改良造口护理与普通护理对造口皮肤的损伤情况对比分析

漆瑶 贾智勇 喻培 王小会

【摘 要】目的：观察改良造口护理与普通造口护理对造口皮肤损伤情况、住院满意度及住院时间的对比分析。方法：将达州市中西医结合医院120例造口住院患者随机分为观察组、对照组，每组各60例患者，对照组给予我科以往的普通造口护理，观察组给予改良造口护理，比较两组造口患者的造口周围的皮肤情况、住院满意度以及住院时间。结果：观察组造口周围皮肤损伤低于对照组，具有统计学意义（P<0.05）；观察组的住院时间较对照组缩短，具有统计学意义（P<0.05）；观察组的住院满意度较对照组明显提高，具有统计学意义（P<0.05）。结论：改良造口护理较普通护理在造口患者周围皮肤损伤情况方面具有明显优势，能缩短造口患者的住院时间，提高造口患者的住院满意度。

【关键词】改良造口护理；造口护理；周围皮肤损伤；对比分析

Contrastive analysis of improved colostomy care and colostomy care on skin injury aroundcolostomy

Qi Yao1， Jia ZhiYong2， Yu Pei1， Wang XiaoHui1

1.Dazhou Integrated TC M& Western Medicine Hospital，Dazhou Sichuan 635000， China； 2.Dazhou Central Hospital，Dazhou Sichuan 635000

【Abstract】Objective： To observe the comparative analysis of improved colostomy care and colostomy care on the skin damage around the colostomy patients and the satisfaction of the patients in hospital.Methods：A total of 120 colostomy inpatients in Da zhou Integrated TC M& Western Medicine Hospital were randomly divided into observation group and control group， with 60 cases in each group.The control group was given conventional colostomy care，and the observation group was given improved colostomy care.The skin damage around the colostomy，the satisfaction degree of hospitalization and the length of stay of the two groups were compared.Results：The condition of skin injury around the colostomy in the observation group were significantly lower than those in the control group， with statistical significance（P<0.05）. The length of stay in the observation group was significantly shorter than that in the control group， with statistical significance（P<0.05）.In terms of hospital satisfaction， the observation group was significantly higher than the control group， with statistical significance（P<0.05）. Conclusion：Compared with ordinary nursing care， improved colostomy care has obvious advantages in the situation of skin damage around colostomy patients， can shorten the hospital stay of colostomy patients， and improve the satisfaction of patients in hospital.

【Key？Words】Improved colostomy care；Colostomy care；Skin injury around colostomy；Contrastive analysis

造口通常意義上是指肠管以及泌尿系统等相关疾病手术时为了解决粪便或者尿液的排放而人工于腹部进行的手术开口。造口能够完美解决排泄物、引流等问题，同时加速术后康复；但由于其本身是有创操作，因此会造成造口手术患者周围皮肤出现感染、化脓、渗血、坏死、炎性肉芽肿等多种并发症发生率升高[1]。其中造口皮肤感染是最常见且较严重的并发症，造口皮肤感染不仅增加患者痛苦，而且严重威胁患者的生命健康[2]。陈旭[3]通过多因素logistic回归分析显示“不规范的造口护理操作、排泄物对造口造成的污染及部分患者体质对造口袋过敏等因素是导致患者造口周围皮肤损伤的独立危险因素”。……