| Summary: | 碩士 === 中臺科技大學 === 護理系碩士班 === 103 === Hepatic cancer is the second leading causes of top 10 causes of cancer death in Taiwan in 2013 and surgery is its primary treatment . There are no standards for dressing material and secure method. If the dressing becomes wound-adhered, it easily discomforts patients during change dressing. This study aimed to evaluate the effects of composite dressings on dressing change cost, wound pain and infections. Subjects were randomly assigned into control group and experimental group using quasi-experimental research design. In control group, gauze was used and taped around it to secure the dressing while composite dressing was directly used in the experimental group. We collected the post-surgery dressing change cost (gauze and tape, composite dressing, dressing change time, infectious waste quantity, dressing change nursing cost and total cost), wound pain and infection data for the first post-surgery 5 days. The results showed that dressing change material cost and total payment increased in the experimental group, the dressing change time reduction leaded to lower nursing cost and fewer infectious waste quantity; the daily intensity of pain before, during and after dressing change there were significant effect in the interaction between the dressing and time of two ethnic groups while there was no significant effect on wound infection between two groups. Composite dressings were more expensive, but it could reduce the cost in human resources and infectious waste quantity Thus, we strongly recommend the application of composite dressings for patients.
Key word : post liver resection, composite dressing, dressing change cost, wound pain, infection
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