[1]王飞霞,王群敏,李卫珍,等.回肠插管造口术后套囊压力监测频次优化方案的临床实践[J].军事护理,2022,39(10):41-43.[doi:10.3969/j.issn.2097-1826.2022.10.011]
　WANG Feixia,WANG Qunmin,LI Weizhen,et al.Clinical Practice of Improved Cuff Pressure Monitoring Frequency Scheme for Ileal Intubation Stoma[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):41-43.[doi:10.3969/j.issn.2097-1826.2022.10.011]
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回肠插管造口术后套囊压力监测频次优化方案的临床实践
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
41-43
栏目:
论著
出版日期:
2022-10-15

文章信息/Info

Title:
Clinical Practice of Improved Cuff Pressure Monitoring Frequency Scheme for Ileal Intubation Stoma
文章编号:
2097-1826(2022)10-0041-03
作者:
王飞霞1; 王群敏2; 李卫珍1; 潘喆1; 李霞2; 华汉巨2; 王华芬3
(1.浙江大学医学院附属第一医院 伤口造口专科护士门诊部,浙江 杭州310003; 2.浙江大学医学院附属第一医院 结直肠外科; 3.浙江大学医学院附属第一医院 护理部)
Author(s):
WANG Feixia1; WANG Qunmin2; LI Weizhen1; PAN Zhe1; LI Xia2; HUA Hanju2; WANG Huafen3
(1.Woundostomy Outpatient Department,The First Affiliated Hospital Zhejiang University,Hangzhou 310003,Zhejiang Province,China; 2.Colorectal Surgery Ward,The First Affiliated Hospital Zhejiang University; 3.Department of Nursing Management,The First Affiliated Hospital Zhejiang University)
关键词:
回肠插管造口;  套囊;  压力;  监测频次
Keywords:
ileal intubation stoma;  cuff;  pressure;  monitoring frequency
分类号:
R473.57
DOI:
10.3969/j.issn.2097-1826.2022.10.011
文献标志码:
A
摘要:
目的 探讨回肠插管造口术后套囊压力监测频次优化方案的应用效果,为减轻患者就医负担提供参考。方法 2018年1月至2021年12月,采用整群抽样法选择在杭州市某三级甲等医院行直肠癌低位/超低位前切除+自闭保护性回肠插管造口术201例患者为研究对象,以2018年1月至2019年12月的114例患者为对照组,2020年1月至2021年12月的87例患者为观察组。对照组实施常规压力管理方案,观察组实施监测频次优化方案。比较两组患者粪便转流情况及并发症、插管拔除时间、插管期间专科护理门诊随访次数、压力监测和调节次数。结果 两组患者插管造口粪便转流、并发症发生率的差异均无统计学意义(均P>0.05),插管拔除时间、插管期间患者专科护理门诊随访次数、术后插管期间压力监测和调节总次数的差异均有统计学意义(均P<0.05)。结论 回肠插管造口术后套囊压力监测频次优化方案可减少专科护士工作量,减轻患者医院就诊负担。
Abstract:
Objective To investigate the application effect of improved cuff pressure monitoring frequency scheme for ileal intubation stoma,and to provide reference for reducing patients' medical burden.Methods From January 2018 to December 2021,201 patients with rectal cancer who underwent low/ultra-low anterior resection ileal spontaneously closed intubation stoma in a tertiary A hospital in Hangzhou were selected by the cluster sampling method.114 patients from January 2018 to December 2019 were included in the control group while 87 patients from January 2020 to December 2021 were included in the observation group.The control group implemented the routine pressure management program,while the observation group implemented the monitoring frequency optimization scheme.The fecal diversion and complications,intubation removal time,follow-up times of specialist nursing clinic during intubation,pressure monitoring and adjustment times were compared between the two groups.Results There was no statistically significant difference between the two groups in the incidence of incomplete fecal diversion,and the incidence of stoma complications(all P>0.05).There were statistically significant differences in intubation removal time,the time of follow-up visits in specialist nursing clinics,and the number of total pressure monitoring and adjustment times(all P<0.05).Conclusions The improved cuff pressure monitoring frequency scheme can reduce the workload of specialist nurses and the burden of patients.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-06-03 【 修回日期 】 2022-09-06
【 基金项目 】 浙江省医药卫生科技计划项目(2020KY124)
【 作者简介 】 王飞霞,本科,副主任护师,从事造口伤口专科护理
【 通信作者 】 王群敏,电话:0571-87236131
更新日期/Last Update: 2022-10-15