The Study Of Risk Factors Of Poor Wound Healing After The Removal Of Thoracic And Abdominal Cavity Drainage Tube And The Precautionary Measures

Place drainage tube is a common kind of treatment after surgery.But the woundhealing after extubation undesirble phenomenon common occurance.It not only extenedthe in-hospital time,increase the economic burden and pain,significantly reducesthe qualityof life. At present, for the high risk factors of the poor wound healing after postoperativedrainage tube is not clear. Applicable to the crowd proactive intervention strategy has notbeen reported, Therefore, the need to research and exploration.Objective:①To investigate the incidence and risk factors of poor wound healingafter the removal of thoracic and abdominal cavity drainage tube.②Against its riskfactors to establish " the predictable intervention plan of poor wound healing afterabdominal cavity drainage tube removal.③Test the solution in the role of clinicalnursing and effects.Methods:①Through the theoretical research, literature review, expert consultationmethod determine the influencing factors.②Totally300patients with thoracic andabdominal cavity drainage tube from October2012to March2013were investigated witha self-designed questionnaire. Data were analyzed by Logistic regression analysis.③Against its risk factors to establish " the predictable intervention plan of poor woundhealing after abdominal cavity drainage tube removal. Through expert group discussion todetermine the intervention plan.④Totally100patients with drainage tube in abdominalcavity investigated in June2013to September. The research object were divided intocontrol group and intervention group according to the order in the study.⑤The controlgroup routine nursing:Regular health education, to patients with oral introduce relevantmatters needing attention; Use gauze bandage as dressing; When told the patient to relax after extubation be crushed; When the patients out of the hospital, regular hospital healtheducation, told patients to periodic review of follow-up.⑥Intervention group nursingmeasures: For given health education handbook and one-to-one and individualizedinstruction; change medicine with absorbability self-adhesive dressing;Pull out the tubebefore except after extracting drainage fluid with a syringe The Patients discharged fromhospital in addition to the regular hospital health education, follow up is to wound healing.⑦The evaluation index: Wound healing after pull out urinous catheter defective rate,degree and the healing time.Results①The incidence of poor wound healing was18.9%. Logistic regressionanalysis indicated that the volume of exudation during catheterization (OR=2.694), theduration of exudation (OR=61.900), low level serum albumin (OR=46.074), unplannedextubation (OR=42.446), discharge from hospital with the tube (OR=20.073) were riskfactors of poor wound healing.②Two groups of patients in the wound healing afterextubation failure rate, no significant difference, but the healing time show significantdifference.Conclusion①The patients with long duration and large volume of exudationduring catheterization, unplanned extubation, discharge from hospital with the tube andlow level serum albumin are high risk populations of poor wound healing after the removalof thoracic and abdominal cavity drainage tube. Nurses should take timely risk assessmentand interventions to reduce the occurrence of poor wound healing.②Predictive nursingintervention program can shorten the wound healing after extubation time, improve patientsatisfaction.