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造口患者造口底盘渗漏的原因分析及护理对策

     

摘要

目的:了解造口患者造口底盘渗漏发生的原因,并提出相应的护理措施。方法对20例在本院造口门诊就诊发生造口底盘渗漏患者的资料进行回顾性总结,分析发生造口底盘渗漏的原因。结果本组20例造口患者造口底盘渗漏的原因是:患者造口护理技能差、造口周围皮肤凹陷、造口底盘选用不当、体重增加及造口位置差、造口回缩。结论教会造口患者认识造口底盘渗漏的原因,重新选择造口底盘、或加猪油膏补片、或增高凸面底盘的高度,从而防止造口底盘渗漏的发生,提高患者生活质量。%Objective To investigate the cause of stoma chassis leakage (SCL) and summarize the nursing experience. Method The clinical data of 20 patients with SCL were retrospectively analyzed on the colostomy outpatients. Result The causes of SCL in those stoma patients included insufficient skills of stoma care, peridermal depression, poorly fitting stoma chassis, weight gain, poor positioning and retraction of the stoma. Conclusion Such nursing measures as enhanced awareness of SCL causes, careful reselection of a suitable stoma chassis, addition of ointment patches or heightening of the convex chassis can be effective in prevention of SCL leakage, enhancement of patient′s confidence and improvement of their quality of life.

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