改良式造瘘护理在手术切口上肠造口患者中的应用
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摘要
目的:探讨改良式造瘘护理在手术切口上肠造口患者中的应用效果。方法:将70例行急诊肠道手术并进行手术切口上肠造口患者按随机数字表法分为观察组和对照组各35例,对照组给予常规护理方法,观察组在对照组基础上采用针对手术切口上造口的改良式造瘘护理。比较两组切口感染率、排泄物漏出率、造口并发症发生率、舒适度、护理时间及护理满意度。结果:观察组切口感染率、排泄物漏出率、造口并发症发生率明显低于对照组(P <0. 05);观察组疼痛因素、非疼痛因素及心理因素评分均低于对照组(P <0. 05);观察组患者平均换药次数少于对照组,换药时间短于对照组,护理满意度评分高于对照组,差异均有统计学意义(P <0. 05)。结论:改良式造瘘护理能明显降低手术切口上肠造口患者切口感染率、造口并发症发生率,提高患者舒适度及护理满意度。
Objective: To explore the effect of improved ostomy care in patients with surgical incision on the intestine. Methods: A total of 70 patients undergoing emergency bowel surgery and surgical incision of the upper intestine stoma were randomly divided into observation group and control group,35 cases in each group. The control group was given a routine nursing method,and the observation group used an improved care for the stoma on the surgical incision based on the control group. The incision infection rate,excretion leakage rate,ostomy complication rate,comfort,nursing time and satisfaction were compared between the two groups. Results: The incision infection rate,excretion leakage rate and ostomy complication rate in the observation group were significantly lower than those in the control group( P <0. 05). Pain factors,non-pain factors and psychological factors scores in the observation group were lower than those in the control group( P < 0. 05). The average frequency of dressing change in the observation group was less than that in the control group,the time of dressing change was shorter than that in the control group,and the nursing satisfaction score was higher than that in the control group,the difference was statistically significant( P < 0. 05). Conclusion: Improved ostomy care can significantly reduce the infection rate of incisions in the upper intestine and the incidence of ostomy complications,and improve patient's comfort and nursing satisfaction.
Objective: To explore the effect of improved ostomy care in patients with surgical incision on the intestine. Methods: A total of 70 patients undergoing emergency bowel surgery and surgical incision of the upper intestine stoma were randomly divided into observation group and control group,35 cases in each group. The control group was given a routine nursing method,and the observation group used an improved care for the stoma on the surgical incision based on the control group. The incision infection rate,excretion leakage rate,ostomy complication rate,comfort,nursing time and satisfaction were compared between the two groups. Results: The incision infection rate,excretion leakage rate and ostomy complication rate in the observation group were significantly lower than those in the control group( P <0. 05). Pain factors,non-pain factors and psychological factors scores in the observation group were lower than those in the control group( P < 0. 05). The average frequency of dressing change in the observation group was less than that in the control group,the time of dressing change was shorter than that in the control group,and the nursing satisfaction score was higher than that in the control group,the difference was statistically significant( P < 0. 05). Conclusion: Improved ostomy care can significantly reduce the infection rate of incisions in the upper intestine and the incidence of ostomy complications,and improve patient's comfort and nursing satisfaction.
引文
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[4]李旭.术后小儿肠造瘘护理的研究进展[J].护士进修杂志,2015,30(10):884-886.
[5]张仕芳.低位结肠癌患者术后肠造瘘口系统护理的效果观察[J].国际护理学杂志,2014(11):3041-3043.
[6]方琼,张苇,朱莹,等.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[J].实用临床医药杂志,2018,22(6):107-110.
[7]袁丽芬.康惠尔溃疡粉及3 M无痛保肤膜在肠造瘘患儿造口周围受损皮肤护理中的应用[J].护理实践与研究,2013,10(3):34-35.
[8]陈杰,邬文杰,严文波,等.远端乙状结肠造瘘术后腹腔镜辅助二期肛门成形术治疗先天性肛门闭锁的疗效评价[J].中国微创外科杂志,2016,16(9):790-794.
[9]张和平,郗洪庆,乔治,等.腹腔镜及开腹手术对上消化道穿孔术后并发症的对比研究[J].国际外科学杂志,2017,44(10):677-680.
[10]李哲恒,陈宝龙,田孜博,等.腹腔镜手术与开腹手术治疗胃十二指肠穿孔的疗效比较[J].现代中西医结合杂志,2017,26(1):84-86.