芒硝热敷袋的改良及在重症急性胰腺炎患者中的应用  被引量:8

Modified thenardite hot pack and the application in patients with severe acute pancreatitis

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作  者:刘敬莉[1] 姚彦蓉 薛红梅[1] 哈思敏 王倩倩 朱晓婷 米光丽 LIU Jingli;YAO Yanrong;XUE Hongmei;HA Simin;WANG Qianqian;ZHU Xiaoting;MI Guangli

机构地区:[1]宁夏医科大学总医院肝胆外科,银川市750004 [2]宁夏医科大学总医院护理部,银川市750004

出  处:《中华急危重症护理杂志》2022年第4期381-384,共4页Chinese Journal of Emergency and Critical Care Nursing

基  金:宁夏医科大学总医院2020年院内资助项目(2020年新入职硕士培养项目);2020年宁夏回族自治区重点研发计划重点项目(2020BEG02002);2021年宁夏回族自治区重点研发计划一般项目(2021BEG03042)

摘  要:目的对芒硝外敷袋进行改良设计并探讨其在重症急性胰腺炎患者中的应用效果。方法制作的改良芒硝热敷袋由皮肤层、芒硝外敷层、防水加热层、固定带组成。便利选取入住于宁夏医科大学总医院肝胆外科诊断为重症急性胰腺炎且需行芒硝外敷治疗的患者为研究对象。将2020年6月-12月使用芒硝外敷袋的30例患者为对照组,2021年1月-6月使用改良芒硝热敷袋的30例患者为试验组,比较两组腹胀持续时间、术后开始经口进食时间、治疗期间下床活动依从性及相关不良事件(腹部皮肤情况、被服及病服污染)的发生情况。结果两组基本资料具有同质性(P>0.05);试验组腹胀持续时间为(4.10±0.57)d,对照组为(7.63±1.07)d,差异具有统计学意义(P<0.05);试验组术后恢复经口进食时间为(2.07±0.19)d,对照组为(3.63±0.47)d,差异具有统计学意义(P<0.05);试验组在芒硝治疗期间发生被服污染6例(20.0%),腹部皮肤发红3例(10.0%);对照组发生被服污染24例(80.0%),腹部皮肤接触性皮炎7例(23.3%),差异具有统计学意义(χ^(2)=13.125,P<0.05)。结论改良后的芒硝热敷袋可明显缩短患者腹胀持续时间,促进肠道功能恢复,治疗舒适度及依存性明显提升。Objective To modify thenardite hot pack and explore the effect of the application in patients with severe acute pancreatitis.Methods The modified thenardite hot pack was made of skin layer,thenardite outer coating layer,walerproof heating layer and fixing belt.By convenient sampling,the patients who were diagnosed with severe acute pancreatitis and required thenardite extemmal application for treatment were selected inthe Department of Hepatobiliary Surgery General Hospital of Ningxia Medical University.30 patients who used thenardite external compress bags from June to December 2020 were selected as the control group,and the 30 patients who used the modified thenardite hot pack from January to June 2021 were selected as the experimental group.The duration of abdominal distension and postoperative oral feeding time compliance of movement and occurrence of related adverse events(abdominal skin condition bed quilt coverand hospital clothing contamination)during treatment were compared between the two groups.Results The basic data of the two groups were homogeneous(P>0.05).The duration of abdominal distension was(4.10±0.57)d in the experimental group and(7.63±1.07)dinthe control group,and the difference was statistically significant(P<0.05).The postoperative time of oral feeding in the experimental group was(2.07±0.19)dwhile that inthe control groupwas(3.63±0.47)d and the difference between the two groups was statistically significant(P<0.05).6 cases(20.0%)occurred contamination of clothing and 3 cases(10.0%)had abdominal skin redness in experimental group,24 cases(80.0%)occurred hospital clothing contamination and 7 cases(23.3%)had contact dermatitis on abdominal skin in control group,the difference between the two groups was statistically significant(χ^(2)=13.125,P<0.05).Conclusion Themodified thenardite hotpackcan shortenthedurationof abdominal distension promote the recovery of intestinal function,and improve the treatment comfort and compliance.

关 键 词:腹部皮肤 宁夏医科大学 芒硝外敷 皮肤层 肝胆外科 重症急性胰腺炎 下床活动 接触性皮炎 

分 类 号:R473.5[医药卫生—护理学]

 

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