泌尿造口护理方法的改进效果  

Study on the improvement effect of nursing method for urinary stoma

作　　者：陆星尘[1] 邬凌峰[1] 张惠萍[1] 刘学英[2] 何屹[1] 

机构地区：[1]浙江省嘉兴市第一医院泌尿外科,314001 [2]浙江省嘉兴市第一医院护理部,314001

出　　处：《中华现代护理杂志》2013年第33期4086-4088,共3页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目（2012KYB204）

摘　　要：目的探讨泌尿造口护理方法改进与成效。方法选择泌尿造口患者40例，按人院时间随机分为观察组20例和对照组20例。对照组术后首次更换造口底盘时采用常规方法，观察组术后首次更换造口底盘时，在常规方法基础上应用多爱肤超薄敷料、防漏膏、造口粉、纱布、3M高强度胶带及腰带进行造口护理，比较两组患者造口周围皮肤受损情况、腹部切口被尿液渗湿情况、造口底盘使用时间及费用情况。结果观察组患者造口周围皮肤受损发生率为5．0％，低于对照组的35．O％，差异有统计学意义（x2=3．906，P〈0．05）；观察组患者腹部切口尿液渗漏率为25．0％，低于对照组的60．O％，差异有统计学意义（x2=5．013，P〈0．05）；观察组造口底盘使用时间平均为（4．2±1．9）d，高于对照组的（2．9±1．7）d，差异有统计学意义（t=2．279，P〈0．05）；两组患者日平均费用比较，差异无统计学意义（t=-0．747，P〉0．05）。结论泌尿造口术后应用多爱肤超薄敷料保护切口，防漏膏防渗漏，造口粉保护皮肤，纱布引流，3M高强度胶带及佩戴腰带固定底盘，可以减少并发症发生，延长造口底盘使用时间，减少医疗费用。Objective To investigatethe improvement and effectiveness of nursing method for urinary stoma. Methods According to hospital admission time, 40 patients with urinary ostomy were selected and randomly divided into observation group and control group, with 20 patients in each group. When replacing chassis for the first time after urinary ostomy, the patients in the control group were given the conventional nursing method for urinary stoma, and the patients in the observation group were given the combination nursing method of DuoDERM Extra Thin dressing, leak-proof cream, stoma powder, gauze, 3M high strength belt and lumbar belt, as well as the conventional method. The damage of skin around the stoma, the occurrence of urine leakage in abdominal incision, the time of chassis continuous utilization and the cost were compared between the two groups. Results The incidence rate of the damage of skin around the stoma in the observation group was 5.0%, and lower than that of 35.0% in the control group, the difference was statistically significant （ x2 = 3. 906, P 〈 O. 05 ）. The incidence rate of urine leakage in abdominal incision was 25.0%, and lower than that of 60.0% in the control group, the difference was statistically significant （ x2 = 5.013, P 〈 O. 05 ）. The average time of chassis continuous utilization in the observation group was （4. 2 ± 1.9） days, and higher than that of （ 2.9 ± 1.7 ） days in the control group, the difference was statistically significant （ t = 2. 279, P 〈 0.05 ）. There was no statistically significant difference in the average daily cost between the two groups （ t = - O. 747, P 〉 O. 05）. Conclusions Mter urinary ostomy, the application of DuoDERM Extra Thin dressing used to protect incision, leak-proof cream used to prevent leakage, stoma powder used to protect the skin, gauze used to drain, 3M high strength belt and lumbar belt used to fix chassis, can decrease complications, prolong the time of chassis continuous utilization and reduce medical costs.

关 键 词：护理 泌尿造口 改进 成效 

分 类 号：R473.73[医药卫生—护理学]