中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
6期
22-24
,共3页
梁霞%梁桂花%肖旭霞%符小敏
樑霞%樑桂花%肖旭霞%符小敏
량하%량계화%초욱하%부소민
结肠造口术%造口周围皮肤损伤%相关因素%护理对策
結腸造口術%造口週圍皮膚損傷%相關因素%護理對策
결장조구술%조구주위피부손상%상관인소%호리대책
Colostomy%Skin damage around the stoma%Relevant factors%Nursing intervention
目的 通过对Miles术后造口周围皮肤损伤的患者进行调查分析,针对影响因素采取干预措施,探索减少Miles术后造口周围皮肤损伤的有效方法.方法 在110例门诊随访的永久性结肠造口患者中,出现造口周围皮肤损伤62例,对每例患者发生造口周围皮肤损伤的原因进行回顾性分析,以明确可能影响Miles术后造口周围皮肤损伤的相关因素.结果 Miles术后造口周围皮肤损伤的发生率为56.36％；经Logistic多因素回归分析,与Miles术后造口周围皮肤损伤相关的因素有6个,患者排泄物刺激、造口袋过敏、更换造口袋操作不当、潜在皮肤疾病、过度刷洗/擦皮肤、对造口护理知识不熟悉等是患者造口周围皮肤损伤的影响因素.结论 选用合适的造口护理用品和粘贴方法,详细指导患者及家属造口护理知识与技能,可明显降低Miles术后造口周围皮肤损伤的发生率.
目的 通過對Miles術後造口週圍皮膚損傷的患者進行調查分析,針對影響因素採取榦預措施,探索減少Miles術後造口週圍皮膚損傷的有效方法.方法 在110例門診隨訪的永久性結腸造口患者中,齣現造口週圍皮膚損傷62例,對每例患者髮生造口週圍皮膚損傷的原因進行迴顧性分析,以明確可能影響Miles術後造口週圍皮膚損傷的相關因素.結果 Miles術後造口週圍皮膚損傷的髮生率為56.36％；經Logistic多因素迴歸分析,與Miles術後造口週圍皮膚損傷相關的因素有6箇,患者排洩物刺激、造口袋過敏、更換造口袋操作不噹、潛在皮膚疾病、過度刷洗/抆皮膚、對造口護理知識不熟悉等是患者造口週圍皮膚損傷的影響因素.結論 選用閤適的造口護理用品和粘貼方法,詳細指導患者及傢屬造口護理知識與技能,可明顯降低Miles術後造口週圍皮膚損傷的髮生率.
목적 통과대Miles술후조구주위피부손상적환자진행조사분석,침대영향인소채취간예조시,탐색감소Miles술후조구주위피부손상적유효방법.방법 재110례문진수방적영구성결장조구환자중,출현조구주위피부손상62례,대매례환자발생조구주위피부손상적원인진행회고성분석,이명학가능영향Miles술후조구주위피부손상적상관인소.결과 Miles술후조구주위피부손상적발생솔위56.36％；경Logistic다인소회귀분석,여Miles술후조구주위피부손상상관적인소유6개,환자배설물자격、조구대과민、경환조구대조작불당、잠재피부질병、과도쇄세/찰피부、대조구호리지식불숙실등시환자조구주위피부손상적영향인소.결론 선용합괄적조구호리용품화점첩방법,상세지도환자급가속조구호리지식여기능,가명현강저Miles술후조구주위피부손상적발생솔.
Objective To investigate the patients with postoperative skin damage around the stoma after Miles operation,take measures according to the influencing factors,and explore an effective way to reduce the incidence of skin damage around the stoma patients.Methods There were 62 cases of skin damage around the stoma in 110 cases of patients with permanent colostomy in out-patient follow-up.Each patient with skin damage occurring around the stoma were retrospectively analyzed the reasons,and the related factors that might affect Miles postoperative stoma skin damage were analyzed.Results The incidence rate of Miles postoperative skin damage around the stoma was 56.36％,through the multi-factor Logistic regression analysis,there were six related factors with the Miles postoperative skin damage around the stoma,patients' excrement stimulation,ostomy bag allergies,improper operation of the replacement of the ostomy bag,the potential skin disease,excessive scrub / rub the skin,unfamiliar with ostomy care knowledge were the influencing factors of patients with skin damage around the stoma.Conclusions Appropriate stoma care products and paste methods,detailed guiding of patients and their families about ostomy care knowledge and skills can significantly reduce the incidence rate of Miles postoperative skin damage around the stoma.
