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壓瘡傷口的居家照顧

發佈日期:2013-11-11
發佈單位:德仁醫院-行政部
最新更新日期:2013-11-11
1.傷口處理方法
 1.1.一般壓瘡傷口可先用0.9%的生理食鹽水擦掉傷口分泌物,直到清潔為止。
 1.2.以清潔棉球棒拭去傷口周圍過多之食鹽水。
 1.3.擦上醫生所開的藥物。
 1.4.以消毒過的紗布覆蓋,並固定之;若紗布滲濕,即應予更換(最好使用紙膠布固定較不易刺激皮膚)。

2.注意事項
 2.1.清潔傷口與上藥均是由傷口中央往外環形擦拭的方式,不可來回擦。
 2.2.換藥棉籤擦拭過一次後即予丟棄,不可反覆使用,以免造成傷口感染。
 2.3.勿隨便塗用不明藥物,以免傷口惡化。
 2.4.為了使傷口好得更快,請特別注意病人的營養、傷口的消毒處理及個人衛生。
 2.5.若壓瘡傷口過深,或已有發黑或有異味之膿性分泌物時,應即就醫!

3.壓瘡的預防方法
 3.1.保持皮膚清潔乾燥。
 3.2.受1~2小時翻身一次,避免臥向患側,皮膚抹潤滑油,並按摩易受壓或發紅部位。
 3.3.床墊應平坦勿過硬,床單、衣物應保持平整、乾爽。
 3.4.使用枕頭墊背腰處以便在易受壓部份懸空,如:尾骨、臀部兩側;肩膀及骨頭較突出處,應注意其與床面之角度勿>30~40度,以免直接受壓。
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