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凸面造口产品使用的国际专家共识在结直肠癌术后造口患者皮肤管理中的应用 被引量:8

Application of convexity expert consensus on the skin around the stoma of patients with colorectal cancer
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摘要 目的探讨凸面造口产品使用的国际专家共识在肠造口患者皮肤管理中的应用价值。方法选取2017年4月—2018年3月胃肠外科收治的结直肠癌行结肠或回肠造口的患者62例,分为试验组30例与对照组32例。对照组使用平面底盘肠造口袋,试验组根据凸面造口产品使用的国际专家共识,坐位评估患者造口及造口周围腹壁形态等情况,排除谨慎使用情况后使用可塑贴环联合凸面底盘肠造口袋。比较出院前、出院后1、3个月2组患者造口周围皮肤DET评分及造口周围皮肤并发症发生率。结果2组出院前DET评分差异无统计学意义(P>0.05),出院1个月、出院3个月试验组DET评分均低于对照组,差异有统计学意义(P<0.01)。试验组粪水性皮炎、过敏性皮炎、撕脱性皮炎并发症的发生率均低于对照组,差异有统计学意义(P<0.05)。结论凸面造口产品使用的国际专家共识可以提升造口治疗师使用凸面用品的意识,凸面底盘与可塑贴环的联合应用可以减少造口周围皮肤并发症的发生,提升肠造口患者的皮肤管理品质。 Objective To explore the application value of latest international convexity expert consensus in skin management of patients with stoma.Methods Sixty-two patients with colorectal cancer who underwent colon or ileal stoma were randomly divided into two groups:30 patients in the experimental group and 32 patients in the control group.Flat pouching system was used in patients in the control group.Convexity with barrier rings was used in patients in experimental group after sitting position assessment according to the international convexity expert consensus.DET score and the incidence of skin complications were compared between the 2 groups of patients before discharge and 1,3 months after discharge.Results There was no significant difference in DET score between two group before discharge from hospital(P>0.05).DET score in the experimental group was lower than that in the control group 1 and 3 months after discharge from hospital(P<0.05).The incidence of skin complications in the experimental group was lower than that in the control group(P<0.05).Conclusions The international expert consensus on convexity is an effective tool to promote the enterostomal therapists’consciousness of using convexity in enterostomal therapist.Application of convexity with barrier rings can reduce the incidence of skin complications and improve the quality of patients'skin management.
作者 熊荣春 徐晶晶 仇晓溪 XIONG Rongchun;XU Jingjing;QIU Xiaoxi(Wound Colostomy Clinic,Affiliated People's Hospital of Jiangsu University,Zhenjiang,Jiangsu,212002)
出处 《中西医结合护理(中英文)》 2020年第4期74-77,共4页 Journal of Clinical Nursing in Practice
关键词 凸面底盘 专家共识 结直肠癌 造口 皮肤护理 皮炎 convexity expert consensus colorectal cancer stoma skin care dermatitis
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