Miles术后造口周围皮肤损伤的相关因素分析及对策  

The related factor analysis and intervention of Miles postoperative skin damage around the stoma

作　　者：梁霞[1] 梁桂花[1] 肖旭霞[1] 符小敏[1] 

机构地区：[1]广东医学院附属医院胃肠外科,湛江524001

出　　处：《中国实用护理杂志》2013年第6期22-24,共3页Chinese Journal of Practical Nursing

基　　金：湛江市科技攻关项目（2010C3107018）

摘　　要：目的通过对Miles术后造口周围皮肤损伤的患者进行调查分析，针对影响因素采取干预措施，探索减少Miles术后造口周围皮肤损伤的有效方法。方法在110例门诊随访的永久性结肠造口患者中，出现造口周围皮肤损伤62例，对每例患者发生造口周围皮肤损伤的原因进行回顾性分析，以明确可能影响Miles术后造口周围皮肤损伤的相关因素。结果Miles术后造口周围皮肤损伤的发生率为56．36％；经Logistic多因素回归分析，与Miles术后造口周围皮肤损伤相关的因素有6个，患者排泄物刺激、造口袋过敏、更换造口袋操作不当、潜在皮肤疾病、过度刷洗／擦皮肤、对造口护理知识不熟悉等是患者造口周围皮肤损伤的影响因素。结论选用合适的造口护理用品和粘贴方法，详细指导患者及家属造口护理知识与技能，可明显降低Miles术后造口周围皮肤损伤的发生率。Objective To investigate the patients with postoperative skin damage around the stoma after Miles operation, take measures according to the influencing factors, and explore an effective way to re- duce the incidence of skin damage around the stoma patients. Methods There were 62 cases of skin damage around the stoma in 110 cases of patients with permanent colostomy in out-patient follow-up. Each patient with skin damage occurring around the stoma were retrospectively analyzed the reasons, and the re- lated factors that might affect Miles postoperative stoma skin damage were analyzed. Results The inci- dence rate of Miles postoperative skin damage around the stoma was 56.36%, through the multi-factor Logis- tic regression analysis, there were six related factors with the Miles postoperative skin damage around the stoma, patients＂ excrement stimulation, ostomy bag allergies, improper operation of the replacement of the ostomy bag, the potential skin disease, excessive scrub / rub the skin, unfamiliar with ostomy care knowledge were the influ- encing factors of patients with skin damage around the stoma. Conclusions Appropriate stoma care products and paste methods, detailed guiding of patients and their families about ostomy care knowledge and skills can significantly reduce the incidence rate of Miles postoperative skin damage around the stoma.

关 键 词：结肠造口术 造口周围皮肤损伤 相关因素 护理对策 

分 类 号：R473.73[医药卫生—护理学]