用两种方法对脊髓损伤并发大便失禁患者进行护理对其失禁性皮炎发生率的影响

The effect of two nursing methods on the incidence of incontinence dermatitis in patients with spinal cord injury complicated with fecal incontinence

目的:探讨并分析用系统性健康教育联合卫生棉条塞肛法对脊髓损伤并发大便失禁患者进行护理对其失禁性皮炎发生率的影响.方法:将近年来广元市中心医院收治的84例脊髓损伤并发大便失禁患者按照入院时间的不同分为观察组(n=84)与对照组(n=84).对两组患者均进行对症治疗与常规护理,在此基础上采用系统性健康教育联合卫生棉条塞肛法对观察组患者进行护理,然后比较两组患者的各项临床指标.结果:护理后,观察组患者失禁性皮炎的发生率低于对照组患者,其入院至Ⅰ级~Ⅲ级失禁性皮炎发生的时间均长于对照组患者,P<0.05.护理后,观察组患者中Ⅰ级~Ⅲ级失禁性皮炎患者皮损区愈合的时间均短于对照组,P<0.05.护理后,观察组患者中Ⅰ级~Ⅲ级失禁性皮炎患者每天清洗患处的次数均少于对照组患者,P<0.05.结论:用系统性健康教育联合卫生棉条塞肛法对脊髓损伤并发大便失禁患者进行护理能显著降低其失禁性皮炎的发生率,延缓其失禁性皮炎发生的时间,促进其皮损区的愈合.

objective:to investigate and analyze the effect of systematic health education combined with tampon insertion on the incidence of incontinence dermatitis in patients with spinal cord injury complicated with fecal incontinence.Methods:in recent years,84 patients with spinal cord injury complicated with fecal incontinence admitted to guangyuan central hospital were divided into observation group(n=84)and control group(n=84)according to the different admission time.Patients in the two groups were given symptomatic treatment and routine nursing.On this basis,patients in the observation group were given nursing care through systematic health education combined with tampon insertion method,and then the clinical indicators of patients in the two groups were compared.Results:after nursing,the observation group,the incidence rate of incontinent dermatitis in patients than controls,patients with its admission to levelsⅠ~Ⅲincontinent dermatitis of time longer than the control group patients,P<0.05.After nursing,the observation group patients levelsⅠ~Ⅲincontinent dermatitis patients with skin lesion area healing time is shorter than the control group,P<0.05.After nursing,the observation group patients levelsⅠ~Ⅲincontinent dermatitis patients every day clean the number of affected patients less than control group,P<0.05.Conclusion:nursing care of patients with spinal cord injury complicated with fecal incontinence by means of systematic health education combined with tampon insertion can significantly reduce the incidence of incontinence dermatitis,delay the occurrence time of incontinence dermatitis,and promote the healing of the lesion area.