CAJ | 학술논문

目的观察气囊尿管对大便失禁危重患者肛周皮肤损伤的预防及护理效果.方法随机将60例大便失禁的危重患者分为3组,实验1组采用留置肛门气囊导尿管,实验2组取脱脂棉卷成条索状置于肛门口夹住,对照组大便后予湿巾纸擦拭再予清水清洗擦干.比较3组肛周皮肤护理效果.结果肛周皮肤损伤发生率比较,实验1组为10.0％,实验1组为30.0％,对照组为80.0％,对照组与实验1组比较差异有统计学意义(x2 =45.15,P＜0.01)；对照组与实验2组比较差异有统计学意义(x2=29.53,P＜0.01)；实验1组与实验2组比较差异有统计学意义(x2=23.33,P＜0.05).结论大便失禁的危重患者应用一次性导尿管引流能有效控制皮肤湿疹及压疮的发生,是一种理想的护理大便失禁的新方法,值得临床推广应用.
목적 관찰기낭뇨관대대편실금위중환자항주피부손상적예방급호리효과.방법 수궤장60례대편실금적위중환자분위3조,실험1조채용류치항문기낭도뇨관,실험2조취탈지면권성조색상치우항문구협주,대조조대편후여습건지찰식재여청수청세찰간.비교3조항주피부호리효과.결과 항주피부손상발생솔비교,실험1조위10.0％,실험1조위30.0％,대조조위80.0％,대조조여실험1조비교차이유통계학의의(x2 =45.15,P＜0.01)；대조조여실험2조비교차이유통계학의의(x2=29.53,P＜0.01)；실험1조여실험2조비교차이유통계학의의(x2=23.33,P＜0.05).결론 대편실금적위중환자응용일차성도뇨관인류능유효공제피부습진급압창적발생,시일충이상적호리대편실금적신방법,치득림상추엄응용.
Objective To study the effects of aerocyst-urethral catheter on preventing perianal skin lesions in critical ill patients with fecal incontinence.Methods Totals of 60 patients were randomly divided into three groups,first experimental group indwelled aerocyst-urethral catheter and second experimental group used skim cotton laps to clamped,while control group received cleaning after they defecated.Results The incidence of perianal skin injury in first experimental group was 10.0％,second experimental group was 30.0％ and control group was 80.0,difference between three groups was statistically significant ( P ＜ 0.01 or P ＜ 0.05 ).Conclusions Applying aerocyst-urethral catheter in critical ill patients with fecal incontinence is a new and better nursing method,which can effectively prevent eczema and bedsore happening and be worth clinical spread application.