气液分离式造口袋在肠造口患者中的应用

Application of Gas-liquid Separation Bag in Patients with Enterostomy

目的探讨气液分离式造口袋(专利号:ZL 201920496008.X)在肠造口患者中的应用效果。方法选取2018年4月-2021年4月收治的70例肠造口术患者为研究对象,根据造口袋的不同将其分为两组:其中30例使用气液分离式造口袋的患者纳入观察组,40例使用普通造口袋的患者纳入对照组,对比两组排气、排液护理时间、24h更换频次、切口感染情况及住院时间,并对两组出院后生活质量评分和对造口袋使用满意度评分进行评价。结果观察组排气护理时间、排液护理时间短于对照组,造口袋更换频次低于对照组,差异有统计学意义(P<0.05),观察组切口感染发生率低于对照组但对比无显著差异(P>0.05);观察组住院期间及出院后SF-36量表中生理机能、生理职能、情感职能、精神健康、精力、社会功能、一般健康状况和躯体疼痛8个维度评分均高于对照组,差异有统计学意义(P<0.05);观察组对倾倒简单性、更换方便性、佩戴舒适性和使用时长评分均高于对照组,差异有统计学意义(P<0.05);两组对造口袋的易学性满意度评分比较无显著差异(P>0.05)。结论气液分离式造口袋可减少造口袋护理工作量和造口周围皮肤污染,对改善患者生活质量有一定优势。

Objective To explore the effect of gas-liquid separation ostomy bag(patent number:ZL 201920496008.X)in patients with enterostomy.Methods 70 enterostomy patients admitted from April 2018 to April 2021 were selected as the research objects,and they were divided into two groups according to the difference of the ostomy bag:Among them,30 patients who used the gas-liquid separation ostomy bag were included in the observation group,40 patients using ordinary stoma bag were included in the control group,the nursing time of exhaust and drainage,24-hour replacement frequency,incision infection and hospitalization were compared between the two groups,and the scores of quality of life after discharge and satisfaction with the use of artificial bags were evaluated.Results The nursing time of exhaust and drainage in the observation group was shorter than that of the control group.The frequency of ostomy bag replacement was lower than that of the control group.The difference was statistically significant(P<0.05).The incidence of incision infection in the observation group was lower than that of the control group but there is no comparison significant difference(P>0.05).The observation group had high scores on the eight dimensions of physiological function,physiological function,emotional function,mental health,energy,social function,general health status,and physical pain in the SF-36 scale during and after hospitalization in the observation group in the control group,and the difference was statistically significant(P<0.05).The observation group had higher scores of dumping simplicity,ease of replacement,wearing comfort and duration of use than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the satisfaction scores of the two groups on the ease of learning of the ostomy bag(P>0.05).Conclusion The gas-liquid separation ostomy bag can reduce the workload of ostomy care and skin pollution around the stoma,and has certain advantages in improving the quality of life of patients.