早期干预对末端回肠造口周围皮肤损伤发生的影响

The Effect of Early Intervention on Skin Injury in Terminal Ileostomy

摘要: 目的：探讨早期干预对末端回肠造口周围皮肤损伤发生的影响。方法：选择广西壮族自治区肿瘤医院胃肠外科末端回肠造口患者50例，按照随机数字法分为对照组(n = 25)，观察组(n = 25)，术后对照组予以常规护理，观察组在此基础上予以术前造口定位、心理疏导、皮肤过敏试验、饮食护理等方式行早期干预，观察两组对造口心理接受程度、造口周围皮肤损伤程度等情况。结果：实验组对结肠造口心理接受接受、基本接受程度均显著高于对照组(P < 0.05)，实验组对造口完全不能接受患者亦显著少于对照组(P < 0.05)，实验组造口周围皮肤0度损伤显著多于对照组(P < 0.05)，I度、II度、III度、IV度皮肤损伤显著少于对照组组(P < 0.05)。结论：早期干预可有效提高患者对结肠末端造口心理接受程度，减少造口周围皮肤损伤发生。

Abstract: Objective: To investigate the effect of early intervention on skin injury in terminal ileostomy. Methods: 50 patients with gastro-enteritis distal ileostomy in gastrointestinal surgery at the Guangxi Tumour Hospital were selected and divided into the control group (n = 25) and observation group (n = 25) according to the random number method. After operation, the control group was given routine nursing care. On this basis, the observation group was given early interventions such as preoperative stoma positioning, psychological counseling, skin allergy tests, and dietary care. The psychological acceptance degree and skin injury around the stoma were observed among two groups. Results: The degree of acceptance and basic acceptance of colostomy in the experimental group was significantly higher than that of the control group (P < 0.05). The patients in the experimental group who were completely unable to accept stoma were also significantly less than those in the control group (P < 0.05). In the experimental group, the 0 degree skin damage around the stoma was significantly higher than that of the control group (P < 0.05), and skin lesions of I, II, III and IV were significantly less than those of the control group (P < 0.05). Conclusion: Early intervention can effectively improve the patient’s psychological acceptance of the distal colostomy and reduce the skin injury around the stoma.