Comparative Evaluation of Chest Tube Insertion Site Dressings: A Randomized Controlled Trial
| العنوان: | Comparative Evaluation of Chest Tube Insertion Site Dressings: A Randomized Controlled Trial |
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| المؤلفون: | Jan Powers, Jennifer L. Rechter, Michelle D. Wood |
| المصدر: | American Journal of Critical Care. 28:415-423 |
| بيانات النشر: | AACN Publishing, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Catheterization, Central Venous, medicine.medical_specialty, medicine.medical_treatment, Patient demographics, Chest tube insertion, Thoracostomy, Critical Care Nursing, Midwestern United States, law.invention, Comparative evaluation, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Intensive care, Humans, Surgical Wound Infection, Medicine, Prospective Studies, Aged, Patient comfort, Aged, 80 and over, Wound Healing, integumentary system, business.industry, 030208 emergency & critical care medicine, General Medicine, Middle Aged, equipment and supplies, Bandages, Surgery, Chest tube, Silicone foam, 030228 respiratory system, Chest Tubes, Practice Guidelines as Topic, Female, business, human activities |
| الوصف: | Background Little empirical evidence is available to guide decisions on what type of dressing to use and how often to change the dressing after placement of a thoracostomy tube. Objectives This prospective randomized controlled study was conducted to compare various dressing types and procedures after placement of thoracic and mediastinal chest tubes. Outcome measures included length of time between dressing changes, skin integrity, air leak presence, and patient-reported pain. Methods The study involved a convenience sample of 127 patients with 236 chest tubes from 3 intensive care units at a midwestern regional medical center. The patients were randomized to 1 of 3 groups: (1) gauze and tape dressing changed once daily, (2) gauze and tape dressing changed every 3 days, and (3) silicone foam dressing changed every 3 days. Results Patients with silicone foam dressings reported less pain at the insertion site than did patients with standard gauze and tape dressings, and patients with daily dressing changes reported significantly more pain with dressing removal than did patients with dressing changes every 3 days. The silicone foam dressing was associated with better skin integrity than the gauze and tape dressing. Dressing intactness, number of days with a chest tube inserted, and patient demographic characteristics did not differ significantly among the 3 groups. Conclusions Overall, the best type of dressing for promoting skin integrity and patient comfort was the silicone foam dressing. The results of this study may help identify best practices for dressing type and procedures among patients with chest tubes. |
| تدمد: | 1937-710X 1062-3264 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::85ce26c28788c793003840f2ff20e8f4Test https://doi.org/10.4037/ajcc2019645Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....85ce26c28788c793003840f2ff20e8f4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1937710X 10623264 |
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