Study on patients'position during needle insertion to prevent unavoidable medical adhesive-related skin injuries in oncology patients undergoing chemotherapy based on Langer's line
JIANG Shudi
PENG Shunxian
SHI Qiyun
XU Jingjing
XIA Lixia
GU Zejuan
Abstract：Objective To observe the effect of different patient's position during injury-free needle insertion to preven unavoidable medical adhesive-related skin injuries(MARSI)among cancer patients undergoing chemotherapy based on Langer's line.Methods Considering the medical adhesive products applied parallel to the direction of Langer's lines,the mechanical properties of skin and soft tissue,and skin barrier function were analyzed for the needle insertion of supine and with the head of bed 60～90°.A total of 79 oncology patients from the First Affiliated Hospital of Nanjing Medical University,who had implanted infusion port on the chest wall and had experienced adhesive-related skin injuries despite the use of Ⅳ3000 and liquid dressing skin protective barriers from May 2019 to 2020 were included.A before-after prospective study design which identified a pre-intervention group with supine and post-intervention group with head of bed 60-90° for needle insertion were used,then the effects of patient positioning on MARSI prevention and the comfort degree were compared between the two positions.Results The total incidence of MARSI was significantly lower after intervention than before(P＜0.001).Both the rates of mechanical injuryand dermatitiswere significantly decreased in post-intervention group(P＜0.05).The comfort levels were significantly improved after the interventionas well(P＜0.001),while the pain associated with needle insertion was similar between the two groups(P=0.692).Conclusions For patient positioning during needle insertion on the chest wall of oncology patients undergoing chemotherapy,with head of the bed 60～90° is better for unavoidable MARSI prevention,affording a higher comfort.
Keywords：Totally implantable access portMedical adhesive-related skin injuriesLanger's linePositioning for needle insertionSkin barrierMechanical properties of skin and soft tissue
Publication Date：2024-07-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 301-306 )