前瞻性干预对尿流改道手术患者术后腹壁造口并发症的影响

Effect of prospective nursing intervention on complications of abdominal ostomy after urinary diversion surgery

目的 探讨前瞻性护理干预对尿流改道腹壁造口患者术后造口并发症的影响。 方法 选取2014年5月—2016年5月收治的40例尿流改道腹壁造口患者设为对照组,采用常规护理。另选取2016年6月—2018年6月收治的40例尿流改道腹壁造口患者设为观察组,采用前瞻性护理预防造口并发症。比较2组的造口护理能力、造口周围皮肤状况以及造口并发症。 结果 观察组出院当天、出院后3个月的造口护理自我意愿、护理技能、护理知识评分均显著高于对照组(P<0.05)。观察组出院后3个月的造口皮肤评分显著低于对照组,造口相关并发症显著少于对照组(P<0.05)。 结论 前瞻性护理干预能够提高尿流改道腹壁造口手术患者的造口护理能力,减少造口并发症。

Objective To explore the effect of prospective nursing intervention on the complications of urinary diversion patients with abdominal wall stoma. Methods A total of 40 urinary diversion patients with abdominal wall stoma admitted to our hospital from May 2014 to May 2016 were selected as the control group, given routine nursing, Another 40 patients from June 2016 to June 2018 were treated in our hospital as the observation group, receiving predictive nursing to prevent stoma complications. The stoma nursing ability, skin condition around the stoma and stoma complications were compared between the two groups. Results The self-willingness, nursing skills and nursing knowledge scores of the observation group at discharge and three months after discharge were higher than those of the control group( P <0.05). The score of stoma skin in the observation group was lower at 3 months after discharge, and the stoma-related complications were less than those in the control group( P <0.05). Conclusion Prospective nursing intervention can improve the stoma nursing ability of urinary diversion patients undergoing abdominal wall stoma and reduce stoma complications.