CAJ | 학술논문

目的：对比研究集束化护理和常规护理在防治ICU腹泻患者肛周皮炎的临床效果。方法选择2012年1月＿2014年1月该院ICU中92例腹泻患者进行研究。按随机数表法,随机分为试验组47例,对照组45例,试验组采用集束化护理,对照组采用常规护理,经不同护理后,对两组患者周皮炎发生情况﹑愈合时间及肛周皮炎严重程度分级进行比较分析。结果经不同护理方法后,试验组肛周皮炎的发生率为8.5%,对照组肛周皮炎的发生率为33.3%,试验组肛周皮炎发生率显著低于对照组,两组比较差异有统计学意义﹙χ2=8.6441,P=0.0033﹚；试验组愈合时间显著少于对照组﹙P<0.05﹚；试验组发生肛周皮炎的严重程度分级优于对照组﹙P<0.05﹚。结论集束化护理用于防治ICU腹泻患者肛周皮炎效果良好,值得临床推广应用。
목적：대비연구집속화호리화상규호리재방치ICU복사환자항주피염적림상효과。방법선택2012년1월＿2014년1월해원ICU중92례복사환자진행연구。안수궤수표법,수궤분위시험조47례,대조조45례,시험조채용집속화호리,대조조채용상규호리,경불동호리후,대량조환자주피염발생정황﹑유합시간급항주피염엄중정도분급진행비교분석。결과경불동호리방법후,시험조항주피염적발생솔위8.5%,대조조항주피염적발생솔위33.3%,시험조항주피염발생솔현저저우대조조,량조비교차이유통계학의의﹙χ2=8.6441,P=0.0033﹚；시험조유합시간현저소우대조조﹙P<0.05﹚；시험조발생항주피염적엄중정도분급우우대조조﹙P<0.05﹚。결론집속화호리용우방치ICU복사환자항주피염효과량호,치득림상추엄응용。
Objective To compare the clinical effects of the bundles of care and conventional care in the prevention and treatment of ICU patients with diarrhea perianal dermatitis. Methods From January 2012 to January 2014 in our hospital ICU patients 92 cases with diarrhea were studied. According to a random number table method, 47 cases were randomly divided into experimental group and control group 45 cases, the test group received bundles of care, the control group received conventional care, after dif_ferent treatments, two groups of patients with peripheral dermatitis occurs, the healing time and anal Week dermatitis severity grade were analyzed. Results After different methods of care,the incidence of perianal dermatitis in the experimental group was 8.5%,which was significantly lower than 33.3%in the control group (χ2=8.6441, P=0.0033); experimental group healing time was significantly less than the control group (P<0.05); the severity classification for perianal dermatitis of the test group was better than the control group (P<0.05). Conclusion In the prevention and treatment , bundles of care for ICU patients with diarrhea prevention perianal dermatitis makes good effect, which is worthy of clinical application.