CAJ | 학술논문

目的探讨造口负压吸引装置在合并大便失禁的危重病人肛周皮肤护理中的效果.方法对于大便失禁的危重病人,通过对肛门使用造口袋连接2根一次性引流管,将1根连接中心负压吸引装置进行间断或者持续负压吸引为吸引管,压力-20~-40 kPa,另1根定期用灌食空针抽取温开水或生理盐水清洗为冲洗管,冲洗结束后用橡皮筋捆扎.结果25例发生大便失禁危重病人中,造口袋连接负压吸引装置使用最长15.6 d,最短3.3 d,平均6.7 d;除1例Ⅲ度肛周皮肤损伤病人死亡外,肛周皮肤损伤Ⅰ度和Ⅱ度共16例病人停用造口袋连接负压吸引装置时,皮肤均愈合、潮红消退;肛周皮肤完好8例病人无出现皮肤损伤.结论造口袋负压吸引装置能够避免大便对肛周皮肤的刺激,保护肛周皮肤;加强危重病人观察,保证危重病人的安全,降低护理成本,有效减少护士的工作量,可以在ICU推广使用.
목적탐토조구부압흡인장치재합병대편실금적위중병인항주피부호리중적효과.방법대우대편실금적위중병인,통과대항문사용조구대련접2근일차성인류관,장1근련접중심부압흡인장치진행간단혹자지속부압흡인위흡인관,압력-20~-40 kPa,령1근정기용관식공침추취온개수혹생리염수청세위충세관,충세결속후용상피근곤찰.결과25례발생대편실금위중병인중,조구대련접부압흡인장치사용최장15.6 d,최단3.3 d,평균6.7 d;제1례Ⅲ도항주피부손상병인사망외,항주피부손상Ⅰ도화Ⅱ도공16례병인정용조구대련접부압흡인장치시,피부균유합、조홍소퇴;항주피부완호8례병인무출현피부손상.결론조구대부압흡인장치능구피면대편대항주피부적자격,보호항주피부;가강위중병인관찰,보증위중병인적안전,강저호리성본,유효감소호사적공작량,가이재ICU추엄사용.
@@@@Objective To explore the effects of ostomy suction on perianal skin care of critically ill patients with fecal incontinence. Methods The participants included 25 patients with fecal incontinence. The anal ostomy bags were connected with two disposable drainage tubes. Tube A was connected with a central suction device, and was set in an intermittent or continuous negative pressure of-20~-40 kPa and tube B was regularly cleaned by feeding empty needle extracting warm water or saline, and was then bundled with rubber bands after rinse. Results Among 25 patients, the maximum duration of the ostomy bag connecting suction device was 15.6 days, and the minimum 3.3 days. Except one patients with Ⅲ perianal skin damage had died, sixteen patients with I and II perianal skin damage recovered and their skin flushing were subsided;eight patients with intact perianal skin showed no skin damage after the usage of ostomy bag connecting suction devices. Conclusion The ostomy bag connecting suction devices is effective for avoiding the perianal skin irritation of stool and protecting perianal skin intact, which is also helpful in ensuring the security of critically ill patients and reducing care costs. Meanwhile, ostomy bag connecting suction devices effectively reduce the workload of nurses and could be widely promoted in ICU care.