基于指南的失禁护理流程在脑卒中失禁患者中的应用

Application of the nursing procedures based on the instruction in incontinent patients with cerebral apoplexy

目的观察基于指南的失禁护理流程在脑卒中失禁患者中的应用效果。方法选择2014年3月-2015年2月脑卒中伴尿便失禁患者82例，实施失禁护理流程，观察患者的平均住院时间、伤口平均愈合时间、护理时间、IAD发生率与HAPU发生率，并将结果与失禁护理流程实施前1年的91例脑卒中失禁患者比较。结果实施失禁护理流程后，82例患者的平均住院时间、伤口平均愈合时间、护理时间、IAD发生率与HAPU发生率分别为（11．57±4．22）d、（3．12±1．25）d、（1．55±1．03）h、10．98％和0，与实施前比较差异均有统计学意义（P〈0．05）。结论基于指南的失禁护理流程可以降低脑卒中失禁患者的平均住院时间、伤口平均愈合时间和护理时间，同时降低失禁相关性皮炎与医院内获得性压疮的发病率。

Objective To observe the application effects of the nursing procedure based on the instruction in incontinent patients with cerebral apoplexy. Methods A total of 82 eases were selected from the incontinent patients with eerebral apoplexy between March 2014 to February 2015, implementing incontinence nursing procedures to them, and observing the average duration of hospitalization, healing time, the length of nursing care, the incidence rate of incontinence-associatian dermatitis （IAD） and HAPU. The results were used to compare with the 91 cases in one year ago, which the time before the implementation of the incontinence nursing procedure. Results After the implementation of the incontinence nursing procedure, the patients＇ s average duration of hospitalization, healing time, the length of nursing care, and the incidence rate of IAD and HAPU had shown as （11.57 ±4.22） d, （3. 12 ± 1.25） d, （1.55 ± 1.03） h, 10. 98% and 0, which were statistically significant from the results before the nursing procedures implementation （P 〈 0. 05）. Conclusions The nursing procedures based on the instructions can shorten the hospitalization duration, the length of healing time and nursing time, and decrease the incidence rate of IAD and HPAU.