Objective: To study the effect of applying hydrocolloid dressing joint colostomy products to the protection of surrounding skin in intestinal fistula patients.Methods: 50 cases of patients with intestinal fistula hospitalized in gastrointestinal surgery from January 2014 to October 2016 were selected and randomly divided into experimental group and control group, 25 cases in each group. The experimental group was treated with hydrocolloid dressing joint colostomy products, while the control group was treated with traditional continuous washing plus pressure suction and zinc oxide coating to protect the skin.Results: In terms of objective indicators, the dermatitis incidence and severity of the fistula surrounding skin in experimental group were significantly lower than those in control group (P<0.05); the average daily dressing change was significantly less than that in control group (P<0.05). The subjective assessment of indicators in the Nottingham health scale (NHP) in experimental group was superior to that in control group (P<0.05).Conclusion: Hydrocolloid dressings joint colostomy products can protect fistula surrounding skin, effectively prevent pollution of liquid leakage to abdominal incision and stimulation of liquid leakage to the surrounding skin, accelerate the fistula healing, ease the family economic burden, and at the same time reduce the workload of medical staff, which is worthy of promotion.
CHEN Min
,
HUO Rui
,
JIAO Wenqin
. Application of hydrocolloid dressing joint colostomy products to the protection of surrounding skin in intestinal fistula patients[J]. Journal of Baotou Medical College, 2017
, 33(9)
: 105
-107
.
DOI: 10.16833/j.cnki.jbmc.2017.09.043
[1] 刘春荣,陈秀华.肠梗阻术后并发肠外瘘瘘口及周围皮肤护理[J].医学理论与实践,2011,24(17):2114-2115.
[2] 谭翠莲,赵利红,田丽.1例肠外瘘病人腹壁双瘘口及周围皮肤的护理[J].护理研究,2012,26(1):94-95.
[3] 朱小霞,赵珊,吴娟.38例肠瘘病人的护理体会[J].泸州医学院学报,2013,36(6):629-632.
[4] 张正元,周光荣,刘卫东.非手术疗法治疗肠外瘘体会[J].河北医药,2011,33(2):243-244.
[5] 贾葵,陆利生,窦瑛,等.循证护理在高位高流量肠瘘病人康复中的应用[J]. 护理研究,2014,28(6):2094-2095.
[6] 张玉荣,吴爱须.两件式造口袋与传统方式在高位肠外瘘治疗中的比较研究[J].河北医药,2010,32(6):704-705.
[7] 雷玉华,蒋文英.一例结肠造口术后并发肠瘘患者的营养支持护理[J].结直肠肛门外科,2016,22(S1):205-206.
[8] 王凤,张宁宁,韩正风,等.联合使用水胶体和造口袋保护肠外瘘患者皮肤的护理体会[J].新疆医学,2014,8(44):120-122.
[9] 刘梅,刘芳,蒋敏君.胰十二指肠切除术后并发肠瘘的观察与护理[J].护士进修杂志,2014,29(15):1386-1388.
[10] 郑普春,陈晓云,李宁.湿性愈合法在慢性伤口愈合中的应用观察[J].蚌埠医学院学报,2010,35(6):631-635.
[11] 李敏宜,汝琨,黄漫容.新型敷料联合造口用品在腹部术后切口裂开合并肠外瘘中的应用[J].护理实践与研究,2013,10(23):11-12.
[12] 姚鸿,陈立红.伤口湿性愈合理论的临床应用进展[J].中华护理杂志,2008,43(11):1050-1051.