改良水胶体敷料对无痛结肠镜检查病人造口周围皮肤的影响  

Effects of hydrocolloid dressing on the peristomal skin in patients undergoing painless colonoscopy

作　　者：贾利军 贺亚楠 李向瑞 吴丽 袁雅卓 王贝贝 张淑利[1] JIA Lijun;HE Ya′nan;LI Xiangrui;WU Li;YUAN Yazhuo;WANG Beibei;ZHANG Shuli(The First Affiliated Hospital of Zhengzhou University,Henan 450052 China)

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《全科护理》2023年第16期2176-2179,共4页Chinese General Practice Nursing

摘　　要：目的:探讨改良水胶体敷料(hydrocolloid dressing,HCD)对无痛结肠镜检查(painless colonoscopy)病人造口周围皮肤(peristomal skin)的影响。方法:选取2022年1月—2022年12月在郑州大学第一附属医院行无痛结肠镜检查的64例造口病人作为研究对象,采用随机数字表法分为改良HCD应用组(H组)和对照组(C组)各32例。在结肠镜检查前,C组实施常规护理,使用无纺布洞巾覆盖病人腹部;H组在C组基础上采用改良HCD(3M)粘贴于造口周围皮肤,实施结肠镜检查。观察两组病人造口周围性皮炎分级(采用国际伤口创面评价标准评估)、造口周围皮肤水分百分比、造口周围黏膜酸碱度(pH值)和造口周围皮肤菌落计数。结果:干预后,H组病人造口周围性皮炎分级明显优于C组,菌落计数明显少于C组,造口周围皮肤水分百分比明显低于C组(均P<0.001);干预后两组病人造口周围皮肤黏膜酸碱度和温度比较差异无统计学意义(P>0.05)。结论:在无痛结肠镜检查期间,改良HCD可为病人提供可靠的造口周围皮肤保护作用。Objective:To explore the effects of modified hydrocolloid dressing(HCD)on peristomal skin in painless colonoscopy patients.Methods:A total of 64 patients with a stoma who underwent painless colonoscopy in the First Affiliated Hospital of Zhengzhou University from January 2022 to December 2022 were selected as the study subjects,and patients were divided into modified HCD application group(group H)and control group(group C)by random number table method,32 cases in each group.Before the colonoscopy,group C implemented routine care,using a non-woven hole towel to cover the patient′s abdomen;group H used modified HCD(3M)to apply to the peristomal skin and perform colonoscopy.The grade of peristomal dermatitis(assessed by international wound evaluation standards),the percentage of peristomal skin moisture,the pH of the peristomal mucosa and the colony forming units(CFU)count of peristomal skin were observed.Results:After the intervention,the grade of peristomal dermatitis in group H was significantly better than that in group C,the CFU was significantly less than that in group C,and the percentage of skin moisture around the stoma was significantly lower than that in group C(all P<0.001).There was no significant statistical difference in skin temperature,and pH of the peristomal skin between the two groups after the intervention(P>0.05).Conclusion:Modified HCD can provide reliable peristomal skin protection during painless colonoscopy.

关 键 词：水胶体敷料 无痛结肠镜检查 造口周围性皮炎 酸碱度 菌落形成单位 

分 类 号：R473.5[医药卫生—护理学]