摘要
目的:探究人工肛袋对于防治直肠癌保肛术后大便失禁患者肛周皮肤破损、预防褥疮的临床效果及综合护理方法。方法:将我院肛肠外科64例行直肠癌保肛术的患者随机分为两组,对照组术后采取常规的护理方法,锻炼其自主排便的控制能力,实验组术后使用人工肛袋。住院期间,护理人员密切关注并记录两组患者肛周的皮肤改变及褥疮发生情况。结果:两组数据比较,实验组及使用人工肛袋的患者在保持皮肤完整性方面较对照组具有明显优势(P<0.05),而皮肤潮红及破损的发生率也明显低于对照组(P<0.05)。结论:直肠癌保肛术后大便失禁的患者使用人工肛袋后,可保护肛周皮肤,降低破损和褥疮的发生率,可减轻患者的病痛,缩短住院时间,提高患者生活质量,减轻家庭负担。
Objective：To study the clinical effect of artificial anus bag on preventing those patients with fecal incontinence after anus-protection operation of rectal cancer from having damaged skin and around the anus and decubitus and its comprehensive care.Methods：Divided 64 patients having the anus-protection operation of rectal cancer in department of anus intestine surgery into 2 groups at random.For the contrast group,we adopted regular nursing method to strengthen their control ability of extruding the fecal independently,while in the experiment group we adopted artificial anus bag after the operation.During the hospital stay,the nurses would pay close attention to and record the changes of the skin color around the anus and the occurrence of decubitus.Results：Compared with the two group,it can be found that the experiment group and those patients using artificial anus bags enjoyed great advantage in not only keeping the skin complete（P0.05）,but also reducing the occurrence of red and damaged skin（P0.05）.Conclusion：Using the artificial anus bag in those patients with fecal incontinence after the anus-protection operation of rectal cancer can not only protect the skin around the anus,reduce the occurrence of the damage and decubitus,but also relief the pain of patients,shorten the time in hospital.What＇s more,it can improve the life quality of the patients and relief the family burden.
出处
《医学理论与实践》
2011年第15期1787-1788,共2页
The Journal of Medical Theory and Practice
关键词
直肠癌保肛术后
大便失禁
人工肛袋
护理
After anus-protection operation of rectal cancer
Fecal incontinence
Artificial anus bag
Care
