综合护理干预对肛肠外科肠内营养患者腹泻的影响分析

Effect of comprehensive nursing intervention on diarrhea in patients with enteral nutrition in Department of anus & intestine surgery

目的观察综合护理干预对肛肠外科肠内营养患者腹泻的影响。方法随机将2013年8月至2014年3月肛肠外科给予肠内营养支持的58例患者分为两组,每组29例。对照组给予常规护理,实验组采用综合护理方案:包括增加富含益生菌的酸奶供给、预防性观察、及时查找腹泻原因并采取相应措施、对腹泻患者使用地榆油做肛周处理等,观察两组患者在肠内营养期间的腹泻和肛周皮肤损伤的发生情况,以及患者的不良情绪。结果试验组共发生腹泻5例(17.24%),没有出现皮肤损伤;对照组共发生腹泻14例(48.28%),出现4例肛周皮肤损伤,两指标均存在显著性差异(p<0.05);试验组焦虑程度、疾病不确定感均显著低于对照组,舒适度显著高于对照组(p<0.05)。结论在肛肠外科肠内营养的患者护理中实施综合护理有助于减少腹泻及肛周皮肤损伤的发生,并能降低患者的不良情绪。

Objective To study the methods and effectiveness of comprehensive nursing intervention on enteral nutrition patients in Department of anus & intestine surgery.Methods In 2013 August ~2014 March,the Department of anus &.intestine surgery 58 patients using enteral nutrition were randomly divided into two groups.The control group used routine nursing care,the experimental group were given comprehensive nursing care,observed the effect of nursing.Resnlts The experimental group had 5 cases of diarrhea,no skin injury,the anxiety and uncertainty in illness were lower,comfort is higher than the control group,P < 0.05,the difference has statistical significance.Conclusions when patients in Department of anus & intestine surgery nursing of enteral nutrition,The implementation of integrated care helps to prevent diarrhea,and reduce the negative emotions of patients.