作者：昌佳，熊伟昕，谢美玉

单位：中山大学附属第一医院 胃肠外科中心胃肠三科，广东 广州 510080

Authors:  CHANG Jia, XIONG Weixin, XIE Meiyu

Unit:  Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China

摘要：

目的  探讨改良式造口袋改善患者回肠造口排泄物的处理,提高患者舒适度的效果。方法  将120例术后留有回肠造口的患者随机分成观察组和对照组。对照组使用普通造口袋,观察组采用改良式造口袋对患者进行护理。评估患者每次更换造口袋的间隔时间、造口周围皮肤污染次数,患者的舒适度。结果  观察组与对照组比较发现,每次更换造口袋的时间间隔明显增加,造口周围皮肤污染次数减少,患者的舒适度提高(P<0.05)。结论  改良式造口袋可明显增加护理工作人员更换造口袋的间隔时间,减少造口周围皮肤污染次数,提高患者的舒适度。

关键词： 回肠造口; 造口袋; 引流瓶; 护理

Abstract：

Objective  To explore the effect of improved ostomy pouching system in management of intestinal waste and improving the comfort of patients. Methods  120 patients with ileostomy after operation were randomly assigned to observation group and control group. The control group used common pocket. The observation group was treated with ostomy pouching system. The interval time of changing the bag, the frequency of skin contamination around the stoma and the comfort of the patients were evaluated. Results  The time interval between the observation group and the control group was significantly increased. The chance of skin pollution around the stoma decreased and the comfort of the patients increased (P<0.05). Conclusion  The improved type of pocket can obviously increase the interval time of the nursing staff to replace the pocket, reduce the chance of skin pollution around the stoma, and improve the comfort of the patients.

Key Words:  Sileostomy; Osto; Drainage bottle; Nursing care