程序化造口护理技术在外科手术后合并腹壁渗液患者中的应用效果  

Application effects of programmed stoma nursing technology in patients with abdominal wall exudate after surgery

作　　者：韩容芬 钟玉超 周兴舰[1] HAN Rong-fen;ZHONG Yu-chao;ZHOU Xing-jian(Department of Gastrointestinal Surgery,Pingxiang People′s Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院胃肠外科,江西萍乡337000

出　　处：《中国当代医药》2019年第23期224-227,共4页China Modern Medicine

摘　　要：目的探讨程序化造口护理技术在外科手术后合并腹壁渗液患者中的应用效果。方法选取2016年1月~2019年1月我院收治的外科手术后合并腹壁渗液患者50例,按照随机数字表法分为观察组和对照组,每组各25例。对照组给予传统外科换药方式护理干预,观察组给予程序化造口护理技术干预,比较两组换药成本、换药频次、换药时间,治疗前后造口周围皮肤损伤(DET)评分、生存质量评分及脱管发生率。结果观察组干预后换药成本低于对照组,换药频次少于对照组、每天换药所需时间短于对照组,差异均有统计学意义(P<0.05);观察组干预第1、2周DET评分均低于对照组(P<0.05);观察组干预2周后中文版欧洲五维健康量表(EQ-5D)指数与直观式健康量表(EQ-VAS)评分均高于对照组(P<0.05);观察组脱管发生率(0.0%)与对照组(8.0%)比较,差异无统计学意义(P>0.05)。结论程序化造口护理技术可有效促进腹壁渗液患者伤口愈合,减轻周围皮肤损伤,提高其生存质量。Objective To explore the application effects of programmed stoma nursing technology in patients with abdominal wall exudate after surgery.Methods A total of 50 patients with abdominal wall exudate after surgery in our hospital from January 2016 to January 2019 were selected and divided into observation group and control group according to random number table method,25 cases in each group.The control group was given traditional surgical dressing change,and the observation group was given programmed stoma nursing technology.The cost of dressing change,frequency of dressing change,time of dressing change,scores of skin damage around the stoma(DET)and quality of life before and after treatment and incidence rate of tube detachment were compared between the two groups.Results The cost of dressing change in observation group after intervention was lower than that in control group,and the frequency of dressing change was less than that in control group,and daily required time of daily dressing change was shorter than that in control group(P<0.05).The DET scores in observation group at 1 and 2 week of intervention were lower than those in control group(P<0.05).The scores of European quality of life 5-dimensions(EQ-5D)index and European quality of life-visual analogue scale(EQ-VAS)in observation group were higher than those in control group after 2 weeks of intervention(P<0.05).There was no significant difference in the incidence rate of tube detachment between observation group and control group(0.0%vs.8.0%)(P>0.05).Conclusion Programmed stoma nursing technology can effectively promote wound healing,reduce peripheral skin damage and improve the quality of life in patients with abdominal wall exudate.

关 键 词：腹壁渗液 造口护理技术 外科换药 

分 类 号：R473[医药卫生—护理学]