造口适应特殊关注式延续护理在经皮微创膀胱造瘘术患者中的应用

Application of Ostomy Adapted to Continuation Nursing in Patients with Minimal Invasive Bladder Fistula

目的:探讨造口适应特殊关注式延续护理在经皮微创膀胱造瘘术患者中的应用方法及效果。方法:将86例经皮微创膀胱造瘘术后带管出院患者随机分为实验组和对照组各43例,对照组接受经皮微创膀胱造瘘术后常规延续护理,实验组加用造口适应特殊关注式延续护理干预,比较两组护理效果。结果:实验组造口适应评分显著高于对照组(P <0. 05),出院后6个月内感染及导管类并发症发生率显著低于对照组(P <0. 05)。结论:造口适应特殊关注式延续护理可显著改善经皮微创膀胱造瘘术患者造口适应水平,降低院外造口相关并发症发生率。

Objective To explore the application and effects of ostomy adapted to special attention - based continuation nursing in patients with percutaneous minimally invasive bladder fistula. Methods： A total of 86 patients who were discharged from the hospital after percutaneous minimally invasive bladder fistulas were randomly divided into the experimental group and the control group, 43 cases in eachgroup. The control group received routine continuation of care after percutaneous minimally invasive bladder fistula. The experimental groupwas treated with ostomy to adapt to special continuous nursing intervention, and the nursing effects of the two groups were compared. Results： The ostomy adaptation score of the experimental group was significantly higher than that of the control group（ P 〈 0. 05） . The incidence of infection and catheter complication was significantly lower than that of the control group within 6 months after discharge（ P 〈0. 05） . Conclusion： Continuous nursing with special concern for stoma adaptation can significantly improve the level of stoma adaptation inpatients undergoing minimally invasive percutaneous cystostomy and reduce the incidence of stoma related complications outside the hospital.