重症患者大便失禁肛周皮肤护理 干预新技术与临床效果
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The Protection of Perianal Skin with New Nursing Intervention Technology for ICU Fecal Incontinence Patients and Its Clinical Effects
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    摘要:

    通过观察对重症患者大便失禁肛周皮肤护理干预新技术应用的临床效果,采用对照组1用常规护理技术,给患者垫尿不湿和棉垫,然后随时进行大便清理,更换衣被和棉垫,对肛周进行擦拭清洁等。对照组2用单一使用卫生棉条或气囊气管导管护理技术;观察组针对不同的大便失禁患者,选用适应不同患者类型的重症患者大便失禁肛周皮肤护理流程和护理干预新技术;结果表明:观察组患者的肛周皮肤损伤发生率为2.78%,明显低于对照组1和对照组2,差异有统计学意义(P<0.01, χ2=15.23);根据不同的大便失禁患者类型,选择不同的肛周

    Abstract:

    To observe the clinical effects of the new nursing intervention technology on the protection of perianal skin caused by ICU fecal incontinence patients. Methods: For control group one, routine nursing methods were used, i.e. the patients were placed baby diapers and cotton pads, then feces should be cleaned; clothing, quilts and cotton pads should be changed, and perianal skin should be cleaned for the patients whenever necessary. For control group two, the nursing method of tampon or tracheal catheter was solely used. For observation group, based on different types of fecal incontinence patients, different nursing procedure and different nursing intervention technology were selected to protect perianal skin. Results: The rate of perianal skin damage for the observation group is 2.78%, which is apparently lower than control group one and control group two. The difference was statistically significant (P<0.01, χ2=15.23). Conclusion: The selection use of different nursing procedure and different nursing intervention technology based on different types of fecal incontinence patients can reduce the rate of perianal skin damage and nursing cost, which deserves to be popularized in clinical nursing.

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张传来.重症患者大便失禁肛周皮肤护理 干预新技术与临床效果[J].重庆工商大学学报(自然科学版),2015,32(12):84-87
ZHANG Chuanlai. The Protection of Perianal Skin with New Nursing Intervention Technology for ICU Fecal Incontinence Patients and Its Clinical Effects[J]. Journal of Chongqing Technology and Business University(Natural Science Edition),2015,32(12):84-87

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