一次性输液器联合导尿管造口灌肠对结肠造口术后肠梗阻患者获益的护理研究

Nursing Study of Disposable Infusion Device Combined with Ureterostomy Enema for Patients with Intestinal Obstruction after Colostomy

目的:研究一次性输液器联合导尿管造口灌肠在结肠造口术后肠梗阻患者中的护理应用及价值。方法:选取本院2019年6-9月收治的结肠造口术后肠梗阻患者80例,将患者随机分为两组,每组各40例。对照组以结肠灌洗套件进行造口灌肠,研究组以一次性输液器联合导尿管造口灌肠,对比两组患者配合治疗的依从性,患者对造口灌肠的满意度,造口灌肠均次费用,住院时间。结果:对照组治疗依从性为72.5%,研究组为92.5%,两组比较差异有统计学意义(χ^2=0.019,P<0.05)。对照组患者满意度为75.0%,研究组为95.0%,两组比较差异有统计学意义(χ^2=0.012,P<0.05)。对照组均次费用为(353.7±87.3)元,研究组为(102.2±43.4)元,两组比较差异有统计学意义(t=16.378,P<0.05);对照组平均住院时间为(15.5±3.4)d,研究组为(9.7±2.1)d,两组比较差异有统计学意义(t=9.179,P<0.05)。结论:结肠造口术后肠梗阻患者在造口灌肠护理中,采用一次性输液器联合导尿管进行造口灌肠,患者接受治疗与护理的依从性更高,且患者舒适度更高,满意度更高,能够促进护患关系融洽,且一次性输液器联合导尿管进行造口灌肠,在均次费用上更低,患者住院时间更短,具有较好的经济性。因此,一次性输液器联合导尿管进行造口灌肠护理,在护理价值上更显著。

Objective:To study the nursing application and value of disposable infusion device combined with catheter enema in patients with intestinal obstruction after colostomy.Method:A total of 80 patients with postoperative intestinal obstruction were selected from June to September 2019 in our hospital,the patients were randomly divided into two groups,40 cases in each group.The control group used colonic lavage kit for enema,the study group used disposable infusion device combined with catheter enema to compare the compliance of the two groups of patients with the treatment,the satisfaction of the enema,the average cost of enema,and the hospitalization time.Result:In the comparison of treatment compliance,the control group was 72.5%,and the study group was 92.5%,the difference was significant,the data was statistically significant(χ^2=0.019,P<0.05).In the patients’satisfaction comparison,the control group was 75.0%,the study group was 95.0%,the data was statistically significant(χ^2=0.012,P<0.05).In the comparison of the average cost of enema,the control group was(353.7±87.3)yuan,the study group was(102.2±43.4)yuan,the difference was statistically significant(t=16.378,P<0.05).In the comparison of the average hospitalization time,the control group was(15.5±3.4)d,and the study group was(9.7±2.1)d,the difference was statistically significant(t=9.179,P<0.05).Conclusion:The patients with intestinal obstruction after colostomy use disposable infusion device combined with catheter for enema,the patients have higher compliance with treatment and nursing,higher comfort,higher satisfaction,and can promote the harmonious relationship between nurse and patient,and the disposable infusion device combined with catheter for enema,lower average cost,shorter hospital stay and better economy.Therefore,the nursing value was more significant of disposable infusion device combined with the catheter.