改良式腹带使用技术在腹部造口术围手术期的应用

A modified technology for use in the perioperative application of abdominal ostomy

目的探讨改良式腹带使用技术在腹部造口术围手术期的应用。方法选取2017年1月~2018年3月于萍乡市人民医院行腹部造口术患者40例为研究对象。所有患者按入院时间顺序随机分为改良组与常规组,每组20例。改良组在围手术期采用改良式腹带,常规组在围手术期采用常规腹带。比较两组患者造口袋固定效果、术后并发症、护理满意度、下床活动时间和住院时间。结果改良组出现造口处压迫感1例,固定效果明显优于常规组(P<0.05);改良组并发症发生率5.00%,明显低于常规组的25.00%(P<0.05);改良组总护理满意度95.00%,明显高于常规组的75.00%(P<0.05);改良组下床活动时间(2.89±0.34)d,住院时间(6.82±3.19)d,均较常规组短(P<0.05)。结论改良式腹带应用于腹部造口术患者围手术期,造口袋固定效果更佳,降低了患者术后并发症的发生率,提高了患者满意度,缩短了患者下床活动时间和住院时间,临床应用效果好,值得推广应用。

Objective To Investigate the improved use of technology in the application of abdominal perioperative abdominal ostomy.Methods 40 cases of abdominal stoma in Pingxiang People＇ s Hospital from January 2017 to March 2018 were selected as the subjects. All patients were randomly divided into the modified group and the routine group according to the order of admission time, 20 cases in each group. The modified group in the perioperative period with modified abdominal, the routine group in the perioperative period by conventional abdominal. The effect of ostomy bag fixation, postoperative complications, nursing satisfaction, ambulation time and hospitalization time were compared between the two groups.Results In the modified group, there was one cases of stoma pressure, and the fixation effect was better than that of the routine group（P0.05）.complications of the modified group was 5.00%, significantly lower than the routine group 25.00%（P0.05）; the total nursing satisfaction of the modified group was 95.00%, which was significantly higher than that of the routine group（75.00%）（P0.05）. The time of getting out of bed in the modified group（2.89±0.34） d and the hospitalization time（6.82±3.19） d were shorter than those in the routine group（P0.05）. Conclusion The modified bandage applied to surgery in patients with abdominal stoma, ostomy bag fixation effect is better, reduce the incidence of postoperative complications, improve patient satisfaction, shorten the patient ambulation time and hospitalization time, good clinical effects, it is worthy of popularization and application.