团队管理模式在住院截瘫患者失禁性皮炎中的应用效果

Effects of team management model on incontinent dermatitis in paraplegic patients

目的探究团队管理模式对住院截瘫患者失禁性皮炎的防控效果。方法选取2016年3月-2018年2月于南京大学医学院附属鼓楼医院接受治疗的113例截瘫伴失禁患者为研究对象，按照入院时间先后顺序将其分为对照组和观察组，2016年3月-2017年2月入院的患者为对照组，共56例，2017年3月-2018年2月人院的患者为观察组，共57例，对照组采用常规干预法，观察组在对照组的基础上采用团队管理干预，连续干预4周，比较两组患者失禁性皮炎的发生率及负面情绪状况。结果干预后，观察组患者的失禁性皮炎发生率（5．26％）低于对照组（14．29％），差异有统计学意义（P〈0．05）；观察组患者负面情绪评分SAS（38．70±6．83）分、SDS（41．07±5．62）分，低于对照组的（46．39±8．15）分和（47．31±6．52）分，差异有统计学意义（尸〈0．05）。结论团队管理能够有效降低截瘫患者失禁性皮炎的发生率和患者的负面情绪，值得临床推广应用。

Objective To explore the effects of team management model on the prevention and control of incontinence dermatitis in patients with paraplegia. Methods A total of 113 patients with paraplegia and incontinence who were treated in Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School from March 2016 to February 2018 were enrolled in the study. They were divided into observation group and control group according to the sequence of admission. The patients who were admitted from March 2016 to February 2017 were assigned as the control group, with 56 cases. The patients who were admitted from March 2017 to February 2018 were assigned as the observation group, with 57 cases. The control group was treated with routine intervention. Team management was applied in the observation group on the basis of routine nursing for 4 weeks. The incidence of incontinence dermatitis and negative emotion were compared between the two groups. Results After intervention, the incidence of incontinent dermatitis of the observation group （5.26%） was significantly lower than that of the control group （14.29%）, and the difference was statistically significant （P 〈 0.05）. The scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale of the observation group were （38.70±6.83） and （41.07± 5.62）, which were both lower than those of the control group （46.39 ± 8.15） and （47.31 ± 6.52） respectively, and the differences were statistically significant （P 〈 0.05）. Conclusions Team management can effectively reduce the incidence of incontinence dermatitis and negative emotions in paraplegic patients, which is worthy of clinical promotion.