卫生棉条联合创面修复抗菌敷料在ICU患者大便失禁相关性皮炎护理中的效果

Nursing effect of tampon combined with wound repairing antibacterial dressing in intensive care unit patients with fecal incontinence associated dermatitis

目的探讨卫生棉条联合创面修复抗菌敷料在重症监护室(ICU)患者大便失禁相关性皮炎(IAD)护理中的效果。方法选择2017年10月—2018年12月四川省简阳市人民医院ICU大便失禁患者180例,采用随机数字表法分为三组,对照组(A、B组)和实验组(C组),各60例,A组应用卫生棉条塞肛治疗,B组应用创面修复抗菌敷料,C组同时给予A、B两组的治疗方法。持续护理1个月,比较三组间失禁相关性皮炎发生率、严重程度、护理费用、愈合时间和护理满意度。结果护理后,C组IAD发生率、严重程度、愈合时间及护理费用明显低于A、B组(P<0.05),且C组未发生IAD患者费用明显低于A、B组(P<0.05);C组总满意度明显高于A、B组(P<0.05)。结论卫生棉条联合创面修复抗菌敷料对于ICU患者IAD护理效果显著,且能够明显降低护理费用,显著提高患者的护理满意度,值得在临床推广使用。

Objective To investigate the effect of tampon combined with wound repairing antibacterial dressing on the care of patients with incontinence-associated dermatitis in ICU.Methods From October 2017 to December 2018,180 patients who met the criteria for fecal incontinence were selected from department of ICU in Jianyang Municipal People′s Hospital.The randomized number table method was used to divide the patients into three groups,the control group(group A,B)and the experimental group(group C),with 60 patients in each group.The group A was treated with tampon perforator anal therapy,the group B was treated with wound repairing antibacterial dressing,and the group C was given two treatments in the same period.The incidence,severity,nursing expenses,healing time,and nursing satisfaction of incontinent-associated dermatitis(IAD)were compared among the three groups after one month of continuous nursing care.Results After nursing,IAD incidence,severity,healing time and nursing expenses in group C were significantly lower than those in group A and B(P<0.05),and the expenses of patients without IAD in group C were significantly lower than those in group A and B(P<0.05).The total satisfaction degree in group C was significantly higher than that in group A and B(P<0.05).Conclusion The tampon combined with wound repairing antibacterial dressing has a significant nursing effect on ICU patients with fecal incontinence related dermatitis which can significantly reduce the nursing cost of patients and improve the satisfaction of patients.It is worthy of clinical application.