Nursing effect of tampon combined with wound repairing antibacterial dressing in intensive care unit patients with fecal incontinence associated dermatitis
LIU Huali1 LI Yulong1 WANG Junying2
1.Department of Emergency, Jianyang Municipal People′s Hospital, Sichuan Province, Jianyang 641400, China;
2.Department of Intensive Care Unit, Jianyang Municipal People′s Hospital, Sichuan Province, Jianyang 641400, China
Abstract:Objective To investigate the effect of tampon combined with wound repairing antibacterial dressing on the care of patients with incontinence-associated dermatitis in ICU. Methods From October 2017 to December 2018, 180 patients who met the criteria for fecal incontinence were selected from department of ICU in Jianyang Municipal People′s Hospital. The randomized number table method was used to divide the patients into three groups, the control group (group A, B) and the experimental group (group C), with 60 patients in each group. The group A was treated with tampon perforator anal therapy, the group B was treated with wound repairing antibacterial dressing, and the group C was given two treatments in the same period. The incidence, severity, nursing expenses, healing time, and nursing satisfaction of incontinent-associated dermatitis (IAD) were compared among the three groups after one month of continuous nursing care. Results After nursing, IAD incidence, severity, healing time and nursing expenses in group C were significantly lower than those in group A and B (P < 0.05), and the expenses of patients without IAD in group C were significantly lower than those in group A and B (P < 0.05). The total satisfaction degree in group C was significantly higher than that in group A and B (P < 0.05). Conclusion The tampon combined with wound repairing antibacterial dressing has a significant nursing effect on ICU patients with fecal incontinence related dermatitis which can significantly reduce the nursing cost of patients and improve the satisfaction of patients. It is worthy of clinical application.
刘华丽1 李毓龙1 汪俊英2. 卫生棉条联合创面修复抗菌敷料在ICU患者大便失禁相关性皮炎护理中的效果[J]. 中国医药导报, 2020, 17(29): 163-166.
LIU Huali1 LI Yulong1 WANG Junying2. Nursing effect of tampon combined with wound repairing antibacterial dressing in intensive care unit patients with fecal incontinence associated dermatitis. 中国医药导报, 2020, 17(29): 163-166.
[1] Szymanski KM,Cain MP,Whittam B,et al. All Incontinence is Not Created Equal:Impact of Urinary and Fecal Incontinence on Quality of Life in Adults with Spina Bifida [J]. J Urol,2017,197(3):885-891.
[2] Gaspar A,Brandi H. Non-ablative erbium YAG laser for the treatment of type Ⅲ stress urinary incontinence (intrinsic sphincter deficiency)[J]. Lasers in Medical Science,2017,32(3):685-691.
[3] 赵晓维,王硕,张文婷,等.敷料组合使用在ICU失禁相关性皮炎护理中的效果[J].中国医药导报,2019,16(32):144-147.
[4] 罗嫩苗,梁林芳,肖灿,等.磺胺嘧啶银粉在失禁性皮炎患者中的应用[J].山西医药杂志,2017,46(6):727-729.
[5] 董花云.特定电磁波照射治疗对老年患者失禁相关性皮炎的疗效观察[J].中国药物与临床,2017,17(10):1491-1492.
[6] 赵煜华,王俊霞.重症监护病区患者失禁相关性皮炎的研究进展[J].护理研究,2019,33(17):3001-3004.
[7] Sarhan WA,Azzazy HM. Apitherapeutics and phage-loaded nanofibers as wound dressings with enhanced wound healing and antibacterial activity [J]. Nanomedicine,2017, 12(17):2055-2067.
[8] 冉亚萍,马群华,付蓉,等.创面修复抗菌敷料联合卫生棉条在内科危重症中重度粪失禁相关性皮炎护理中的效果评价[J].实用医院临床杂志,2019,16(1):62-64.
[9] 钟丽霞,王欣然.失禁相关性皮炎的文献计量学分析[J].中国实用护理杂志,2019,35(34):2717-2720.
[10] 中华医学会.临床诊疗指南,泌尿外科分册[M].北京:人民卫生出版社,2006:58.
[11] 张娜,陈晓艳,袁宝芳,等.失禁相关性皮炎严重程度量表的汉化及信效度检验[J].中国实用护理杂志,2015,(30):2315-2317.
[12] 吕艳,韩红芳,江美玲,等.综合护理干预对肺心病合并慢性呼吸衰竭的护理疗效及护理满意度[J].护理学,2019,8(2):11-16.
[13] Bliss DZ,Harms S,Garrard JM,et al. Prevalence of Incontinence by Race and Ethnicity of Older People Admitted to Nursing Homes [J]. J Am Med Dir Assoc,2013, 14(6):451.e1-7.
[14] 李娜,李彦珺,关蕾.标准化护理流程预防老年失禁患者失禁相关性皮炎的效果分析[J].实用临床医药杂志,2019,23(16):114-116,120.
[15] 吕梅叶,邓远岑,方洁,等.不同方法预防ICU危重患者大便失禁相关性皮炎的效果比较[J].实用临床医药杂志,2017,21(12):160-162.
[16] Park KH. The Effect of a Silicone Border Foam Dressing for Prevention of Pressure Ulcers and Incontinence-Associated Dermatitis in Intensive Care Unit Patients:Erratum [J]. J Wound Ostomy Continence Nurs,2014,41(5):424-433.
[17] 金爱萍,刘晓青,王文协.胶原抗菌敷料治疗老年脑卒中患者失禁相关性皮炎的疗效观察[J].中国医刊,2018(2):201-204.
[18] 万娟,高莉.失禁性皮炎患者联合应用抗菌凝胶和液体敷料效果观察[J].护理研究,2016,30(17):2144-2146.
[19] Wilson L,Brown JS,Shin GP,et al. Annual direct cost of urinary incontinence [J]. Obstet Gynecol,2001,98(3):398-406.
[20] 杨红军,高明月,何丹.实习初期护生护理工作满意度影响因素及其与临床归属感的相关性研究[J].中国医药导报,2018,15(27):177-180.
[21] 钱才女,秦藴新.护理管理方面护理风险管理在急诊患者安全管理的实施效果、护理质量及满意度评价[J].护理学,2018,7(4):183-187.