OB内置式棉条留置肛门联合穴位按摩预防ICU大便失禁患者失禁相关性皮炎的效果观察  

Application of OB built-in tampon indwelled in anus and acupoint massage in ICU patients with incontinence

作　　者：吁英[1] 黎海阳[1] 谢建仪[1] 覃利英 杨智[1] Yu Ying, Li Haiyang, Xie Jianyi, Qin Liying, Yang Zhi(Guangzhou First People＇s Hospital, Guangzhou, 510180, China)

机构地区：[1]广州市第一人民医院重症医学科,广东广州510180

出　　处：《现代临床护理》2018年第4期36-39,共4页Modern Clinical Nursing

基　　金：2016年广东省中医药科学技术研究资助项目;项目编号20161185

摘　　要：目的探讨OB内置式棉条联合穴位按摩预防危重症监护室(intensive care unit,ICU)大便失禁患者失禁相关性皮炎(incontinence-associated dermatitis,IAD)的效果。方法选择本院ICU收治的发生大便失禁的患者100例,采用随机数字表法将患者分为对照组和观察组,每组各50例。对照组患者采用常规护理方法,观察组在对照组基础上应用OB内置式棉条留置肛门联合穴位按摩。观察两组患者IAD发生率、发生时间、IAD严重程度及护理工作量。结果观察组患者IAD发生率低于对照组,IAD发生时间晚于对照组,IAD严重程度轻于对照组,患者失禁护理时间短于对照组,每天会阴清洗次数少于对照组,两组比较,均P<0.05,差异有统计学意义。结论对ICU大便失禁患者应用OB内置式棉条留置肛门联合穴位按摩,可降低患者IAD发生率及严重程度,减轻护理工作量,值得临床推广应用。Objective To investigate the effects of OB built-in tampon indwelled in anus combined with acupoint massage in ICU patients with incontinence-associated dermatitis（IAD）.Methods 100 patients with incontinence hospitalized in ICU were randomly assigned to control group（n=50） versus combined therapy group（n=50）.The patients in the control group accepted routine nursing while the patients in the combined therapy group were treated with OB built-in tampon indwelled in anus combined with acupoint massage besides the routine nursing care.The two groups were compared in terms of incidence rate of IAD,IAD occurrence time,severity of IAD and incontinence-related nursing workload.Results The incidence rate of IAD and the severity of IAD in the combined therapy group were lower than those of the control group.The IAD in the combined therapy group occurred later than in the control group.Thetime for incontinence-related nursing and the frequency of perineum washing in the combined therapy group were shorter and lower than in the control group.Conclusions The application of OB built-in tampon indwelled in anus combined with acupoint massage in ICU patients with incontinence can not only reduce the incidence rate and severity of IAD but also lower the workload of nursing.The therapy is worthy of clinical application.

关 键 词：危重症监护室 大便失禁 OB内置式棉条 穴位按摩 失禁相关性皮炎 

分 类 号：R47[医药卫生—护理学]