造口综合护理对新生儿肠造瘘在减少术后并发症中应用效果
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摘要
目的探讨造口综合护理对新生儿肠造瘘的术后并发症的影响。方法选取2016年12月—2017年5月收治的肠造瘘新生儿45例为观察组,给予造口综合护理。选取2016年7—11月收治的肠造瘘新生儿42例为对照组,给予造口常规护理。比较2组造口使用情况、并发症及患儿家属的护理满意度。结果观察组第1个造口袋使用时间长于对照组,造口袋护理费用少于对照组,更换造口袋时间短于对照组(P<0.05);观察组的造口脱垂、周围皮炎、肠液外漏、感染等并发症发生率低于对照组(P<0.05);观察组家属的护理满意度高于对照组(P<0.05)。结论造口综合护理能够减少新生儿肠造瘘的并发症,延长造口袋的适应寿命,提高家属的护理满意度。
Objective To investigate the influence of comprehensive nursing on postoperative complications of neonatal enterostomy.Methods A total of 45 neonatal enterostomy patients in our department from December 2016 to May 2017 were selected as observation group,given colostomy comprehensive nursing.Another 42 neonatal enterostomy patients in our department from July to November 2016 were selected as control group,given routine nursing.The stoma usage,complications and nursing satisfaction of the two groups were compared.Results The use time of the first colostomy bag in the observation group was longer,and the nursing cost of colostomy bags was less,and the time of changing colostomy bag was shorter than that in the control group,the differences were statistically significant(P < 0.05).Incidences of complications including stoma prolapse,peripheral dermatitis,intestinal leakage,infection in the observation group were lower,and nursing satisfaction was higher than that in the control group(P < 0.05).Conclusion Comprehensive nursing can reduce the complications of neonatal colostomy,prolong the life span of stoma bag and improve nursing satisfaction of family memebers.
Objective To investigate the influence of comprehensive nursing on postoperative complications of neonatal enterostomy.Methods A total of 45 neonatal enterostomy patients in our department from December 2016 to May 2017 were selected as observation group,given colostomy comprehensive nursing.Another 42 neonatal enterostomy patients in our department from July to November 2016 were selected as control group,given routine nursing.The stoma usage,complications and nursing satisfaction of the two groups were compared.Results The use time of the first colostomy bag in the observation group was longer,and the nursing cost of colostomy bags was less,and the time of changing colostomy bag was shorter than that in the control group,the differences were statistically significant(P < 0.05).Incidences of complications including stoma prolapse,peripheral dermatitis,intestinal leakage,infection in the observation group were lower,and nursing satisfaction was higher than that in the control group(P < 0.05).Conclusion Comprehensive nursing can reduce the complications of neonatal colostomy,prolong the life span of stoma bag and improve nursing satisfaction of family memebers.
引文
[1]刘秀英.品管圈活动对小儿肠造口周围皮炎及家属负性情绪的影响[J].国际医药卫生导,2016,22(10):1474-1476.
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[13]王爱萍,张凌,周志英,等.延续护理在胃肠外科肠造口患者中的应用效果[J].实用临床医药杂志,2015,19(20):73-75.
[14]李袁林.永久性肠造口患者实施专业小组全程化护理干预的临床研究[J].实用临床医药杂志,2017,21(2):83-85.
[15]徐慧,于秀娟,张玲玲.真实心理体验在直肠癌行肠造口患者围术期应用研究[J].实用临床医药杂志,2016,20(22):184-185.
[16]汪少华,贡亦军,郭翠华,等.造口评分表在肠造口患者护理中的应用[J].实用临床医药杂志,2016,20(10):109-111.
[17]刘恒旸,陈曦,王静成.认知行为干预对永久性肠造口患者病耻感和应对方式的影响研究[J].实用临床医药杂志,2017,21(8):134-138.
[18]张芳,余丽君,赵瑞,等.PDCA在降低结直肠癌造口患者并发症发生率中的应用效果[J].实用临床医药杂志,2016,20(12):82-84.
[19]周晓敏,朱玲棣.回肠造口患者造口袋更换时机选择的探讨[J].实用临床医药杂志,2015,19(14):156-157.
[20]宋丽丽.小儿肠造瘘护理体会[J].中国实用医药,2015,10(29):214-215.
[21]吴子谕,何秋苑,王晓琴,等.改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用[J].护理学报,2015,22(1):43-45.
[2]吴子谕,何秋苑,王晓琴,等.改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用[J].护理学报,2015,22(1):43-45.
[3]雷娜,任向芳,郭露萍,等.延续护理在降低新生儿肠造口并发症发生率中的效果观察[J].护理管理杂志,2016,16(6):430-432.
[4]黄莹,杨巧玲,梁丽君,等.肠造口患儿实施“以家庭为中心”护理模式的效果研究[J].护理研究,2016,30(1):100-102.
[5]王颖,张云平,罗晨晨,等.自制小儿肠造口护理保护装置用于造口护理[J].护理学杂志,2015,30(6):22-23.
[6]沈清清,李荷君,吕彬,等.小肠造口52例患儿的术后护理[J].护理与康复,2016,15(9):859-860.
[7]刘新文,刘晓文,甘红霞,等.自制帽式引流袋在预防小儿肠造口周围皮肤并发症中的应用[J].中华护理杂志,2016,51(9):1127-1129.
[8]刘华凤,晏萍兰,章丽萍,等.一次性柔巾在新生儿回肠造口护理中的应用[J].医疗装备,2016,29(22):186-187.
[9]徐宏宇,彭湘粤,陈艳青,等.造口护肤粉联合水胶体敷料在小儿肠造口周围皮炎护理中的应用[J].当代护士,2013,20(11):82-83.
[10]周蕊,甘红霞,刘晓文,等.小儿肠造口术后并发症的原因分析及护理干预策略[J].全科护理,2015,13(28):2826-2827.
[11]古爱香,徐艮有.改良婴儿肠造口袋粘贴方法的效果观察[J].护理学报,2014,21(2):53-54.
[12]王凤姣,陈雪娣,宛玉欢,等.肠造口患儿早期出院实施延续性护理服务的临床探讨[J].当代护士,2016,23(12):148-150.
[13]王爱萍,张凌,周志英,等.延续护理在胃肠外科肠造口患者中的应用效果[J].实用临床医药杂志,2015,19(20):73-75.
[14]李袁林.永久性肠造口患者实施专业小组全程化护理干预的临床研究[J].实用临床医药杂志,2017,21(2):83-85.
[15]徐慧,于秀娟,张玲玲.真实心理体验在直肠癌行肠造口患者围术期应用研究[J].实用临床医药杂志,2016,20(22):184-185.
[16]汪少华,贡亦军,郭翠华,等.造口评分表在肠造口患者护理中的应用[J].实用临床医药杂志,2016,20(10):109-111.
[17]刘恒旸,陈曦,王静成.认知行为干预对永久性肠造口患者病耻感和应对方式的影响研究[J].实用临床医药杂志,2017,21(8):134-138.
[18]张芳,余丽君,赵瑞,等.PDCA在降低结直肠癌造口患者并发症发生率中的应用效果[J].实用临床医药杂志,2016,20(12):82-84.
[19]周晓敏,朱玲棣.回肠造口患者造口袋更换时机选择的探讨[J].实用临床医药杂志,2015,19(14):156-157.
[20]宋丽丽.小儿肠造瘘护理体会[J].中国实用医药,2015,10(29):214-215.
[21]吴子谕,何秋苑,王晓琴,等.改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用[J].护理学报,2015,22(1):43-45.