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Objective To investigate the effects of two sticking and fixation methods of nasogastric tubes for elderly patients, and to provide reference for clinical practice. Methods Totally 116 elderly patients requiring placement of nasogastric tube were selected and randomly divided into experimental group and control group, with 58 patients in each group. Based on the nursing maintenance of nasogastric tube, the I-shaped sticking and fixation method was used in the control group, while the 7-shaped method was adopted in the experimental group. The slippage and displacement of nasogastric tube adhesive tape, skin condition, frequency of unplanned replacement and consumption of the two groups were observed and compared. Results No patients in either group reported slippage and displacement of nasogastric tube adhesive tape or skin adverse reactions. There was no significant difference in the frequency of unplanned adhesive tape replacement between the experimental group and the control group (P＞0. 05). The incidence of adhesive tape replacement in the experimental group was higher than that in the control group, but with no significant difference(P＞0. 05) . The consumption of adhesive tape in the experimental group was significantly lower than that in the control group(P＜0. 01). Conclusion There was no significant difference in the effect of two kinds of fixation methods for nasogastric tube in elderly patients. The usage of I-shaped was significantly more than that of 7-shape, which was of great significance for promotion. (目的 比较两种胃管粘贴固定方法对留置鼻胃管老年患者鼻胃管的固定效果, 为临床护士选择鼻胃管固定方式提供参考依据。方法 选择某三甲医院干部保健病房留置鼻胃管的老年患者共116例, 根据随机数表法分为试验组和对照组, 各58例。两组患者均采用相同的鼻胃管护理方案, 试验组采用“7”字形方法固定, 对照组采用“工”字形方法固定。观察比较两组患者鼻胃管胶贴滑脱移位、皮肤情况、非常规更换的频次及耗材量。结果 两组均为发生鼻胃管移位及滑脱, 也未发生鼻胃管胶贴固定部位及周围皮肤的异常情况。两组胶贴非常规更换频次差异无统计学意义(P＞0. 05)。“7”字形胶贴因异常原因(变松、潮湿、卷边或脱落等)而被更换的发生率高于“工”字形, 但差异具无统计学意义(P＞0. 05), “7”字形胶贴耗材量低于“工”字形胶贴(P＜0. 01)。结论 两种形状的鼻胃管胶贴固定方法对留置胃管老年患者的鼻胃管固定效果无差异, “7”字形胶贴容易因为变松而被更换, “工”字型使用量明显多于“7”字形, 两种形状胶贴各有优势。)

目的 通过回顾性调查2018-2021年上报的医院获得性压力性损伤 (PI) 又称院内PI不良事件现况，了解院内PI的临床特征及影响因素。方法 收集2018年1月1日至2021年12月31日在该院图特系统内上报的PI护理不良事件共208例，整理PI部位共245处。分析院内PI的时间特征、患者及当班护士的临床特征、PI发生部位及分期，单因素分析患者及当班护士临床特征因素与PI分期的相关性。结果 患者发生院内PI基本呈现逐年下降趋势，2018年以第三季度发生率最高，2019-2021年均以第四季度发生率最低。208例患者的临床特征为：男性患者发生院内PI的比例较大，患者文化程度越高与发生院内PI的比例呈现递减趋势。患者发生PI时的体位主要是被动体位和强迫体位，其中强迫体位多见于手术患者。患者的疾病类型主要是恶性肿瘤，占38.94%。当班护士临床特征：护龄分布主要集中在15年以下；发生班次以白班为主，其次是后夜班，前夜班最少。发生位置以骶尾部最高发，占46.12%。PI分期以2期为主，占58.37%。单因素分析结果显示：各因素对PI的分期分布均无显著性影响 (P＞0.05) 。结论 应更多关注男性、高龄、低学历及被动体位的患者，加强低年资护士的培训、教学与考核，以降低HAPI的发生危险。 [ABSTRACT FROM AUTHOR]