以造口小组为主的延续护理降低肠造口周围皮肤损伤的研究  

Research on Continuous Nursing with Stoma Group to Reduce Skin Injury Around Stoma

作　　者：蔡玩珠 郑婵美[1] 陈宝珍[1] 李俊苗[1] 梁健欢 CAI Wan- zhu ZHENG Chan-mei CHEN Bao-zhen et al(Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine （ Guangdong Provincial Hospital of Traditional Chinese Medicine ）, Guangzhou 510120, China)

机构地区：[1]广州中医药大学第二附属医院(广东省中医院),广东广州510120

出　　处：《中国医学创新》2017年第8期82-85,共4页Medical Innovation of China

摘　　要：目的:研究对于肠造口患者提供出院后延续护理干预措施的应用效果。方法:选择2014年7月-2015年6月本院收治的50例经直肠术后肠造口患者,划分为普通组,为患者做好院内治疗措施,提供随访健康指导;于2015年1-10月本院收治的50例肠造口患者,重点加强院外延续性护理服务,科室成立造口护理小组,为患者提供为期1年的延续护理干预,作为试验组。总结两组患者生活质量评分和对护理服务满意度评价,了解患者并发症发生率及遵医行为。结果:普通组患者出院后肠造口并发症发生率为30%,试验组为12%,试验组发生率较低(P<0.05)。普通组患者出院后精神健康、沟通能力、家庭融入度、日常活动等指标评分均较低,试验组均较高(P<0.05)。普通组患者按时服药、定期复查、心理健康、运动与自我病情监测等指标评分均较低,试验组均较高(P<0.05)。普通组患者对护理服务满意度为72%,试验组为94%,试验组患者满意度较高(P<0.05)。结论:为肠造口患者提供出院后延续性护理服务,大部分患者主诉对护理服务感到满意,且生活质量评价较好,患者遵医行为评分较高,并发症发生率较低。Objective： To study the application effect of post-discharge continuous nursing intervention for patients with enterostomy.Method： A total of 50 cases of patients with transrectal enterostomy admitted to our hospital from July 2014 to June 2015 were selected as the normal group to take hospital treatment measures and to provide follow-up health guidance.50 patients with enterostomy admitted to our hospital from January 2015 to October 20!5, focusing on out-of-hospital continuous nursing service, was served as the experimental group with stoma caring group established to provide one-year continuous nursing intervention.The life quality score and satisfaction evaluation with nursing service were summed up for patients in two groups so as to understand the patients＇ complication, incidence rate and compliance behavior evaluation.Result： The occurrence rate of post- 1 discharge enterostomy complication was 30% for patients in the normal group and 12% in the experimental group, the occurrence rate was relatively lower in the experimental group （ P〈0.05 ） .The index score was relatlvely lower in terms of post-discharge mental health, communication ability, family integration and daily activities in thenormal group, while relatively higher in the experimental group （ P〈0.05 ） .The index score was relatively lower for patients in the normal group in terms of on time medication, regular review, mental health, exercise and self condition monitoring while relatively higher in the experimental group （ P〈0.05 ） .The satisfaction rate of nursing service in the normal group was 72% and 94% in the experimental group, the satisfaction rate of the experimental group was relatively higher （ P〈0.05 ） .Conclusion： Most complained patients are satisfied with the continuing care provided for discharged enterostomy patients with good evaluation of life quality, higher score of patients＇ compliance behavior and lower complication incidence.

关 键 词：延续护理 肠造口 皮肤损伤 并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]