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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 |
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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.
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