摘要
目的观察改良造口袋粘贴法在肠造瘘术后患儿造口护理中的应用效果。方法选取我院2011年6月—2013年6月行肠造瘘术后患儿86例,按随机数字表法分为对照组和观察组各43例。对照组采用传统造口袋粘贴法,观察组采用改良造口袋粘贴法,即在粘贴造口袋前先粘贴1张3 M水胶体敷料。比较两组患儿造口周围性皮炎发生率、皮肤损害的程度及造口袋使用时间。结果对照组患儿造瘘口周围皮肤完整7例,轻微红斑15例,明显红斑11例,融合性皮炎6例,溃疡出血4例,周围性皮炎发生率为84%,造口袋使用时间为(2.45±1.68)d。观察组患儿周围皮肤完整40例,轻微红斑3例,周围性皮炎发生率为7%,造口袋使用时间为(6.12±1.05)d。观察组周围性皮炎发生率、皮肤损害程度均低于对照组,造口袋使用时间长于对照组,差异有统计学意义(P<0.05)。结论改良造口袋粘贴法降低肠造口周围性皮炎发生率,减轻造口周围皮肤损害的程度,延长造口袋使用时间,进而减少造口袋更换次数,能有效地保护造瘘肠管及其周围娇嫩的肌肤,值得在临床推广使用。
Objective To observe the effect of improved ostomy pouch attachment for children after enterostomy. Methods Eightysix children after enterostomy were randomly divided into observation group（n=43）, in which before the pouch was attached, 3 M hydrophilic dressing was stuck to the skin and control group（n =43）, in which convention attachment was applied. Dermatitis incidence, skin damage and the time when the pouch needs to be changed in two groups were compared. Results In control group,intact skin was found in 7 children, mild erythemas in 15, obvious erythemas in 11, fusion dermatitis in 6 and ulcer bleeding in4. The incidence of dermatitis reached 84% and the ostomy pouch was changed every（2.45±1.68）d. while in observation group, intact skin was found in 40 children and mild erythemas in 3. The ostomy pouch was changed every（6.12 ±1.05）d. The incidence of dermatitis and the change frequency of the pouch were lower and the skin damage was less serious in observation group than those in control group（P0.05）. Conclusion The improved ostomy pouch attachment is effective for reducing the incidence of dermatitis and the degree of skin damage and extending the usage of the pouch, which is worth to be promoted clinically.
出处
《护理学报》
2015年第1期43-45,共3页
Journal of Nursing（China）
基金
广东省医学科研基金立项资助(B2013034)
