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目的研究肠造口黏膜皮肤分离伤口的护理方法。方法选取绵阳市中心医院2012年1月至2015年12月行肠造口术后出现肠造口黏膜皮肤分离伤口的100例患者作为研究对象,采取随机分组法将这100例患者分为对照组、观察组,每组50例。观察组在常规护理实施的同时实施针对性护理,对照组实施常规护理。两组患者的黏膜皮肤分离伤口愈合时间、护理满意度,干预前后的焦虑评分、疼痛评分、瘙痒评分、创面肉芽形态评分进行比较。结果与对照组相比,观察组的黏膜皮肤分离伤口愈合时间明显缩短(P<0.05)。观察组的护理满意度为96%,对照组的护理满意度为80%,有显著差异性(P<0.05)。干预前后比较,两组患者的焦虑评分、疼痛评分、瘙瘁评分、创面肉芽形态评分均明显降低(P<0.05),观察组在干预后的各项指标较之对照组干预后均有显著差异性(P<0.05)。结论对肠造口术后出现黏膜皮肤分离伤口的患者实施有针对性的护理干预,可有效促进伤口的愈合,缓解患者的负性情绪、疼痛,能有效提高患者对护理服务的满意度。
Objective To study the nursing of intestinal mucosal wounds with separation of the intestine. Methods A total of 100 patients with intestinal mucosal cutaneous wounds after enterostomy were selected from January 2012 to December 2015 in Mianyang Central Hospital as the study subjects. The 100 patients were randomly divided into control group , Observation group, 50 cases in each group. In the observation group, the targeted nursing was carried out at the same time as the routine nursing and the routine care was performed in the control group. Mucosal skin wound healing time, nursing satisfaction, anxiety scores before and after intervention, pain scores, pruritus scores and wound granulation score were compared between the two groups. Results Compared with the control group, the mucosal wound healing time in the observation group was significantly shorter (P <0.05). The nursing satisfaction of the observation group was 96%, while the nursing satisfaction of the control group was 80%, there was significant difference (P <0.05). The anxiety score, pain score, pruritus score and wound granulation morphology score of the two groups were significantly decreased before and after intervention (P <0.05). The indexes of the observation group after intervention were significantly different from those of the control group (P <0.05). Conclusions Targeted nursing intervention in patients with mucocutaneous wounds after enterostomy can effectively promote the wound healing and relieve the patients ’negative emotion and pain, which can effectively improve the patients’ satisfaction with nursing service.