造口袋收集护理在经皮肝穿刺胆道引流渗漏患者中的应用

Application of Stoma Bag Collection Nursing in Patients with Percutaneous Transhepatic Cholangial Drainage Leakage

目的研究造口袋收集护理在经皮肝穿刺胆道引流(PTCD)渗漏患者中的应用价值。方法选取2019年3月-2022年3月天津市第二人民医院行PTCD治疗且出现渗漏的184例患者为研究对象,按照随机数字表法分为对照组(92例)与观察组(92例)。对照组予以常规护理,观察组予以造口袋收集护理,比较两组穿刺点周围皮肤炎症发生情况、自我舒适度[视觉模拟评分法(VAS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、管周护理工作量、护理满意度。结果观察组穿刺点周围皮肤炎症发生率为58.70%,小于对照组的79.35%(P<0.05);两组护理后舒适度VAS评分、PSQI评分均低于护理前,且观察组低于对照组(P<0.05)。观察组护理频次、单次护理时长、日均护理时长均少于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论造口袋收集护理可降低PTCD渗漏患者的皮肤炎症发生率,改善其主观舒适度及睡眠质量,减少管周护理工作量,提高患者满意度。

Objective To study the application value of stoma bag collection nursing in patients with percutaneous transhepatic cholangial drainage(PTCD)leakage.Methods From March 2019 to March 2022,184 patients with PTCD treatment and leakage in Tianjin Second People's Hospital were selected as the research objects.According to the random number table method,they were divided into control group(92 cases)and observation group(92 cases).The control group was given routine nursing,and the observation group was given stoma bag collection nursing.The incidence of skin inflammation around the puncture point,self-comfort[Visual Analogue Scale(VAS)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)],perivascular nursing workload and nursing satisfaction were compared between the two groups.Results The incidence of skin inflammation around the puncture point in the observation group was 58.70%,which was lower than 79.35%in the control group(P<0.05).The VAS score and PSQI score of the two groups after nursing were lower than those before nursing,and those in the observation group was lower than those in the control group(P<0.05).The nursing frequency,single nursing time and daily average nursing time of the observation group were less than those of the control group(PP<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Stoma bag collection nursing can reduce the incidence of skin inflammation in patients with PTCD leakage,improve their subjective comfort and sleep quality,reduce the workload of peritubular nursing,and improve patient's satisfaction.