CN207679838U - A kind of fixing patch for stomach tube - Google Patents

Abstract

The utility model is related to a kind of fixing patch for stomach tube, are a flat surface stickup, plane pastes top center and both sides are provided with multiple notch, forms more hemp nettle shapes；More hemp nettle shapes are seven valves, and the top is an individual valve, and lower is symmetrical six valve, is long portion with individual valve opposite side.Pipe rate is taken off using the utility model patient's stomach tube to be substantially reduced, revolutionizes traditional stomach tube fixed mode, is solved the problems, such as Preserving time stomach tube patient home nursing, is had received good social benefit.

Description

A kind of fixing patch for stomach tube

Technical field

The utility model is related to a kind of stomach tube technique for fixing, specifically a kind of fixing patch for stomach tube.

Background technology

Indwelling gastric tube is clinically used nursing manipulative skill, is used to check, treats, supplementing the nutrients and moisture etc..Stomach tube Reasonably fixed particularly important after merging, fixed loosely patient Chang Yin turns over, activity, undresses, and stomach tube is caused to deviate from；Stupor, The patient that delirium, restless etc. cannot be cooperated, slightly carelessness patient will be about to stomach tube certainly and pull out.Repeated intubation not only increases to patient Add pain, increase the workload of nurse, more seriously sets pipe and easily cause nausea, cough of choking in the process, lead to patient's asphyxia, aggravate The state of an illness even induces serious consequences, such malignant event, the clinics such as death and happens occasionally, and there are larger medical-risk, Yi Yin Play doctor-patient dispute.So that stomach tube is kept correct position for a long time during indwelling, does not loosen securely, it is scientific and rational solid Surely it is crucial.

For many years, a reasonable fixed problem for always perplexing clinical nursing staff for indwelling gastric tube.Many nursing are special Family and scholar are studied and have been improved to stomach tube fixing means, and main method has elastic tape (tourniquet) pullover type nose catheter Fixation；T shape noses paste gastric tube fixation method；Flat cotton yarn tape fixation etc., the advantage and disadvantage of the above method differ.

There are certain disadvantage, the fixed patch nose of tradition is traditional fixed form (the specified mode of textbook, as shown in Figure 1) Global design, when external force pulls, pulling force transient conduction causes to fall off：1. sticker intersects, overlapping is integrated stickup, sticker part Loosening can integrally loosen, and stomach tube is caused to deviate from；2. sticker juxtaposition position is located just at nostril, nose ventilation is influenced； 3. sticker cross winding on stomach tube, removes difficulty, Chang Yin removes sticker undue force, and stomach tube part is taken off when replacing sticker Go out；4. bronchia mucosal is rubbed, oppressed, mucous membrane scratch or ulcer easily occurs；5. sticker material selection is improper, easily there is skin not Good reaction.

Utility model content

The deficiencies of falling off is easily caused for fixing patch for stomach tube in the prior art, problem to be solved in the utility model is to provide It is a kind of effectively to reduce the de- pipe rate of stomach tube, reduce medical-risk, the fixing patch for stomach tube for reducing the unnecessary duplication of labour, fixation side Method and its pulling experiment method.

In order to solve the above technical problems, the technical solution adopted in the utility model is：

A kind of fixing patch for stomach tube of the utility model, is a flat surface stickup, and plane stickup top center and both sides are provided with more A notch forms more hemp nettle shapes.

More hemp nettle shapes are seven valves, and the top is an individual valve, and lower is symmetrical six valve, with individual valve phase Offside is long portion.

Long-tail portion distal end, which is equipped with to paste, to be made sure to keep in mind.

More hemp nettle shape edge are arc.

The utility model has the advantages that and advantage：

1. after fixing patch using the utility model Novel ventricular canal, patient's stomach tube takes off pipe rate and is substantially reduced, and difference has statistics Meaning；Traditional stomach tube fixed mode is revolutionized, innovative design " more hemp nettle shapes " shape fixes patch, Multiple insion design, from power Angle is learned, changes the direction of power by pole, pad pasting stretching resistance is made to be substantially improved, solves the problems, such as that external force causes de- pipe, " more hemp nettles Shape " circular-arc-shaped design avoids conventional orthogonal design easily from drawbacks such as vertex tilting, crimpings, solves Preserving time stomach tube Patient fixes difficult nursing problem, effectively reduces stomach tube and takes off pipe rate, reduces medical-risk, it is unnecessary to reduce nurse The duplication of labour；Patient suffering is more alleviated, meanwhile, it solves the problems, such as Preserving time stomach tube patient home nursing, has received good Good social benefit.

2. fastness is stronger：The utility model has collected the clinical various stomach tube fixation sides generally used at present in practice Method, from different fixed materials, difference shearing shape, different fixed forms etc. are many-sided to carry out laboratory contrasting detection, experiment knot Fruit shows：Novel " more hemp nettle shapes " shape fixing patch for stomach tube, tensile capacity are substantially better than other clinical fixed forms and side at present Method.

3. easy to operate, easy to learn：The utility model fixing patch for stomach tube is suitable for the patient of Preserving time stomach tube, especially long The patient of year bed, residential care.Novel ventricular canal fixes patch shearing conveniently, and backing paper indicates scale, " can first draw and cut again ", compared with Other fixing means are simpler easy to learn, and family members are easily mastered, and are more suitable for nurse and carry out high quality nursing and continue nursing.

4. comfort level, aesthetics higher：The material selection 3M pressurization fixation adhesive tapes 2733- of the utility model fixing patch for stomach tube 75 colour of skin elastic force lagos rubbers, the material have good gas permeability, and viscosity is mildly lasting, and elastic force is full, non-stimulated to skin, has Stronger absorbability, and apparent color change can occur for pad pasting after absorption grease, allow a caregiver to be clearly apparent, and remind Nursing staff replaces in time, prevents from detaching with skin after pad pasting oiling causing to fall off, and Multiple insion " more hemp nettle shapes " design makes Part is more beautiful, and the nearly colour of skin design of adhesive tape, not lofty after stickup, face appearance degree is substantially better than other methods.

5. the accident that the utility model greatly reduces stomach tube takes off pipe rate, no stomach tube correlation pressure sore occurs, and does not occur to appoint What skin adverse reaction, hence it is evident that the comfort level for improving patient alleviates the psychological burden of patient and family members, is conducive to preferably Carry out high quality nursing, be worth clinical promotion and application, it is convenient material drawing, easy to operate, it is safe, comfortable, secured the features such as, by nurse The consistent favorable comment with patient's, has pushed carrying out in a deep going way for high quality nursing.

Description of the drawings

Fig. 1 is the fixed patch nose schematic diagram of tradition in traditional technology；

Fig. 2 is the utility model fixing patch for stomach tube floor map.

Specific implementation mode

The utility model is further elaborated with reference to the accompanying drawings of the specification.

The utility model fixing patch for stomach tube is a flat surface stickup, and plane, which pastes both sides, has symmetrically arranged multiple notch, Form more hemp nettle shapes.

As shown in Fig. 2, more hemp nettle shapes are seven valves, the top is an individual valve, and lower is symmetrical six valve, with list An only valve opposite side is long portion.Long-tail portion distal end side, which is equipped with to paste, to be made sure to keep in mind.More hemp nettle shape edge are arc.Figure Middle tangent line indicates notch.

In the present embodiment, more hemp nettle shapes are made of the stickup of 3cm wide, including flower-shape part and long portion, wherein most upper Side is an individual valve and long portion wide 1cm, the individual a length of 0.5cm of a valve, other petal length be respectively 1cm and Two kinds of 0.5cm, flower-shape width are 1cm, and the petal that length is 0.5cm is two panels, is arranged symmetrically in flower-shape section lower.It is long The long 4cm of portion, stickup are made sure to keep in mind in long-tail portion distal end side, and length and width is 0.3cm, in this way, fixing patch for stomach tube specification is 7.5×3cm。

The tops of more hemp nettle shapes hits exactly and has " between valve " Multiple insion design, and when stickup avoids the vigorous portion of wing of nose fat secretion Position avoids grease influence.Multiple insion changes the direction of power by pole from amechanical angle, and when external force pulls, pulling force disperses by pole, So that pad pasting stretching resistance is substantially improved, solves the problems, such as that external force causes de- pipe.

A kind of fixing patch for stomach tube fixing means of the utility model includes the following steps：

Skin of nose is cleaned, after dry, after nasal cavity to specified position is inserted into stomach tube front end, takes fixing patch for stomach tube a piece of, By more 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, forms small not adhesive surface, then by the backing of more hemp nettle shapes part Paper is opened, and is pasted onto patient's bridge of the nose side (flexibly avoiding the abundant place of wound, grease), long tail portion backing paper is opened；

First by the initial segment 0.5cm, i.e., axially inwardly doubling is pasted with more hemp nettle shapes junction pad pasting, and appearance forms linear；

Then stomach tube is held up, makes it close to wing of nose side (avoiding compressing nasal septum, nasal membrane), by the long tail portion edge of pad pasting Stomach tube traveling, it is smooth to be pasted onto on stomach tube tube wall；Stomach tube is in hanging shape after stickup.

When the utility model is used, first will clean skin of nose using clear water, then cleaned with 75% alcohol degreasing, Two different skin cleaners carry out local skin cleaning, and next step operation is carried out again after dry.

The utility model fixing patch for stomach tube is suitable for the patient of Preserving time stomach tube, especially bed, residential care all the year round Patient.Fixing patch for stomach tube shearing is convenient, and backing paper indicates scale, " can first draw and cut again ", simpler compared with other fixing means Single easy to learn, family members are easily mastered, and are 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 utility model, including different fixed patch materials take off pipe maximum pull and survey Examination and different shape fixation patch take off pipe maximum pull test, and it is anti-to take off pipe maximum pull test selection by different fixed patch materials The strongest fixed patch material of pulling force carries out different shape fixation patch and takes off pipe maximum pull test, wherein different fix the de- pipe of patch material Maximum pull test includes the following steps：

Choose clinical widely used a variety of fixed materials at present, calibrating spring hand scale；

Standard medical 10~18cm of stomach tube is intercepted, as experiment stomach tube；

Human body 0.8~1.2cm of nasal cavity is inserted into experiment stomach tube front end, uses above-mentioned a variety of different fixation materials successively Carry out nose fix, the 1cm of stomach tube end at shearing one side opening, hook stomach tube end side opening using hand spring balance, with nasal septum at 45° angle pulls down stomach tube, and until fixed patch falls off, accurate recording hand spring balance shows that force value, each testing of materials are repeatedly averaged Value, and the pulling force average value of a variety of fixed materials is compared.

In the present embodiment, a variety of fixed materials are respectively durable silk adhesive tape 1538-0,3M air-permeable papers of 3M Durapore Adhesive tape, non-woven fabrics breathable adhesive tape and 3M pressurization fixation adhesive tape 2733-75 colour of skin elastic force lagos rubbers；A variety of fixed material sizes It is 7.5cm*3cm, rectangle；

Human skin is nature, without processing.

Different shape fixes the de- pipe maximum pull testing procedure of patch：

Stretching resistance is most strong determines patch for selection, cuts into conventional shape and more hemp nettle shapes respectively, by a variety of different shapes into Row nose is fixed, and hooks stomach tube end side opening using hand spring balance successively, and 30 ° of angles pull down stomach tube, until fixing plaster falls off, Record hand spring balance and show force value, each testing of materials is repeatedly averaged, and by the pulling force average value of a variety of fixed materials into Row comparison.

The conventional shape includes rectangle, quincunx and T shapes.Conventional shape and the effective of more hemp nettle shapes glue when experiment Veneer product is identical.

The utility model uses control variate method in the experimental stage, chooses clinical four kinds of widely used fixations at present first Material：1) the durable silk adhesive tape 1538-0 of 3MDurapore are (hereinafter referred to as：White silk adhesive tape)；2) 3M breathes freely paper self-adhesive tape (below Referred to as：Paper self-adhesive tape)；3) non-woven fabrics breathable adhesive tape (hereinafter referred to as Non-woven tape)；4) the 3M pressurizations fixation adhesive tape 2733-75 colours of skin Elastic force lagos rubber is (hereinafter referred to as：Elastic force lagos rubber)；2. intercepting standard medical stomach tube 15cm；The pulling force of calibrating spring hand scale Device.

In value of thrust test process, since stomach tube falls off for brief moment, value of thrust reading tends to have error, to ensure to survey The accuracy of test result, test process are all made of mobile phone video recording, are fallen off moment according to playing back videos, accurate recording stomach tube after test 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 carry out.

First stage：Experimental stage

Experiment one：The fixed patch material of difference takes off pipe maximum pull test

Nasal cavity 1cm is inserted into experiment stomach tube front end, uses four kinds of different fixation materials to carry out nose successively and fixes, stomach A side opening is sheared at pipe end 1cm, claims to hook stomach tube end side opening using hand spring, 30 ° of angles pull down stomach tube, until fixing glue Patch falls off, and accurate recording hand spring claims the weight (value of thrust) of display, and is compared.

According to control variable principle, in experiment in addition to fixed patch material is different, the stringent fixed patch size of control is 7.5cm*3cm rectangles, draw direction, steel strand exerciser performance, the irrelevant factors such as experimenter's physical condition are identical.

Experiment can carry out on the medical model of nursing brand room, be found in experiment, and model and human body comparison body temperature, skin are glutinous There is larger difference in the conditions such as patch degree, auricle hardness, error of test data is larger, is the accuracy of guarantee test, abides by simultaneously Keep principle of nonmaleficence, experimenter is changed to four nurses, and skin is nature without processing, and test data result is flat using four Mean value.

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 the white silk adhesive tapes of elastic force lagos rubber (1.39Kg) ＞ (1.25Kg) ＞ paper self-adhesive tapes (0.75Kg) ＞ Non-woven tapes (0.57Kg)。

Experiment two：Different shape fixes patch and takes off pipe maximum pull test

According to the experimental result of experiment one, the strongest elastic force lagos rubber of stretching resistance is selected, is cut into respectively：1) traditional square Shape；2) traditional quincunx (non-incision between petal)；3) more hemp nettle shape shapes (have notch, also referred to as " six leaves grass " between petal Shape)；4) T shapes.Four kinds of different shapes are fixed hooks stomach tube end side opening using hand spring balance successively, at 45 ° with nasal septum Angle pulls down stomach tube, until fixed patch of pasting falls off, records the weight (value of thrust) that hand spring under each shape claims display, goes forward side by side Row comparison.

According to control variable principle, in experiment in addition to solid glue patch shape is different, the size of stringent sticker controls stretching side To, steel strand exerciser performance, the irrelevant factors such as experimenter's physical condition are identical.

Experimental result：

In the case where other conditions are identical, the maximum sticker shape of value of thrust is：Six clover shapes.

Value of thrust is relatively followed successively by quincunx (1.59kg) the ＞ tradition of six clover shapes (1.99Kg) ＞ T shapes (1.85Kg) ＞ Rectangle (1.49Kg).

Experiment three：Different skin detergent takes off pipe maximum pull test after cleaning local skin

Preferably go out Novel ventricular canal according to the result of experiment two and fixes patch (elastic force lagos rubber " six leaves grass " shape).

Before experiment, skin of nose is used：1) clear water cleans；2) 75% alcohol degreasing is cleaned.Two different skins are clear Clean dose of progress local skin cleaning, waits doing.Stomach tube is carried out with the utility model fixing patch for stomach tube to fix, and is hooked using hand spring balance Stomach tube end side opening pulls down stomach tube with nasal septum angle at 45 °, until fixing plaster falls off, accurate recording hand spring claims to show Weight (value of thrust), and compared.

According to control variable principle, in experiment in addition to skin cleaner is different, the stringent fixed material of control, fixing means, Draw direction, the irrelevant factors such as steel strand exerciser performance are identical.

Experimental result：In the case where other conditions are identical, maximum value of thrust 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 compares the improvement stage

Put into practice one：Patient satisfaction compares

The Novel ventricular canal preferably gone out using experiment fixes patch (six clover shapes of 3M) and the clinical flat cotton yarn tape generally used at present 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 uses Three kinds of different modes carry out stomach tube and fix；Three kinds of modes carry out skin cleaning before stomach tube is fixed and use 75% alcohol degreasing clear It is clean；Every two days are the observation time limit；Patient and (or) family members are from facial cleansing degree, nose cleannes, nose comfort level, fixed effect 4 contents score.It randomly selects 5 patients every time to issue a questionnaire, extracts 10 times altogether, arrange all application forms in detail Lattice are as experimental data.

Put into practice two：Nurse's satisfaction compares

The comparison of three kinds of fixing means during use, charge nurse be responsible for observing, record the fixed patch of every experiment patient from Begin to use to sticker edge and roll or stomach tube is fixed and the holding time that loosens occurs, scale is satisfied with using the set time as nurse Standard, more long then nurse satisfaction of holding time are higher.Every nurse's satisfaction situation is recorded in detail, as experimental data.

Fixed patch is rolled or stomach tube fixes the time for occurring loosening and is set as the set time from beginning to use to sticker edge, Set time >=48h is calculated as 4 points, indicates that nurse is very satisfied；36~48h of set time is calculated as 3 points, indicates nurse's satisfaction； 24~36h of set time is calculated as 2 points, indicates that nurse is relatively satisfactory；Set time<For 24 hours, it is calculated as 1 point, indicates that nurse is dissatisfied.

Clinical practice comparing result：

Put into practice one：Patient satisfaction comparing result：The novel fixed patch (average marks of 3M：12.6 points) traditional three patches of ＞ 3M Fixed (the average mark of nose 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 novel 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 reproduce stomach tube fixed form with flow, use Novel ventricular canal fixes patch, according to new stomach tube fixing means and flow, begins from January, 2015, is promoted the use of in section office, observes Clinical application effect.

General information：Hospital HIS system statistics Novel ventricular canal fixes patch using being hospitalized preceding in June, -2014 in January, 2013 Patient's indwelling gastric tube 183 is control group, uses 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 statistics Novel ventricular canals fix after patch use 2015 1 Month in June, -2016, inpatient indwelling gastric tube 197 was experimental group, Novel ventricular canal was used to fix patch and flow, wherein man 112, female 85；Age 48-96 Sui, diagnosis：Cerebral infarction 187, cerebral hemorrhage 6, epilepsy 4.According to control variable principle, Experimental group is the disposable nose stomaches of Terumo 160105C using stomach tube in addition to fixing plaster and flow are different from control group Intestinal tube, and two groups of Genders, age, diagnosis etc. no significant difference (P ＞ 0.05) are comparable.

Evaluation index：It compares two groups of Patients with Indwelling Stomach Tube stomach tubes and takes off pipe rate.

Statistical method：This group studies final data and uses 19.0 statistical softwares of SPSS for statistical analysis, the total example of patient Number >=150, but 1≤T≤5, using correction for continuity chi-square criterion, P values are two-tailed test, have statistics with P ＜ 0.05 for difference Learn meaning.

The utility model determines that 3M pressurization fixation adhesive tapes 2733-75 is fixed material.The material comfortable ventilating, includes elastic force Silk, compliance are good；Sticky mild lasting, irritation is small；Backing is that release paper indicates scale, is conveniently cut out；Absorbability is strong, absorbs Glue color is deepened after grease, convenient for observation；Nearly colour of skin design, not lofty after stickup, face appearance.

The utility model is screened by science, selects the strongest fixed patch material of stretching resistance to make the utility model stomach tube solid Fixed patch, revolutionizes traditional stomach tube fixed mode, and design " six leaves grass " shape fixes patch, Multiple insion design, from amechanical angle, The direction for changing power by pole, makes pad pasting stretching resistance be substantially improved, and solves the problems, such as that external force causes de- pipe；" six leaves grass " is arc-shaped Design avoids conventional orthogonal design easily from drawbacks such as vertex tilting, crimpings.

Pad pasting fall off another major reason be grease influence." six leaves " seperated design, when stickup, avoid wing of nose grease point Secrete vigorous position；And 75% alcohol degreasing is strictly used, avoid grease influence.

Compact is pasted, and it is in hanging shape to make stomach tube, and no compressing, influences the discomforts such as ventilation at friction.

Bottom " small tail " is designed, and there are making sure to keep in mind, the separation from make sure to keep in mind from when replacement solves patch for bottom after so that nose patch is pasted The problem of film removes difficulty, nowhere sets about；Importantly, the specification operation behavior of nurse.When replacing pad pasting, many nurses It is arbitrarily removed since the top of pad pasting (wing of nose part), the abjection of stomach tube part, emergency risk is 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 also mitigate the discomfort of patient to avoid the local motion of stomach tube, anti-falling pipe.

Claims (3)

1. a kind of fixing patch for stomach tube, it is characterised in that：It is a flat surface stickup, plane stickup top center and both sides are provided with multiple Notch forms more hemp nettle shapes；Plane is pasted, and there is backing paper, backing paper to indicate scale；

More hemp nettle shapes are seven valves, and the top is an individual valve, and lower is symmetrical six valve, with individual valve opposite side For long portion.

2. fixing patch for stomach tube as described in claim 1, it is characterised in that：Long-tail portion distal end, which is equipped with to paste, to be made sure to keep in mind.

3. fixing patch for stomach tube as described in claim 1, it is characterised in that：More hemp nettle shape edge are arc.