Objective To explore the nursing effect of hydrocolloid transparent dressing on reduction of stasis and pain in plateletpheresis patients with subcutaneous ecchymosis.
Methods A total of 84 patients with subcutaneous ecchymosis during voluntary platelet donation in Yulin Central Blood Station in Shaanxi Province were randomly divided into routine group and study group, with 42 in each group. The patients in the study group were treated with hydrocolloid transparent dressing, while those in the conventional group were given hot compress by hot-water bags on the needle eyes. The maximum diameter of subcutaneous ecchymosis and changes of Visual Analogue Scale (VAS) score before nursing and at 1, 3, 5, 7 d after nursing were observed, and the subsided time of ecchymosis and infection condition of needle eyes were recorded.
Results The maximum diameter of ecchymosis in the two groups decreased significantly at 1, 3, 5, 7 d after nursing, and was significantly shorter at 3, 5, 7 d in the study group than that in the conventional group (P < 0.05). The VASscores at 3, 5, 7 d after nursing in the two groups were significantly lower than before nursing (P < 0.05), and was significantly lower in the study group than those in the conventional group (P < 0.05). The subsided time of subcutaneous ecchymosis in the study group was shorter than that in the conventional group(P < 0.05). Pinhole infection only occurred in the control group, and there was no significant difference between the two groups (P>0.05).
Conclusion Hydrocolloid transparent dressing can promote the absorption and reduction of subcutaneous congestion, relieve the pain and avoid the occurrence of needle hole infection.
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