带气囊导尿管在危重病人大便失禁中的应用效果

The Application of Foley Catheter Care for Critically Ill Patients with Fecal Incontinence Effect

目的观察带气囊导尿管在大便失禁病人中引流大便的效果。方法选择2010年3月～2011年4月本科病人共发生大便失禁病人41例,随机分为对照组、实验组,对照组采用大便失禁的常规护理方法,实验组使用带气囊导尿管接负压袋引流大便。比较2组病人肛周皮肤破损发生率、护理成本消耗,并进行统计学分析。结果实验组病人肛周皮肤破损发生率、护理成本消耗均较对照组少(P<0.05),差异具有统计学意义。结论大便失禁病人留置带气囊导尿管引流大便可以减少肛周皮肤破损情况的发生,并减少护士工作量,成本消耗下降,值得临床推广。

Objective To observe with balloon catheter in patients with fecal incontinence drainage effect in the stool. Methods From 2010 march to 2011 april, 41 patients with fecal incontinence in our department were randomly divided into control group and experimental group, the control group was used conventional nursing methods of fecal incontinence while the experimental group with a balloon catheter was connected with the negative pressure bag drainage of stool. Results The patients in experimental group with perianal skin damage incidence and the care costs were much lower than that of in the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion Fecal incontinence in patients with indwelling catheter drainage with stool can reduce the perianal skin damage occurs, nurses wrorkload, cost and worthy of clinical application.