医护一体化管理模式在造口皮肤黏膜深部分离的应用效果  

Application effect of medical integration management mode in patients with skin mucous membrane deep separation

作　　者：梁桂花[1] 梁霞[1] 黄夏蕾[1] 

机构地区：[1]广东医学院附属医院胃肠外科,湛江524001

出　　处：《齐齐哈尔医学院学报》2014年第10期1544-1545,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨医护一体化管理模式对造口皮肤黏膜深部分离的效果。方法由医护共同对12例造口皮肤黏膜深部分离病人进行处理,包括进行恰当的伤口床准备,选用新型的敷料,分离处的二期缝合,并进行跟踪随访。结果本组病人均在10～14 d拆除缝线,伤口全部愈合,3例并发造口轻度狭窄,经指导自行扩肛后缓解,有2例出现造口回缩及4例平皮肤平面,使用凸面底板2周后造口黏膜均高于皮肤0.5～1.0 cm,其余患者均未见造口并发症发生。结论对造口皮肤黏膜深部分离患者实施医护一体化管理模式,有利于促进患者康复,提高生活质量。Objective To investigate the effect of medical integrationmanagement pattern for the patients with skin mucous membrane deep separation. Methods The doctors and nurses in 12 cases of patients with skin mucous membrane separation were deep processing, including preparation of the wound bed properly, selecting the new dressing, separation of two suture, and were followed up. Results All the patients were in the range of 10 ~ 14d suture, wound healed, 3 cases with mild stenosis of stoma, the guide to anal after remission, 2 eases had stoma retraction and 4 cases of fiat skin level, using a convex plate after two weeks were higher than those of stoma mucosa skin O. 5 ～ 1. Ocm, the rest of the patients had no complication occurred. Conclusions Implementation of health management model on patients with stoma skin mucosa deep separation, to promote the rehabilitation of patients, improve the quality of life.

关 键 词：肠造口 皮肤黏膜分离 医护一体化 

分 类 号：R127[医药卫生—环境卫生学]