ICU危重患者肛周皮肤护理的临床研究

Clinical Research on the Effects of Protection of Perianal Skin Caused by Fecal Incontinence of ICU Patients

目的:观察重症大便失禁患者肛周皮肤保护进行不同护理干预的临床疗效。方法:对照组1采用常规护理方法,给患者垫棉垫、尿不湿,然后随时清理大便,更换棉垫、衣被,擦拭清洁肛周等。对照组2采用单一使用气囊气管导管或卫生棉条的护理方法。观察组选择性使用"气囊气管导管引流大便或卫生棉条吸引大便,同时联合康乐宝皮肤护理膜和造口粉"的方法。结果:观察组在肛周皮肤损伤发生率、护理材料费用等方面明显低于对照组,差异有统计学意义(P<0.05)。结论:选择性使用"气囊气管导管引流大便或卫生棉条吸引大便,同时联合康乐宝皮肤护理膜和造口粉"的方法,是一种比较理想的护理干预方法,能降低肛周皮肤损伤发生率和护理材料费用,值得在临床护理工作中推广应用。

Objective:To observe the clinical effects of protection of perianal skin caused by fecal incontinence of ICU patients with different nursing intervention methods. Methods:For control group one, routine nursing methods were used, i.e. the patients were put cotton pads and baby diapers, then feces should be cleaned; the cotton pads, clothing and quilts should be changed and perianal skin should be cleaned for the patients whenever necessary. For control group two, the nursing method of tracheal catheter or tampon was solely used. For observation group, the se-lection of tracheal catheter or tampon was used to drain feces or absorb feces, in combination use of skin care mem-brane and stoma powder. Results:The rate of perianal skin damage and the cost of nursing materials for the observa-tion group are apparently lower than the control groups. The difference was statistically significant (P<0.05). Conclu-sion:The selection use of tracheal catheter or tampon in combination use of skin care membrane and stoma powder is an ideal nursing intervention method and deserves to be popularized in clinical nursing in that it can reduce the rate of perianal skin damage and the cost of nursing materials.