stomach tube, fixing means and its pulling experiment method | |
| CN207679838U (en) | A kind of fixing patch for stomach tube | |
| CN206603940U (en) | Device for feeding nasal feeding tube | |
| Symington et al. | Indwelling versus intermittent feeding tubes in premature neonates | |
| CN210354686U (en) | Medical cap | |
| CN210872329U (en) | Automatic alarm constraint glove | |
| CN208823483U (en) | It is a kind of to exempt from the fixed device of nose catheter that adhesive plaster is pasted repeatedly | |
| CN210138320U (en) | Nasal cavity inner pipeline fixing device for nursing patients with esophageal cancer | |
| CN205433781U (en) | Sutureless zipper | |
| CN205923017U (en) | Ambition surgery patient patient's gown | |
| CN210696079U (en) | Draw knot formula PICC to put a tub and maintain patient clothing | |
| CN215606880U (en) | Chest fixing band | |
| CN214859940U (en) | PICC catheter protective sheath convenient to adjust | |
| Liu et al. | Effects of comprehensive nursing intervention on patients with acute respiratory distress syndrome undergoing prone position ventilation | |
| Fairley | Respiratory insufficiency | |
| CN217886333U (en) | Novel constraint glove | |
| CN210094744U (en) | A patient's gown for thorax drainage patient | |
| CN212416029U (en) | Medical table tennis racket type hand restraint strap | |
| CN215303233U (en) | Zipper type puerpera trousers | |
| CN220832036U (en) | Novel patient clothes | |
| CN210988369U (en) | Patient's gown is used in operation | |
| CN217242833U (en) | Novel PICC hospital dress | |
| CN205924663U (en) | Blood passes through room protective sheath | |
| CN217089717U (en) | Hepatology branch of academic or vocational study is with multi-functional patient clothing | |
| CN203280376U (en) | Electrocardio monitor cuff cover |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WW01 | Invention patent application withdrawn after publication | ||
| WW01 | Invention patent application withdrawn after publication |
Application publication date: 20170613 |