藻酸盐敷料联合针对性护理对肠造口手术后发生造口皮肤黏膜分离的影响  

Effect of alginate dressing combined with targeted care on the separation of stoma skin and mucosa after enterostomy surgery

作　　者：刘武莲 周育望 王桂兰 帅文慧[4] LIU Wulian;ZHOU Yuwang;WANG Guilan;SHUAI Wenhui(Wound Stoma Nursing Specialist Clinic,Ji'an Central People's Hospital,Jiangxi Province,Ji'an343000 China;Outpatient Operating Room,Ji'an Central People's Hospital,Jiangxi Province,Ji'an343000 China;Department of Traditional Chinese Medicine,Medical Department of Jinggangshan University,Jiangxi Province,Ji'an343000 China;Department of Proctology,Ji'an Central People's Hospital,Jiangxi Province,Ji'an343000 China)

机构地区：[1]江西省吉安市中心人民医院伤口造口护理专科门诊,江西吉安343000 [2]江西省吉安市中心人民医院门诊手术室,江西吉安343000 [3]井冈山大学医学部中医药学系,江西吉安343000 [4]江西省吉安市中心人民医院中医肛肠科,江西吉安343000

出　　处：《中国当代医药》2024年第14期166-170,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0246);江西省吉安市科技计划项目[吉市科技字【2021】8号(5-13)]。

摘　　要：目的探讨研究藻酸盐敷料对肠造口手术后发生造口皮肤黏膜分离的影响。方法选取2020年10月至2021年10月吉安市中心人民医院行肠造口手术后发生造口皮肤黏膜分离的60例患者作为研究对象,按随机数字表法分为观察组(30例)和对照组(30例)。其中,对照组予以针对性护理,观察组在对照组基础上应用藻酸盐敷料,比较两组患者切口愈合情况、并发症总发生率和总护理满意度。结果观察组造口渗液量少于对照组,愈合及拆线时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论针对患者行肠造口手术治疗后造口皮肤黏膜分离问题,采取藻酸盐敷料联合针对性护理进行干预,既能加快其造口愈合,减少渗液量,又能降低患者并发症发生率,提高预后安全,满足其身心干预需求,患者护理满意度较高,值得推广。Objective To investigate the effect of alginate dressing on the separation of stoma skin and mucosa after enterostomy surgery.Methods A total of sixty patients with enterostomy separation from October 2020 to October 2021 admitted to Ji'an Central People's Hospital were selected as the study objects,which were divided into observation group(30 cases)and control group(30 cases)according to the random number table method.Among them,targeted care was gaved to the control group,and the observation group was treated with alginate dressing on the basis of the control group to compare the incision healing,total incidence of complications and total nursing satisfaction between the two groups.Results The stoma leakage volume of the observation group was less than the control group,and the healing time and the clearing time of the observation group were shorter than the control group,and the differences were statistically significant(P<0.05).The total incidence of complications of the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The overall nursing satisfaction of the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with enterostomy surgery treatment after stoma skin mucosa separation problem,take alginate dressing combined targeted nursing intervention,can speed up the stoma healing,reduce the exudation,and can reduce the complication rate in patients,improve the prognosis safety,meet the demand of the physical and mental intervention,patients nursing satisfaction is higher,is worth promoting.

关 键 词：藻酸盐敷料 肠造口手术 造口皮肤黏膜分离 护理效果 

分 类 号：R656.9[医药卫生—外科学]