集束化护理在腹泻患者中的应用效果

游秀梅　林渭珍　张玉芳

[摘要] 目的 探究针对防治腹泻患者发生肛周皮炎中应用集束化护理的效果。 方法 自2013年1月～2014年1月期间，选取我院收治的共88例腹泻患者作为此次的研究对象，随机将其分为研究组与对照组各44例，给予对照组常规肛周皮肤护理措施，给予研究组集束化护理的干预措施，对比分析两组患者发生肛周皮炎的机率以及皮炎愈合的时间。 结果 研究组发生肛周皮炎的机率是6.82%，平均愈合时间为（2.15±0.45）d；对照组的发生率是18.19%，平均愈合时间为（4.48±2.46）d，组间对比差异有统计学意义（P<0.05）。 结论 针对防治腹泻患者发生肛周皮炎中应用集束化护理获得理想的临床效果，有助于减少腹泻患者发生肛周皮炎的风险，有助于缩短皮炎愈合的时间，对提高患者的生活质量具有重要的意义，值得在临床中普及应用。

[关键词] 腹泻患者；集束化护理；应用效果

[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2015）11-83-03

[Abstract] Objective To explore the effect of applying bundled nursing in the treatment of patients with diarrhea to prevent and treat perianal dermatitis. Methods 88 patients with diarrhea who were admitted to our hospital from January 2013 to January 2014 were selected as research subjects，and they were randomly allocated to research group and control group with 44 patients in each group.The control group was treated with conventional perianal nursing，and the research group was interfered with bundled nursing.The probability of getting perianal dermatitis and healing time of dermatitis of two groups were compared and analyzed. Results The rate of getting perianal dermatitis of research group was 6.82%，and the average healing time was（2.15±0.45）days.The rate of getting perianal dermatitis of control group was 18.19%，and the average healing time was（4.48±2.46）days.The difference was statistically significant （P<0.05）. Conclusion Application of bundled nursing has an ideal effect in the treatment of patients with diarrhea to prevent and treat perianal dermatitis，which can reduce the risk of getting perianal dermatitis for patients with diarrhea and shorten healing time of dermatitis.It has a significant meaning in improving patients' life quality，which is worthy of clinical promotion and application.

[Key words] Patients with diarrhea；Bundled nursing；Application effect

外科患者容易受到术后肠胃功能紊乱的影响，使其极易发生腹泻或者尿便失禁的现象，临床通常选择抗生素以及肠内的治疗方式达到控制的目的，但容易导致部分患者肠内菌群紊乱而致腹泻的现象发生[1]。过度的排便刺激会导致腹泻患者更容易发生肛周皮炎，对患者的生活造成严重影响。自2013年1月～2014年1月期间，选取我院收治的共88例腹泻患者作为此次的研究对象，通过给予常规和集束干预的对比护理，为探索出适合本院腹泻患者防治肛周皮炎发生的护理方法，获得较为满意的研究效果，现报道如下。

1 资料与方法

1.1 一般资料

自2013年1月～2014年1月期间，选取我院

收治的共88例腹泻患者作为此次的研究对象，全部患者均知情治疗方式并签署同意书，且患者每天排便的次数均≥4次。将88例患者根据随机分为两组，研究组与对照组各44例。……