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肠造口术后婴儿的护理:5 年 483 例经验。

Nursing care for infants after enterostomy: Experience with 483 cases over a 5-year period.

机构信息

Department of Pediatric Surgery, Fujian Provincial Maternity and Children's Hospital, Fuzhou, China.

出版信息

J Nurs Manag. 2019 Nov;27(8):1614-1619. doi: 10.1111/jonm.12844. Epub 2019 Oct 30.

Abstract

AIM

To explore and improve nursing care for infants after enterostomy.

METHODS

A total of 483 infants who underwent enterostomy from January 2014 to January 2019 were enrolled in this study.

RESULTS

During hospitalization and follow-up, there were 30 infants with peripheral skin complications, including 15 cases of allergic dermatitis, 13 cases of faecal dermatitis and two cases of avulsion injury.

CONCLUSION

Without proper and effective nursing care, the peripheral skin complications of enterostomy-related can easily develop. Therefore, careful postoperative care and effective family follow-up and guidance are essential after discharge, and using WeChat to follow-up can provide timely and effective follow-up and guidance to patients.

IMPLICATIONS FOR NURSING MANAGEMENT

This study summarizes the experience of nursing care for infants over a 5-year period. Nurses must provide sound care for infants after enterostomy, timely and effectively address complications, guide nursing care performed by family members and strengthen follow-up through the WeChat online support group to reduce the occurrence of complications.

摘要

目的

探讨并完善肠造口患儿的护理。

方法

选取 2014 年 1 月至 2019 年 1 月收治的 483 例行肠造口术的患儿。

结果

住院期间及出院后随访发现有 30 例患儿出现肛周皮肤并发症,其中过敏性皮炎 15 例,粪性皮炎 13 例,撕脱伤 2 例。

结论

肠造口术后如未给予恰当有效的护理,易发生肛周皮肤并发症。因此,患儿出院后需要精心的术后护理及有效的家庭随访和指导,利用微信随访能为患者提供及时有效的随访和指导。

护理管理启示

本研究总结了肠造口患儿护理的 5 年经验。护士必须为肠造口术后患儿提供完善的护理,及时有效地处理并发症,指导家属进行护理,并通过微信在线支持小组加强随访,以减少并发症的发生。

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