综合护理干预在预防意识障碍患者失禁相关性皮炎中的应用效果

Effects of comprehensive nursing intervention on preventing incontinence-associated dermatitis in patients with mental disorder

目的 探索综合护理干预在预防意识障碍患者失禁相关性皮炎中的应用效果,为意识障碍患者失禁相关性皮炎提供有效的预防方法.方法 选取2015年4月—2016年12月在某二级综合医院住院的意识障碍伴大便失禁患者为研究对象,随机分为对照组和试验组,对照组采用肛门插入带囊气管导管接引流袋的方法引流大便,试验组采用造口袋接一次性连接管引流、液体敷料保护皮肤、0.9%氯化钠溶液持续冲洗造口袋等综合护理方法.结果 对照组每天护理时间为（62.00±6.41）min,试验组所需护理时间为（47.00±5.26）min,试验组护理时间低于对照组,差异具有统计学意义（t=4.24,P〈0.01）.试验组失禁相关性皮炎的发生率（26.92%）低于对照组（47.83%）,差异有统计学意义（χ^2=4.59,P〈0.05）.结论 采用综合护理方法可以降低意识障碍患者失禁相关性皮炎的发生率.

Objective To explore the effects of comprehensive nurisng intervention on prenventing incontinence-associated dermatitis in patients with consciousness disorder,and to provide effective prevention methods accordingly. Methods Patients with consciousness disorder and fecal incontinence who were admitted by a Grade Ⅱ general hospital between April 2015 and December 2016 were selected and randomly divided into an intervention group and a control group. Patients in the control group received stool drainage with anal tracheal catheter with aerocyst connected to drainage bags,while patients in the intervention group received comprehensive nurisng,including disposable drainage with stoma bags,skin protection with liquid dressing and stoma bag rinsing with 0.9% sodium chloride solution. Results The patients in the control group were nursed for（62.00±6.41）min a day,while the patients in the intervention group were nursed for（47.00±5.26） min a day. The patients in the intervention group needed shorter nursing time than the patients in the control group（t=4.24,P〈0.01）. The incidence of incontinence-associated dermatitis of the patients in the intervention group（26.92%）was lower than that of the patients in the control group（47.83%）（χ^2=4.59,P 〈 0.05）. Conclusions Comprehensive nurisng can reduce the incidence of incontinence-associated dermatitis in patients with mental disorder.