肠造口患者底盘渗漏规范化管理的实施成效

doi:10.3761/j.issn.1672-9234.2021.11.013

摘要/Abstract

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

韦迪,朱小妹,李旭英,谌永毅,陈玉盘,刘华云. 肠造口患者底盘渗漏规范化管理的实施成效[J]. 中华护理教育, 2021, 18(11): 1027-1031.

WEI Di,ZHU Xiao-mei,LI Xu-ying,CHEN Yong-yi,CHEN Yu-pan,LIU Hua-yun. The effects of standardized management of chassis leakage for patients with enterostomy[J]. Chinese Journal of Nursing Education, 2021, 18(11): 1027-1031.

图/表 3

参考文献 12

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