ISSN 1672-9234　CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　中文科技期刊数据库
中华护理教育

中华护理教育 ›› 2021, Vol. 18 ›› Issue (11): 1027-1031.doi: 10.3761/j.issn.1672-9234.2021.11.013

• 临床实践 • 上一篇    下一篇

肠造口患者底盘渗漏规范化管理的实施成效

韦迪(),朱小妹(),李旭英,谌永毅,陈玉盘,刘华云   

  1. 410013 长沙市 湖南省肿瘤医院造口伤口失禁护理中心/JBI湘雅循证实践与健康创新中心
  • 收稿日期:2021-02-09 出版日期:2021-11-20 发布日期:2021-11-26
  • 通讯作者: 朱小妹
  • 作者简介:韦迪：男,硕士,护师,E-mail： 211439486@qq.com
  • 基金资助:
    湖南省伤口康复临床医学研究中心(2018SK7005);湖南省科技创新计划项目(2018SK50905);湖南省肿瘤医院科研攀登计划(2020QH010)

The effects of standardized management of chassis leakage for patients with enterostomy

WEI Di(),ZHU Xiao-mei(),LI Xu-ying,CHEN Yong-yi,CHEN Yu-pan,LIU Hua-yun   

  • Received:2021-02-09 Online:2021-11-20 Published:2021-11-26
  • Contact: Xiao-mei ZHU

HTML阅读

PDF下载

赞

摘要：

目的 探讨肠造口患者底盘渗漏规范化管理的实施成效。方法 选取2019年9月—2020年2月的肠造口术后患者为对照组,实施常规护理,在此期间护理部组织无漏病房建设小组成员对其底盘渗漏发生率进行基线调查,通过鱼骨图对造口患者发生底盘渗漏的原因进行分析并制订干预措施。2020年3月—8月的肠造口术后患者设为试验组,护士从患者及照顾者、医护人员、材料等方面进行改进,包含造口定位、健康教育、延续管理等内容。比较两组患者造口护理知识技能水平、底盘渗漏发生率、患者满意度。结果 两组患者造口护理知识技能水平分别为（80.04±7.43）分和（96.25±6.53）分,差异有统计学意义（t=11.115,P<0.001）。对照组有14例患者发生底盘渗漏,试验组无底盘渗漏发生,差异有统计学意义（χ2=16.042,P<0.001）;两组造口患者满意度分为（39.07±6.53）分和（46.39±5.82）分,差异有统计学意义（t=6.206,P<0.001）。结论 开展无漏病房规范化管理,提高了患者造口护理知识技能水平,降低了患者底盘渗漏发生率,提升了患者住院满意度水平。

关键词: 肠造口术, 临床管理, 患者安全, 底盘渗漏

Abstract:

Objective To examine the effects of standardized management of chassis leakage for patients with enterostomy. Methods The patients were included in the control group from September 2019 to February 2020,and the team member of a non-leakage ward construction group investigated the baseline incidence of chassis leakage and analyzed the causes of leakage through fishbone diagram. Intervention measures were then developed. The patients were included in the experimental group from March to August 2020,and improvements were made including stoma location,health education and continuation management. Patients’ stoma care knowledge and skills level,chassis leakage incidence,and patient satisfaction were compared between the two groups. Results The score of knowledge and skills of patients were（80.04±7.43）and（96.25±6.53）between the two groups（t=11.115,P<0.001）. Fourteen patients had chassis leakage in the control group,but no chassis leakage was found in the experimental group implementation（χ2=16.042,P<0.001）. The score of satisfaction of patients was（39.07±6.53） and （46.39±5.82） between the two groups（t=6.206,P<0.001）. Conclusion The non-leakage ward improves the knowledge and skills of ostomy patients,reduces the incidence of chassis leakage and improves the satisfaction level of patients.

Key words: Enterostomy, Clinical Governance, Patient Safety, Chassis leakage