摘要
目的探讨袢式造口术后粘贴造口袋方法及护理效果。方法将2010年1月—2011年7月于南通大学附属医院行袢式造口的患者100例作为研究对象,按手术时间顺序分为观察组和对照组各50例,两组均由经过专门培训过的护士来操作,对照料组采用常规造口袋粘贴方法,观察组采用本课题组创新的"三一致"(裁剪造口底板开孔时,造口袋开口与支架放置方向一致;套入造口袋时,支架先进入造口袋内的方向与造口袋开口方向一致;造口底板保护纸预剪线与当时患者体位下粪便流出的方向一致)造口袋粘贴法。比较两组造口袋粘贴皮肤无渗漏的持续时间、粘贴造口袋操作时间、操作中手套与底盘粘胶粘连发生率、操作后手套破损率和护士手部细菌合格率。结果两组造口袋粘贴持续时间、粘贴造口袋操作时间、手套粘连发生率、手套破损发生率、护士手部细菌合格率比较,差异均具有统计学意义(P<0.05)。结论袢式造口术后采用"三一致"造口袋粘贴法有效解决了袢式造口术后带支架,大造口,粪便量多而稀、流速快的护理难题,能提高造口护理的效率与效果,值得临床推广应用。
Objective To explore a new pasting method of colostomy pouch after loop colostomy and discuss its nursing effect.Methods A total of 100 patients undergoing loop colostomy from January 2010 to July 2011 were divided into control group and observation group.Routine pasting method of colostomy pouch was applied in control group while in observation group,a new ＂three consistence＂ pasting method of colostomy pouch was used.The comparisons were conducted among lasting time of the colostomy pouch without leakage,pasting time,the adhesion incidence of gloves and chassis,the breakage rate of gloves and the bacteria pass rate of nurses＇ hands in two groups.Results All the comparisons indicated statistical significance（P0.05）.Conclusion The new ＂three consistence＂ pasting method of colostomy pouch is proved to be effective in practical use and is worthy of clinical application.
出处
《护理学报》
2012年第5期55-57,共3页
Journal of Nursing（China）
基金
南通大学附属医院院级课题(Tfh1006)
关键词
袢式造口
粘贴造口袋方法
粪性皮炎
loop colostomy
pasting method of colostomy pouch
stercoral dermatitis
