Application of an integrated nursing device in exudation management after ascites puncture in patients with malignant tumor
WU Xujing1, 2, ZHENG Jianxiao2, HUANG Xucheng3, YE Xiaoming4, CAI Fuman1
1.School of Nursing, Wenzhou Medical University, Wenzhou 325035, China; 2.Department of Integrated raditional Chinese and Western Medicine, Yueqing Hospital Affiliated to Wenzhou Medical University, Wenzhou 325600,China; 3.Department of Medical Engineering, Yueqing Hospital Affiliated to Wenzhou Medical University,Wenzhou 325600, China; 4.Nursing Department, Yueqing Hospital Affiliated to Wenzhou Medical University,Wenzhou 325600, China
WU Xujing,ZHENG Jianxiao,HUANG Xucheng, et al. Application of an integrated nursing device in exudation management after ascites puncture in patients with malignant tumor[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(10): 843-848.
Abstract：Objective: To explore the application effect of a new seepage-proof nursing device in the fluid management after ascites puncture in tumor patients. Methods: From January 2023 to February 2024, 80 patients of malignant tumor with ascites admitted to our hospital were divided as the experimental group and the control group by random number table method, with 40 cases in each. The control group received conventional puncture catheter fixation and ascites drainage while the experimental group was treated with the integrated puncture point seepage-proof nursing device. The comprehensive indexes of puncture point leakage, infection, puncture pain score and dressing change times were observed in the two groups. Results: On the day after puncture, there was no significant difference in the amount of leakage around the puncture point between 2 groups (P>0.05). On the 3rd and 7th day after puncture, the amount of fluid in the experimental group was less than that in the control group, and the amount of fluid in the control group gradually increased with time (P<0.05), while there was no significant difference in the experimental group (P>0.05). On the 7th day after puncture, the incidence of infection, the incidence of skin inflammation around the puncture point and the number of dressing changes within 10 d in the experimental group were lower than those in the control group, with statistical significance (P<0.05). From the day after puncture, day 3 to day 7, the pain score at the puncture site in the control group gradually increased, with statistical difference (P<0.05), while the change of pain score in the experimental group showed no statistical significance (P>0.05). The NRS score of the puncture site in the experimental group on the 7th day after puncture was higher than that on the 3rd day and the day of puncture (P<0.05). Conclusion: The application of this new anti-leakage device can effectively reduce the occurrence of adverse reactions related to drainage after ascites puncture in tumor patients, such as seepage, infection, dermatitis and puncture point pain.
