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1.
目的总结8例白血病联合化疗后皮肤黏膜严重破损患者的护理。方法回顾性分析本科8例白血病联合化疗后粒细胞缺乏患者发生口腔黏膜炎、肛周皮肤黏膜破损的分级及临床特征,观察其对患者生活质量的影响。对该8例患者除积极的抗感染治疗外,采取针对性的护理措施。在常规口腔护理的基础上联合应用漱口液交替漱口,予表皮生长因子喷抹患处,同时联合氧气雾化吸入以消除炎症、减轻充血;肛周皮肤黏膜破损处行常规消毒,予清得佳凝胶均匀涂抹患处后覆盖藻酸盐敷料,将爱立敷黏性敷料贴附于患处,同时联合微波照射。加强患者心理护理及营养支持。结果 8例患者皮肤黏膜破损基本痊愈。结论对联合化疗后粒细胞缺乏伴严重皮肤黏膜破损患者实施全面系统的护理,采取针对性的护理措施,能缩短患者住院天数,减少住院费用,提高疗效。  相似文献   

2.
目的:分析肠造口周围皮肤破损的原因,采取针对性护理措施。方法:对2016年9月~2017年3月接诊的15例肠造口周围皮肤破损患者进行原因分析,并对其实施针对性护理措施。结果:15例患者局部皮肤破溃处经过调整造口用品种类、局部保护、指导正确护理方法等措施,4~17 d后,患者破溃创面均愈合,造口护理良好。结论:对肠造口患者采取针对性护理措施,指导患者正确的选择并使用造口产品,可以减轻痛苦,降低其心理压力及经济压力,提高生活质量。  相似文献   

3.
目的:探讨一次性肛管低负压引流在大便失禁患者中的应用效果.方法:将60例大便失禁患者随机分为实验组和对照组各30例,对照组采用常规护理方法,实验组采用一次性肛管低负压引流的护理方法.观察两组患者肛周皮肤破损、护理时间和专项护理费用情况以及实验组拔除肛管后肛镜检查情况.结果:实验组肛周皮肤破损、护理时间和专项护理费用明显优于对照组(P<0.05);实验组拔除肛管后肛镜检查无一例发生充血、水肿和破损.结论:对大便失禁患者应用一次性肛管低负压引流,能有效减少肛周皮肤破损的发生,节约护理时间,降低护士劳动强度,节省患者医疗费用,防止交叉感染,提高床位周转率,值得临床推广应用.  相似文献   

4.
1例狼疮性肾炎合并多处皮肤损伤患者的皮肤护理   总被引:8,自引:0,他引:8  
霍平  陈平  赵红  杜欣  王丽娜 《中华护理杂志》2004,39(11):813-814
报告了对1例狼疮性肾炎致慢性肾功不全合并全身多处皮肤损害患者的护理.患者具有红斑狼疮的皮肤改变、肾性水肿,同时伴湿疹性药疹、带状疱疹,皮肤红肿、水疱、血痂、糜烂、坏死并存.通过提高患者机体免疫力,控制感染,根据皮肤损害的不同原因、不同阶段、不同部位采取不同的方法,积极治疗皮肤破损,给予相应的护理措施,使皮肤损害痊愈.  相似文献   

5.
白血病患者化疗期问常因药物的毒性作用导致肛周皮肤的疼痛,感染,破损,出血。及时作好各种保护性隔离措施,加强肛周皮肤的护理,加强饮食护理和个人卫生教育,同时配合心理护理,能帮助患者更好地渡过危险阶段。  相似文献   

6.
三腔二囊尿管在大便失禁患者中的应用效果观察   总被引:1,自引:1,他引:0  
目的观察留置三腔二囊尿管在大便失禁患者中引流大便的效果。方法选择2008年12月-2010年2月本院21例大便失禁患者作为实验组,2007年1月-2008年10月本院32例大便失禁患者作为对照组,对照组采用大便失禁的常规护理方法,实验组采用留置三腔二囊尿管引流大便。比较两组患者肛周皮肤破损发生率及护理成本。结果两组患者肛周皮肤破损发生率及护理成本比较,均P0.05,差异具有统计学意义,实验组肛周皮肤破损发生率及护理成本低于对照组。结论大便失禁患者留置三腔二囊尿管引流大便,可以减少肛周皮肤破损的发生,降低护理成本,值得在基层医院推广使用。  相似文献   

7.
危重患者由于长期卧床、水肿、术后伤口渗液、多汗等原因,在两侧乳沟边缘、腋窝、腹股沟、颈项、阴囊等部位皮肤皱褶处会出现糜烂.若不及时采取护理干预措施则很快会发展为大面积皮肤破损并加重患者感染危险,延长治疗时间.2008年1-12月,我科将溃疡粉用于护理56例皮肤皱褶处糜烂的患者,并与传统油纱间隔的方法进行随机对照研究,收到满意效果,现报道如下.  相似文献   

8.
危重患者由于长期卧床、水肿、术后伤口渗液、多汗等原因,在两侧乳沟边缘、腋窝、腹股沟、颈项、阴囊等部位皮肤皱褶处会出现糜烂.若不及时采取护理干预措施则很快会发展为大面积皮肤破损并加重患者感染危险,延长治疗时间.2008年1-12月,我科将溃疡粉用于护理56例皮肤皱褶处糜烂的患者,并与传统油纱间隔的方法进行随机对照研究,收到满意效果,现报道如下.  相似文献   

9.
伍琼文 《全科护理》2013,11(9):785-786
[目的]探讨多重耐药菌(MDRO)引起肠道菌群失调导致肛周皮肤破损的原因及护理措施。[方法]回顾我院2012年3月-2012年8月收治的16例多重耐药菌病人,由于肠道菌群失调导致肛周皮肤破损。分析其原因及采取的综合护理措施,加强病人的管理。[结果]多重耐药菌引起肠道菌群失调皮肤破损的病人得到有效预防和控制。[结论]合理使用抗生素、制定完善的MDRO感染监测制度是预防和控制多重耐药菌引起肠道菌群失调至肛周皮肤破损的有效措施。  相似文献   

10.
肠造口回缩合并腹壁皮肤破损的护理   总被引:1,自引:0,他引:1  
总结了5例肠造口回缩合并腹壁皮肤破损的护理,主要包括:正确进行护理评估、肠瘘口的护理及其周围皮肤的护理、心理护理等。认为精心的治疗和护理对此类患者的康复起着重要作用.  相似文献   

11.
The Health Belief Model has been proposed as a model for understanding adherence to health care regimens. This study examined the variables of the Health Belief Model in relation to compliance with a skin care regimen in a group of paraplegic patients. It was found that the perceived severity of pressure sores, the perceived efficacy of skin care, and the sum of the participant's beliefs about skin care were positively related to compliance with skin care. The perceived susceptibility to pressure sores and perceived barriers to skin care were not found to be significantly correlated with compliance with skin care. These findings suggest that patient teaching in skin care for the paraplegic patient may be more effective in increasing compliance with skin care if it emphasizes (a) information about the severity of pressure sores, (b) knowledge and techniques of skin care, and (c) evidence of efficient skin care.  相似文献   

12.
The purpose of this paper was to describe the spectrum of alterations in skin integrity and skin care needs of hospitalized infants and children. A 1-day skin prevalence audit was conducted in the spring of 2005 in a tertiary care university-affiliated children's hospital. Patient skin was assessed for any alterations. The Braden Q Scale was used to assess patient risk for pressure ulcer development. Alterations in skin integrity included diaper dermatitis, pressure ulcers, intravenous infiltrations, device-related injuries, and epidermal injuries. Many patients required additional skin care, including wound/incision care, ostomy care, and care related to invasive devices. Alterations in skin integrity represent a serious problem in the pediatric inpatient setting. The data presented identify skin integrity challenges in the hospitalized patient and can help guide staff education and resource allocation, encourage evidenced-based management protocols, and serve as a benchmark for similar pediatric facilities.  相似文献   

13.
总结了32例巨大双叶皮瓣Ⅰ期修复皮肤恶性肿瘤术后缺损的护理经验。认为术前做好心理疏导、皮肤护理、督促戒烟;术后监测生命体征,妥善摆放体位,密切观察皮瓣的颜色、温度、肿胀程度和毛细血管充盈反应,早期发现皮瓣血液循环障碍并及时处理。住院期间有4例皮瓣出现血液循环障碍,其中3例经有效的治疗及护理,恢复良好,1例A瓣出现皮瓣尖端局部坏死,经局部换药冲洗1个月后愈合。  相似文献   

14.
This article discusses the importance of skin care, including the more general aspects of skin care for the whole body. The information provided should be of benefit to both general and specialist nurses who have a specific responsibility for patients at risk of skin breakdown or damage. By outlining the structure and function of the skin, explaining how skin is damaged, examining the effects of incontinence and questioning current skin cleansing practices, the practitioner will be guided through the process of skin assessment and be introduced to skin care protocols.  相似文献   

15.
目的评价伤口护理膜联合卫生棉条在神经外科腹泻护理中的效果。方法将100例神经外科腹泻患者随机分成两组,观察组选用伤口护理膜联合卫生棉条进行护理,对照组选用常规方法进行护理,观察两组患者肛周皮肤损伤情况、肛周皮肤护理次数,并进行统计学处理。结果观察组与对照组在肛周皮肤损伤、肛周皮肤护理次数比较均具有统计学显著意义(P0.01)。结论伤口护理膜联合卫生棉条能明显降低肛周皮肤损伤概率,能减轻护理工作量,是一种非常有效的腹泻护理方法。  相似文献   

16.
The aim of this systematic review is to ascertain if kangaroo care (KC) affects the weight of preterm/LBW infants in the neonatal setting of hospital environments. The following databases were searched: PubMed, The Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature, Web of Science, Embase and SCOPUS. Search terms include: kangaroo care, kangaroo mother care, kangaroo ward care, skin to skin care, skin to skin contact, skin to skin mother care, weight, neonatal infant, neonatal care and neonatal unit. 10 RCT's demonstrated that KC increases weight of preterm/LBW infants in the neonatal setting of a hospital environment. 7 quantitative studies also reported an increase in weight. Increased rates of breastfeeding were also consistently associated with regard to KC across the 17 studies. KC effects weight gain of preterm/LBW infants in the neonatal setting of a hospital environment. Exclusive breastfeeding rates were positively influenced through KC.  相似文献   

17.
我院层流病房皮肤黏膜护理项目的成本研究   总被引:1,自引:0,他引:1  
目的探讨层流病房内皮肤黏膜护理项目的护理成本核算方法。方法按项目综合评估核算的有关公式,对层流病房皮肤黏膜护理项目的护理成本进行核算。结果核算出层流病房内皮肤黏膜护理项目的护理成本。结论全面核算层流病房皮肤黏膜护理项目成本,为医院合理制定相应的护理项目价格提供了依据。  相似文献   

18.
报告1例皮肤克隆病的护理对策。主要内容包括:皮肤护理、心理护理、建立输液港(药盒系统)的护理、疼痛护理、营养护理及病情观察等,经精心治疗及护理,患者病情得到控制。  相似文献   

19.
This article reports the results of a 10-month skin care program for 30 clients on a residential Alzheimer's disease unit. The majority (n = 26) of the clients were free of pressure sores and skin tears through preventive care during this study. Four clients with Stage I pressure sores and/or skin tears were successfully identified by consistent assessment and healed quickly due to rapidly initiated treatments. This skin care program's success was attributed to consistent education, preventive care, assessment, documentation, and treatment executed by the entire care team under the leadership of nurse practitioners, one of whom was certified as a rehabilitation nurse.  相似文献   

20.
The prevalence of dermatologic disease and its effect on quality of life has not been well studied in patients with advanced illness. We sought to describe skin findings in inpatient palliative care patients and determine how often they are addressed by the primary or palliative care teams. We collected patient demographic and clinical data from the medical record, performed total body skin examinations, and determined how often significant cutaneous findings were documented in the chart. We also characterized skin findings as uncomfortable and treatable. Twenty palliative care patients participated in the study over a 2-month period. Common findings included skin breakdown (20/54; 37%), skin infections (14/54; 26%), inflammatory dermatoses (9/54; 17%), and skin conditions related to systemic disease (7/54; 13%) or treatment of systemic disease (4/54; 7%). Most of these conditions were not documented by primary or palliative care clinicians. Eighty percent of the patients had uncomfortable, but treatable skin conditions of which 62% (13/21) were undocumented or incorrectly documented. These limited data suggest the need for palliative care clinicians to conduct more complete skin examinations, and to improve their knowledge of common skin abnormalities in patients with serious illness. A larger scale investigation of skin disease and its effect on quality of life in the palliative care population is warranted.  相似文献   

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