吹风机在膀胱癌尿流改道腹壁造口术患者中的应用及效果评价  

Application and effect evaluation of dryer on the patients of urinary diversion napes neostomy of urinary bladder carcinoma

作　　者：王俊[1] 马娥[3] 杨明莹[2] 王剑松[1] 余力锐[1] 黄麟雅[1] 李云艳[1] 张绍艳 吴光柳 Wang Jun , Ma E, Yang Mingying , Wang Jiansong ,Yu Lirui, Huang Linya, Li Yunyan, Zhang Shaoyan, Wu Guangliu.(One Ward of Urology Surgery, the Second Affilia, ted Hospital of Kunming Medical University, Kunming 650101, Chin)

机构地区：[1]昆明医科大学第二附属医院泌尿外科一病区,650101 [2]昆明医科大学第二附属医院护理部,650101 [3]昆明医科大学

出　　处：《国际护理学杂志》2018年第6期721-724,共4页international journal of nursing

基　　金：2016年国家自然科学基金资助项目（81660423）

摘　　要：目的探讨吹风机在膀胱癌尿流改道腹壁造口术患者中的应用效果。方法按照标准化操作流程包括佩戴、揭除、检查3个步骤进行更换造口底盘，将2015年1月～2016年6月在该院行根治性膀胱全切＋尿流改道腹壁造口术的患者120例随机分为干预组62例和对照组58例。干预组实施常规操作流程，粘贴底盘后，使用吹风机持续温热吹造口底盘，底盘变温热为宜；对照组实施常规操作流程。两组应用造口周围皮肤（BET）评估表、底盘更换时间、造口周围皮肤并发症、患者对造口的感受、造口材料费用进行比较，观察其效果。结果干预组术后1个月在造口周围皮肤（DET）评分、底盘更换时间、造口周围皮肤并发症、患者的自我感受、造口材料费用优于对照组，差异均有统计学意义（均P〈0．05）。结论将吹风机应用到造口底盘的更换中，使底盘软化，能更好地与皮肤黏合，可降低并发症的发生率，缓解经济压力，促进患者舒适，提高患者的生活质量。Objective To investigate about the application effect of dryer on the patients of urinary diversion napes neostomy of urinary bladder carcinoma. Methods According to the standardized operation procedure, there were procedures of wearing, removing and checking to replace stoma chassis. 120 patients receiving eradicative radical cystectomy combined with urinary diversion napes neostomy in this hospital from January 2015 to June 2016 were divided into intervention group （62 cases） and control group （58 cases） randomly. After routine operation procedures were conducted to control group, and chassis was pasted , dryer was used to blow the stoma chassis at a warm temperature continuously. It would be proper to keep the chassis warm. Routine group. DET evaluation scale, chassis replacement time, stoma surro operation procedures were carried out to control unding skin complication, feeling of patients to stoma, stoma material costs of both groups were applied to compare and observe its effects. Results DET evaluation scale,, chassis replacement time, stoma surrounding skin complication, feeling of patients to stoma and stoma material costs of intervention group were superior to control group 1 month after operation, of which the difference had statistical significance （P〈0. 05） . Conclusions The dryer applied to the replacement of stoma chassis to make it soft can make it better cohered with skin, which can reduce the occurrence rate of complications, relieve economic pressures, promote the comfort of patients and improve patients＇ life quality.

关 键 词：吹风机 膀胱癌 尿流改道 应用 

分 类 号：R473.73[医药卫生—护理学]