结肠造口健康宣教在家属及自我护理中的影响

The influence of colostomy health education on family and self care

目的:评价健康宣教对于结肠造口患者术后的影响。方法:通过科室每周举办的阳光之家大讲堂以模型示范及家属参与的方式,使每例患者及家属能真正掌握正确的造口袋更换技术及各种注意事项。结果:148例造口患者,因低蛋白血症造口水肿持续7 d 3例;有部分造口黏膜坏死3例;因极度消瘦造口袋粘贴困难4例,导致粪水性皮炎的发生;其余的造口均正常。所有患者或家属都能在医护人员指导下完成造口护理。结论:护理人员给予有效的健康宣教,患者及家属便能尽快掌握正确的造口护理的方法及识别常见造口并发症。

Objective:To evaluate the effect of health education on postoperative patients with colostomy.Methods:Through the weekly sunshine home auditorium,with model demonstration and family participation,each patient and his family can really master the correct bag replacement technology and all kinds of matters needing attention.Results:In 148 cases of stomatostomy,3 cases with oedema of hypoproteinemia lasted 7 days,some of the mucosal necrosis in 3 cases,4 cases due to extreme weight loss pocket paste difficult,which lead to the occurrence of fecal dermatitis and the rest of the opening-producing was normal.All patients or family members could complete opening-producing care under the guidance of the medical staff.Conclusion:The nursing staff give effective health education,and the patients and their families can grasp the correct method of stoma nursing as soon as possible and identify the common opening-producing complications.