集束化护理在防治肝移植术后腹泻患者肛周皮炎中的应用分析  

Application of cluster care in prevention and treatment of perianal dermatitis in patients with diarrhea after liver transplantation

作　　者：周晓君[1] 杨敏[1] 周雁荣[2] Zhou Xiaojun;Yang Min;Zhou Yanrong(Institution of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hu Bei,China;Department of Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hu Bei,China.)

机构地区：[1]华中科技大学同济医学院附属同济医院器官移植研究所,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院外科,湖北武汉430030

出　　处：《实用器官移植电子杂志》2020年第3期211-213,共3页Practical Journal of Organ Transplantation(Electronic Version)

摘　　要：目的探讨集束化护理在防治肝移植术后腹泻患者肛周皮炎中的应用。方法选取华中科技大学同济医学院附属同济医院收治的94例肝移植术后腹泻患者为研究对象,分成对照组和观察组各47例。在对照组采取常规护理流程,观察组给予集束化护理措施干预。对比两组患者肛周皮炎的发生率,严重程度和痊愈时间。结果通过施行集束化护理,采取预评估查检、施行早期干预护理、规范肛周皮肤清洁管理和局部皮肤屏障构建、强化专项查检范围提高护理执行力等措施进行全方位的专项管理。采取集束化护理的观察组,在肛周皮炎的发生率和严重程度上明显低于对照组(P <0.05),在皮炎的痊愈时间上明显缩短(P <0.05)。结论集束化护理措施的应用能够有效减少肝移植术后腹泻患者肛周皮炎的发生,减轻其严重程度,对促进其早期恢复具有积极有效的作用。Objective To explore the effects of cluster nursing in prevention and treatment of perianal dermatitis in patients with diarrhea after liver transplantation. Methods A total number of 94 cases with diarrhea after liver transplantation were randomly divided into control group and observation group, with 47 cases in each group. Routine nursing procedure was adopted in the control group and cluster nursing intervention was given to the observation group. The incidence, severity and recovery time of perianal dermatitis in the two groups were compared. Results Comprehensive special management was carried out by cluster nursing, including preevaluation and examination, early intervention nursing, standard management of perianal skin cleaning, construction of local skin barrier, strengthening of special inspection scope and improvement of nursing execution. In the observation group with cluster nursing, the incidence and severity of perianal dermatitis were significantly lower than that of the control group(P < 0.05), and the recovery time of perianal dermatitis was significantly shortened(P < 0.05). Conclusion The application of cluster nursing measures can effectively reduce the occurrence and severity as well as promote the early recovery of perianal dermatitis in patients with diarrhea after liver transplantation.

关 键 词：肝移植 腹泻 肛周皮炎 集束化护理 

分 类 号：R473.6[医药卫生—护理学]