护理学报Issue(10)：24-25,26,3.
造口袋负压吸引用于危重病人大便失禁肛周皮肤护理的效果观察
Effects of Ostomy Suction on Perianal Skin Care of Critically Ill Patients with Fecal Incontinence
魏红云 1张艳 1周燕莉 2史秀英 1傅卫军1
作者信息
- 1. 南方医科大学南方医院重症医学科，广东 广州 510515
- 2. 南方医科大学南方医院妇产科，广东 广州 510515
- 折叠
摘要
Abstract
Objective To explore the effects of ostomy suction on perianal skin care of critically ill patients with fecal incontinence. Methods The participants included 25 patients with fecal incontinence. The anal ostomy bags were connected with two disposable drainage tubes. Tube A was connected with a central suction device, and was set in an intermittent or continuous negative pressure of-20~-40 kPa and tube B was regularly cleaned by feeding empty needle extracting warm water or saline, and was then bundled with rubber bands after rinse. Results Among 25 patients, the maximum duration of the ostomy bag connecting suction device was 15.6 days, and the minimum 3.3 days. Except one patients with Ⅲ perianal skin damage had died, sixteen patients with I and II perianal skin damage recovered and their skin flushing were subsided;eight patients with intact perianal skin showed no skin damage after the usage of ostomy bag connecting suction devices. Conclusion The ostomy bag connecting suction devices is effective for avoiding the perianal skin irritation of stool and protecting perianal skin intact, which is also helpful in ensuring the security of critically ill patients and reducing care costs. Meanwhile, ostomy bag connecting suction devices effectively reduce the workload of nurses and could be widely promoted in ICU care.关键词
危重病人/大便失禁/肛周皮肤护理/造口袋/负压吸引Key words
critically ill patient/fecal incontinence/perianal skin care/ostomy bag/negative pressure suction分类
医药卫生引用本文复制引用
魏红云,张艳,周燕莉,史秀英,傅卫军..造口袋负压吸引用于危重病人大便失禁肛周皮肤护理的效果观察[J].护理学报,2013,(10):24-25,26,3.
