摘要
目的探索真性大便失禁患儿的个体化肠道管理方法。方法以方便抽样的方法抽取30例真性大便失禁患儿,医生、护士、影像医生组成的医护团队共同评估患儿及其家庭,实施包括灌肠、排便日记、饮食指导、药物、全程信息提供与心理支持的个体化肠道管理措施,3个月后评估干预效果。结果干预后,26例(86.7%)每日无失禁污粪发生;排便功能评分优21例,良8例,劣1例;干预前后患儿排便功能评分及生活质量评分比较,差异有统计学意义(均P<0.01)。结论医生、护士、影像医生组成的多学科团队实施个体化肠道管理,能有效改善真性大便失禁患儿的排便功能和生活质量。
Objective To develop an individualized bowel management program for children with organic/true fecal incontinence. Methods Thirty children with organic fecal incontinence were selected conveniently and received individualized bowel management, including assessment of children and their family by muhidisciplinary team involving doctor, nurse and radiologist, conducting ene- ma, recording defecation diary, providing dietary instruction, using drugs, and providing information support and psychological care. The effect was measured after 3 months of intervention. Results Twenty six children （86.7 %） had no incontinence episodes after the intervention. Bowel function score was excellent in 21 cases, good in 8 cases, and poor in 1 case. The bowel function score and quality of life had significant differences before and after the intervention （P〈0.01 for both）. Conclusion Bowel management provided by muhidisciplinary team involving doctor, nurse, and radiologist can improve bowel function and quality of life of children with organic fecal incontinence.
出处
《护理学杂志》
CSCD
2017年第18期32-35,共4页
Journal of Nursing Science
基金
上海市残疾人联合会科研基金项目(K2014018)
关键词
儿童
大便失禁
肠道管理
排便功能
生活质量
child
fecal incontinence
bowel management
bowel function
quality of life
