摘要
目的:探讨老年肠造口患者造口定位及造口护理的方法,减少老年患者肠造口并发症的发生,提高其生存质量。方法:选择2012年1月-2013年3月我科行术前定位的肠造口患者60例,术前由造13治疗师、床位医师、护士、患者共同参与造13定位,急诊手术由手术医师进行;根据老年患者的特点,进行造13护理,预防和治疗造VI并发症。结果:本组术前定位的肠造口患者术后发生皮肤黏膜分离11例,造口周围炎14例,造口回缩6例,造口旁疝4例,造口脱垂1例。结论:术前造13定位使患者更容易接纳造口的存在,主动参与造口的护理,促进了护患关系,减少了造口患者并发症发生。
Objective : To explore the localizing and nursing methods of colostomy of elderly patients,to reduce the complications after co- lostomy and modify elderly patients' life quality. Methods:Chose 60 colostomy patients from January 2012 to March 2013, the decision of colostomy localization was made by a team of colostomy therapist, physician, nurse, and patient and the operation of colostomy was carried out by a surgeon. The eolostomy was cared and complications were tried to be avoided postoperatively according to the characteristics of elderly patients. Results : The colostomy positioning of the preoperative group after the occurrence of the skin and mucous membrane sepa- ration in 11 cases, 14 cases of peristomal infection, stoma contraction in 6 cases,4 cases of parastomal hernia, 1 case of stoma prolapse. Conclusion :Preoperative colostomy locolization may increase patients' trust medicl stuff,especially nurses and reduce negative psychologi- cal reaction and complications.
出处
《护理实践与研究》
2013年第20期40-42,共3页
Nursing Practice and Research
关键词
老年人
肠造口
术前定位
造口护理
Elderly patient
Colostomy
Reoperative locolization
Colostomy nursing