多功能蝶形底盘造口袋在治疗失禁相关性皮炎中的应用

目的探讨多功能蝶形底盘造口袋引流大便治疗失禁相关性皮炎(IAD)的应用效果。方法采用便利抽样法,选择2019年1—9月入住浙江省人民医院ICU因大便失禁而发生IAD的84例患者为研究对象,按照随机数字表法将其分为观察组(42例)和对照组(42例)。对照组采用IAD皮肤管理三部曲联合普通造口袋,观察组采用IAD皮肤管理三部曲联合多功能蝶形底盘造口袋。比较两组患者的IAD治疗总有效率、治疗IAD护理人员的护理时间以及造口袋平均留置时间、造口袋平均使用时间、更换频次、两组患者家属满意度。结果观察组患者的IAD治疗总有效率为95.24%(40/42),高于对照组的73.81%(31/42),两组比较差异有统计学意义(P<0.05)。观察组所用护理时间为(1.89±0.32)h/d,短于对照组的(5.73±1.64)h/d,两组比较差异有统计学意义(P<0.05)。观察组的留置时间为(5.20±0.40)d/人,短于对照组的(9.40±1.20)d/人,两组比较差异有统计学意义(P<0.05)。观察组的使用时间为(98.27±12.18)h/袋,长于对照组的(72.18±4.63)h/袋,两组比较差异有统计学意义(P<0.05)。观察组的更换频次为(1.20±0.10)次/人,短于对照组的(3.10±0.70)次/人,两组比较差异有统计学意义(P<0.05)。观察组的家属满意度高于对照组,两组比较差异有统计学意义(P<0.05)。结论相较于传统的造口袋,多功能蝶形底盘造口袋可有效治疗IAD,缩短治疗IAD所用护理时间,延长造口袋使用时间,减少平均留置时间和更换频次,提升家属满意度,可在临床推广。

Effects of multifunctional butterfly-shaped chassis ostomy bag in incontinence-associated dermatitis

Objective To explore the effects of multifunctional butterfly-shaped chassis ostomy bag for faeces drainage in incontinence-associated dermatitis(IAD).Methods From January to September 2019,this study selected 84 fecal incontinence patients with IAD of Intensive Care Unit in Zhejiang Provincial People's Hospital by convenient sampling.All of patients were divided into observation group(n=42)and control group(n=42)with the method of random number table.Control group carried out the IAD skin management trilogy combined with the common ostomy bag,while observation group implemented the IAD skin management trilogy combined with the multifunctional butterfly-shaped chassis ostomy bag.We compared the overall effective rate of treatment for IAD,nursing time of nurses for IAD,average retention time,average use time and replacement frequency of ostomy bag,family members satisfaction of patients between two groups.Results The overall effective rate of treatment for IAD in observation group was 95.24%(40/42)higher than that 73.81%(31/42)in control group with a statistical difference(P<0.05).The nursing time and retention time of observation group was(1.89±0.32)h/d and(5.2±0.4)days per person respectively shorter than those(5.73±1.64)h/d and(9.4±1.2)days per person]of control group with statistical differences(P<0.05).The use time of observation group was(98.27±12.18)hours per bag longer than that(72.18±4.63)hours per bag of control group with a statistical difference(P<0.05).The replacement frequency of observation group was(1.20±0.10)times per person also statistically less than that(3.10±0.70)times per person]of control group(P<0.05).Family members satisfaction of observation group was significantly higher than that of control group(P<0.05).Conclusions Compared with traditional ostomy bag,the multifunctional butterfly-shaped chassis ostomy bag has effective treatments for IAD can shorten the nursing time for IAD,lengthen the use time of ostomy bag,reduce the average retention time and replacement frequency and improve family members satisfaction which can be widely used in clinical application.