Objective To design a waterproof protective sleeve to overcome the disadvantages of venous indwelling catheter in inconvenient bathing, easy immersion and pressure injury. Methods From January to March 2016, a total of 200 patients with peripherally inserted central catheter (PICC) from Wuxi No.2 People's Hospital were selected and randomly divided into control group and observation group, with 100 cases in each group. In the control group, patients' PICC sites were protected by traditional method, while in the observation group, a new type of protective air cushion and special transparent waterproof sleeves were applied to the PICC sites before bath. The incidence of infections and complications were compared between the two groups. Results The incidences of infections and complications of the control group were significantly higher than those of the observation group (χ2=30.61, 31.72; P<0.05). In the observation group, the PICC sites were well protected from external injuries and water immersion. Conclusions The waterproof protective sleeves are cheap and convenient to apply, which can significantly reduce the incidence of complications caused by bathing and ensure the safety of patients' catheters. It is worthy of clinical promotion.%目的 设计一种防水防护袖套,克服静脉留置导管患者洗澡不便、易浸水、导管压伤等缺点.方法 选取2016年1—3月在无锡市第二人民医院置管的200例PICC置管患者,将其随机分为对照组100例和观察组100例,对照组采用传统的防护方法,观察组采用新型保护气垫和专用透明防水袖套在沐浴前保护,比较两组患者的创面污染例数和并发症例数.结果 对照组的创面污染例数和并发症发生例数高于观察组,差异有统计学意义(χ2值分别为30.61、31.72;P<0.05),静脉留置导管不受外力损伤的同时,洗澡水未浸湿周围皮肤.结论 该袖套设计成本低廉,使用便捷,降低了患者因沐浴造成并发症的风险,确保了患者导管安全留置,值得临床推广.
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