摘要
目的探讨造口袋收集护理在经皮肝穿刺胆道引流渗漏患者中的应用效果。方法选取2015年1月至2020年1月于我院接受治疗的100例经皮肝穿刺胆道引流后出现渗漏的患者作为研究对象,按照随机数字表法等分为观察组和对照组,对照组使用常规纱布敷料加压包扎,观察组使用造口袋收集护理。比较两组患者舒适度、干预前后周围皮肤损伤程度、每天换药时间、换药成本及换药频率。结果观察组舒适度高于对照组(P<0.05);观察组干预后1周、2周造口周围皮肤评估工具(DET)评分均低于对照组(P<0.05);观察组每天换药时间短于对照组,换药成本、换药频率均低于对照组(P<0.05)。结论造口袋收集护理能够改善经皮肝穿刺胆道引流渗漏患者的舒适度,降低周围皮肤损伤程度,缩短每天换药时间,减少换药成本及换药频率。
Objective To explore the application effect of collecting nursing with an ostomy bag in patients who underwent leakage of biliary drainage caused by percutaneous liver puncture.Methods To select 100 cases of patients who underwent leakage of biliary drainage caused by percutaneous liver puncture and were treated in our hospital from January 2015 to January 2020 as the study objects.According to the random number table method,they were equally divided into an observation group and a control group,and regular gauze dressing was used for compression bandaging in the control group,and the observation group used collecting nursing with an ostomy bag.The comfort of patients,the degree of peripheral skin damage before and after the intervention,the time of dressing change per day,the cost of dressing change and the frequency of dressing change were compared between the two groups.Results The comfort in the observation group was higher than that in the control group(P<0.05).The scores of discolouration,erosion and tissue(DET)of the skin around the stoma in the observation group were lower than those in the control group at 1 week and 2 weeks after the intervention(P<0.05).The the time of dressing change per day in the observation group was shorter than that in the control group,and the cost of dressing change and the frequency of dressing change were lower than those in the control group(P<0.05).Conclusion The application of collecting nursing with an ostomy bag can improve the comfort of patients who underwent leakage of biliary drainage caused by percutaneous liver puncture,reduce the degree of peripheral skin damage,shorten the daily dressing change time,and reduce the cost and frequency of dressing change.
作者
李凡
翁霞玲
李杨玲
LI Fan;WENG Xia-ling;LI Yang-ling
出处
《护理实践与研究》
2020年第17期145-147,共3页
Nursing Practice and Research
关键词
造口袋
经皮肝穿刺胆道引流
舒适度
Ostomy bag
Biliary drainage caused by percutaneous liver puncture
Comfort
