自粘式造口袋在肠外痿护理中的应用
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南充市科技计划项目(18YFZJ0018)


Application of self-adhesive pocket-making in nursing complications of intestinal fistula
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    【摘要】 目的 探讨自粘式造口袋在肠外痿护理中的应用效果。方法 纳入2015年1月〜2018年12月期间我 院胃肠外科收治的50例肠外痿患者,采用随机数字表法分为观察组和对照组,每组各25例。观察组采用自粘式造口袋 护理,对照组采用吸引器持续吸引护理。比较两组患者痿口周围皮炎发生率,日均换药次数,诺丁汉健康量表(NHP)评 分情况。结果 护理后,观察组患者痿口周围皮炎发生率及严重程度均低于对照组(P <0. 05), EJ均换药次数少于对照 组(P <0.05),NHP量表中躯体活动、精力水平、疼痛、睡眠、社会隔离、情感反应六项指标评分均优于对照组(P < 0.05)。结论 将自粘式造口袋应用于肠外痿护理中可有效保护痿口周围皮肤,降低痿口周围皮炎发生率,加快痿口愈 合,提升舒适度,减少换药次数,同时减轻了患者经济负担,降低了医护人员工作量。

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    【Abstract】 Objective To explore the effect of self-adhesive ostomy bag in the nursing o£ intestinal fistula. Methods Retrospective analysis o£ 50 cases of enterocutaneous fistula treated in our hospital from January 2015 to December 2018, By adopting the method o£ 1:1 case-control study. The patients used self-adhesive ostomy bag nursing were assigned to the experimental group. The patients received continuous suction with aspirator were assigned to the control group. The incidence o£ perifistula dermatitis, the average number of dressing changes, and the score o£ Nottingham health scale (NHP) were analyzed. Results The incidence and severity o£ perifistular dermatitis in the experimental group were lower than those in the control group(P <0. 05). The subjective evaluation o£ NHP was better than that o£ control group. Conclusion The application o£ self-adhesive ostomy bag in intestinal fistula nursing can protect the skin around the fistula, accelerate the healing o£ fistula, improve comfort, reduce the number o£ dressing changes, reduce the economic burden o£ patients and reduce the workload o£ medical staff.

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  • 在线发布日期: 2020-02-13
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