刘春梅+陈颖芳++陈婷

[摘要]目的 探討规范化护理管理对伤口造口患者的影响效果。方法 选择2015年7月～2016年7月期间我院收治的96例伤口造口患者，随机分为观察组和对照组两组，各48例。对照组患者给予常规伤口造口护理，观察组在对照组基础上对其实施规范化护理管理，记录两组患者护理后伤口造口评分情况及压疮发生情况，同时比较两组患者护理满意度。结果 观察组伤口评分[（94.87±0.75）分]、造口评分[（95.47±0.51）分]及失禁评分[（97.25±1.01）分]均显著高于对照组 [（45.38±1.68）分、（37.62±1.25）分、（48.66±1.52）分]，差异有统计学意义（P<0.05）；观察组发生高危压疮发生率（0.0%）及总发生率（6.25%）均低于对照组（8.33%、22.92%），差异具有统计学意义（P<0.05）。观察组临床护理满意度为95.83%（46例），对照组为72.92%（35例），差异有统计学意义（P<0.05）。结论 在伤口造口患者的护理中实施规范化护理管理可显著改善患者伤口创口评分，减少患者压疮发生率，应用效果显著，对改善临床护理满意度具有积极促进意义，值得临床推广使用。

[关键词]伤口造口；规范化护理管理；效果

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0188-03

Analysis of the effect of nursing management of patients with ostomy wound code

LIU Chun-mei CHEN Ying-fang CHEN Ting

Department of Gastroenterology，Ganzhou Municipal Hospital in Jiangxi Province，Ganzhou 341000，China

[Abstract]Objective To investigate the effect of standardized nursing management on patients with wound stoma.Methods 96 cases of patients with wound stoma in our hospital from July 2015 to July 2016 were randomly divided into observation group and control group，each with a total of 48 cases.The control group was treated with conventional ostomy wound nursing，the observation group in the control group on the basis of the implementation of standardized management of nursing records，two groups of patients after nursing and scored ostomy wound incidence and nursing satisfaction were compared between the two groups.Results the observation group wound score [（94.87±0.75）points]，stoma [（95.47±0.51）points] score and incontinence score [（97.25±1.01）points] was significantly higher than the control group [（45.38±1.68），（37.62±1.25）points] and [（48.66±1.52）points]，the difference was statistically significant （P<0.05）；observation group high incidence of pressure ulcers （0%） and the total incidence rate （6.25%） was lower than that of the control group （8.33%） and （22.92%），the difference was statistically significant （P<0.05）.The clinical nursing satisfaction of the observation group was 95.83% （n=46），and the control group was 72.92% （n=35）.The difference was statistically significant （P<0.05）.Conclusion The implementation of standardized nursing management can significantly improve patients' wound wound score in wound care of colostomy patients，reduce the incidence of pressure ulcer patients，application effect，promote the positive significance to improve the clinical nursing satisfaction，is worthy of clinical use.

[Key words]Wound stoma；Standardized nursing management；Effect

皮肤是人体分布最广范、最大的感觉器官，对于患者皮肤的护理水平可直接反映护理的质量。有效的伤口造口临床护理是预防压疮的重点工作之一，亦是临床护理管理的重点和难点，作为衡量医院护理质量的重要标准之一一直被护理人员所重视。如何为患者提供高效的伤口造口护理，进行系统伤口造口质量管理是临床面临的重要挑战。规范化护理管理可加强临床服务力度，提升科室管理水平，改善医院整体环境，可真正达到以患者为中心的目的。国外研究表明，建立皮肤管理小组对伤口造口患者实施规范化护理管理，对患者进行及时监控，可有效预防压疮的发生，本研究以我院收治的96例伤口造口患者作为研究对象，旨在探讨规范化护理管理对伤口造口患者的影响效果，并取得较好成果，现报道如下。……