结肠造口病人住院期间造口底盘更换时间的研究

Research of replacement time of stoma chassis in patients with colon stoma during hospitalization period

[目的]探讨结肠造口病人住院期间造口底盘更换的适宜时间。[方法]采取单纯随机抽样方法将156例结肠造口病人分为A组、B组、C组,分别间隔3d、5d、7d更换1次造口底盘,观察其效果并比较造口周围皮肤状况、病人对造口的自我感受情况。[结果]B组底盘浸渍宽度、渗漏、造口周围皮肤并发症及造口材料费用等均优于C组(P<0.05),与A组差异无统计学意义(P>0.05)。[结论]结肠造口病人住院期间造口底盘更换间隔时间以5d为宜;标准的造口护理流程和适宜的造口底盘更换时间,能减少造口周围皮肤并发症的发生,病人感觉更舒适。

Objective：To investigate the suitable replacement time of colostomy stoma chassis during hospitalization.Methods：A total of 156 cases of colostomy patients using simple random sampling method were divided into A,B,C three groups,with the stoma chassis replacement interval of three days,five days,seven days respectively.Observation and comparison were conducted on the skin condition around the periosteal wound,DET score and the feeling of patients.Results：According to the comparison of the width of impregnated chassis,condition of leakage,probability of skin complications,DET score and the material expenses of these three sample groups,results of group B is better than that of group C（P〈0.05）,while the difference of group A was not statistical meaning（P〉0.05）.Conclusion：Under the standardized nursing procedure,the interval of five days is the most appropriate time for colostomy stoma patient to replace stoma chassis.It can reduce the probability of skin complications around stoma and make patient feel more comfortable during treatment.