一件式造口袋在肝胆外科术后患者伤口渗漏中的应用效果  

Application effect of one-piece bag in wound leakage after hepatobiliary surgery

作　　者：王洪超[1] WANG Hong-chao(The Second Hepatobiliary Ward,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院肝胆二病区,江西南昌330006

出　　处：《中国当代医药》2021年第31期203-206,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20191271)。

摘　　要：目的探讨一件式造口袋在肝胆外科术后患者伤口渗漏中的临床应用效果。方法选取2019年6月至2020年6月南昌大学第二附属医院收治的110例肝胆外科术后患者作为研究对象,按照随机数字表法分为对照组(55例)与研究组(55例)。对照组采用常规伤口渗漏护理,研究组采用一件式造口袋。比较两组的周围皮肤刺激性皮炎发生率、满意度、舒适度评分、造口袋更换频次、换药时间、引流口闭合时间。结果研究组的周围皮肤刺激性皮炎发生率低于对照组,差异有统计学意义(P<0.05);研究组的护理总满意度高于对照组,差异有统计学意义(P<0.05);研究组的舒适度评分高于对照组,造口袋更换频次多于对照组,换药时间、引流口闭合时间短于对照组,差异均有统计学意义(P<0.05)。结论在肝胆外科术后患者伤口渗漏护理应用一件式造口袋,可避免不良反应发生,提高患者舒适度与满意度,利于患者早日康复,值得临床推广。Objective To investigate the application effect of one-piece bag in wound leakage after hepatobiliary surgery.Methods A total of 110 patients admitted to the Second Affiliated Hospital of Nanchang University from June 2019 to June 2020 after hepatobiliary surgery were selected as the research subjects.According to the random number table method,they were divided into the control group(55 cases)and the study group(55 cases).The control group received conventional wound leakage care,and the study group received one-piece bag.The incidence of peripheral skin irritant dermatitis,satisfaction rate,comfort score,pocket changing frequency,dressing changing time and drainage opening closing time were compared between the two groups.Results The incidence of peripheral skin irritant dermatitis in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The comfort score of the study group was higher than that of the control group,pocket changing frequency of the study group was more than that of the control group,dressing changing time and drainage closure time of the study group were shorter than those of the control group,with statistical differences(P<0.05).Conclusion The application effect of one-piece pocket in the nursing of wound leakage of patients after hepatobiliary surgery,avoids the occurrence of adverse reactions,improves the comfort and satisfaction of patients,and is conducive to the early recovery of patients.It is worth clinical popularizing.

关 键 词：一件式造口袋 肝胆外科 伤口渗漏 护理 

分 类 号：R473.6[医药卫生—护理学]