造口护理联合改良负压治疗技术在腹部渗漏伤口处理中的应用  

Application of Stoma Nursing Combined with Improved Negative Pressure Treatment Technology for Abdominal Leakage Wounds

作　　者：张琴 ZHANG Qin(Rudong County People's Hospital,Rudong,Jiangsu 226400)

机构地区：[1]如东县人民医院,江苏如东226400

出　　处：《智慧健康》2024年第9期202-206,共5页Smart Healthcare

摘　　要：目的分析造口护理联合改良负压治疗技术在腹部渗漏伤口处理中的应用效果。方法挑选2020年7月—2023年7月就诊于本院普外科的腹部伤口出现渗漏患者作为研究主体,按统计需求筛选共计90例,接受相应基本伤口处理。利用“双色球”分组法分为常规组和实验组,每组45例。常规组提供传统方案处理腹部渗漏伤口,实验组提供造口护理联合改良负压治疗技术处理腹部渗漏伤口,为确定处理方案的效用差异,比较两组病人换药有效率、伤口愈合效果、患者临床换药指标和伤口愈合时间、不良症状发生率、护理满意评分、干预前后患者生存质量(WHOQOL-BREF)评分。结果干预前,两组患者的WHOQOL-BREF评分相近,差异无统计学意义(P>0.05);干预后,实验组患者换药有效率、伤口愈合效果高于常规组,差异有统计学意义(P<0.05)。实验组病人临床换药指标和伤口愈合时间、不良症状发生率低于常规组,差异有统计学意义(P<0.05)。实验组护理满意、WHOQOL-BREF评分高于常规组,差异有统计学意义(P<0.05)。结论腹部渗漏伤口处理中实施造口护理配合改良负压治疗技术,明显提高了伤口愈合程度,保证换药处理有效,建议普及应用。Objective To analyze application effect of stoma nursing combined with improved negative pressure treatment technology for abdominal leakage wounds.Methods The paper chose 90 patients with abdominal wound leakage in the general surgery department of our hospital from July 2020 to July 2023 as research subjects,treated with basic woundtreatment,and divided them into two groups with"dual color sphere"grouping method,namely routine group of 45 cases and experimental group of 45 cases.The routine group was treated with traditional treatment for abdominal leakage wounds,while experimental group with stoma care combined with improved negative pressure treatment technology.To determine difference in effect of treatment scheme,effective dressing change,wound healing effect,clinical dressing change indicators and wound healing time,incidence of adverse symptoms,nursing satisfaction degree and life quality(WHOQOL-BREF)scores were compared between two groups before and after intervention.Results Before intervention,the WHOQOLBREF scoresbetween two groups were similar,difference was not statistically significant(P>0.05).After intervention,effective rate of dressing change and wound healing in experimental group was higher than control group,difference was statistically significant(P<0.05).Clinical dressing change indicators,wound healing time,and incidence of adverse symptoms in experimental group were lower than control group,difference was statistically significant(P<0.05).Nursingsatisfaction degree and WHOQOL-BREF scoresin experimental group were higher than routine group,difference was statistically significant(P<0.05).Conclusion Stoma care combined with improved negative pressure treatment technology can significantly improvedegree of wound healing and ensureeffect of dressing change treatment of abdominal leakage wounds,which is worthy of promotion and application.

关 键 词：腹部渗漏 造口护理 负压治疗 效果 

分 类 号：R473.6[医药卫生—护理学]