自制大便失禁引流装置用于重症患者大便失禁的效果观察  

Effect of Self-made Fecal Incontinence Drainage System

作　　者：冯洁贞[1] 陈少珍[2] 唐春苑[1] 邝媚然[1] 

机构地区：[1]中山大学附属第一医院神经科,广东广州510080 [2]中山大学附属第一医院血液净化中心,广东广州510080

出　　处：《护理学报》2010年第20期58-60,共3页Journal of Nursing（China）

摘　　要：目的探讨ICU大便失禁患者肛周皮肤的护理方法,以预防和治疗肛周皮肤炎性反应,减轻护理工作量。方法随机将62例大便失禁的ICU危重患者分为对照组30例和观察组32例,对照组采用常规方法用温水擦拭后涂造口护肤粉,观察组采用自制大便失禁引流装置(造口袋接负压引流瓶)收集大便法进行肛周皮肤护理。比较两组肛周皮肤炎性反应发生情况和护理工时。结果观察组发生皮肤反应2例,均为Ⅰ度反应;对照组发生皮肤反应19例,其中Ⅰ度反应14例,Ⅱ度与Ⅲ度分别为4例和1例,两组患者肛周皮肤反应发生率比较,χ2=11.47,P=0.007 6,差异有统计学意义,观察组患者肛周皮肤炎性反应率明显低于对照组。观察组患者的护理工时也明显少于对照组,差异有统计学意义(t=2.648,P<0.05)。结论应用自制大便失禁引流装置收集大便能有效预防大便失禁患者肛周皮肤炎性反应的发生,减轻护理工作量,且取材方便,操作简单,值得临床推广应用。Objective To explore nursing strategy of perianal skin for patients’ with fecal incontinence and to prevent and treat perianal skin inflammatory reaction.Methods 62 sever and critical patients with fecal incontinence were randomly divided into observation group and control group.In control group,traditional methods such as wiping with warm water and then applying stomahesive powder.While in observation group,a self-made fecal incontinence drainage system was applied.The comparison was made between different perianal skin inflammatory reactions and their nursing in two groups.Results There were 2 cases with skin reaction with degree Ⅰ in observation group while 19 cases in control group,14 with degree Ⅰ,4 with degree Ⅱ and 1 with degree Ⅲ.The incidence of perianal skin inflammatory reaction in observation group was obviously lower than that in control group（χ2= 11.47,P=0.007 6）.The nursing time in observation group was less than that in control group（t=2.648,P0.05）.Conclusion Selfmade fecal incontinence drainage system could effectively prevent perianal skin inflammatory reaction and reduce workload,which is worthy of clinical application for its convenience.

关 键 词：大便失禁 引流装置 炎性反应 护理 

分 类 号：R473.6[医药卫生—护理学]