Analysis of the nursing effect on patients with enterostomy retraction and incontinence dermatitis
肠造口回缩伴失禁性皮炎患者的护理效果分析

摘要

目的 分析肠造口回缩伴失禁性皮炎患者的护理效果。方法 选取2022年1月-2024年12月在我院进行治疗的20例肠造口回缩伴失禁性皮炎患者作为研究对象，均予以相关护理干预，包括湿性愈合及造口皮肤保护等个体化护理措施，通过造口皮肤评估工具（DET评估表）、疼痛数字评分法（NRS）、焦虑自评量表（SAS）对组内患者护理前后的造口皮肤状态、疼痛程度、焦虑状态进行评估和对比，同时基于自制满意度量表收集组内患者对护理服务的满意度。结果 护理后组内患者DET评分（4.21±0.46）分低于护理前（9.05±1.03）分，NRS评分（2.46±0.08）分低于护理前（6.53±0.71）分，SAS评分（45.50±3.21）分低于护理前（62.85±5.03）分，且均护理前后对比差异显著（P＜0.05）。同时，组内患者对护理服务总满意度高达95.00%。结论 根据对患者的评估，进行针对性的原因分析，个性化护理，采取正确的护理措施，能够有效的促进失禁性皮炎的恢复，并有效的保护患者造口周围的皮肤，预防造口周围皮肤完整性再次受损。

Abstract

Objective To analyze the nursing effect on patients with enterostomy retraction and incontinence dermatitis.
Methods Twenty patients with enterostomy retraction and incontinence dermatitis who were treated in our hospital from January 2022 to December 2024 were selected as the research subjects. All patients were given relevant nursing interventions, including individualized care measures such as moist wound healing and stoma skin protection. The stoma skin condition, pain level, and anxiety state of the patients in the group before and after nursing were evaluated and compared using the Detrended Fluctuation Analysis (DET) assessment form, the Numerical Rating Scale (NRS), and the Self-Rating Anxiety Scale (SAS). At the same time, the satisfaction of the patients with the nursing service was collected based on a self-made satisfaction scale.
Results After nursing, the DET score of the patients in the group (4.21 ± 0.46) was lower than that before nursing (9.05 ± 1.03), the NRS score (2.46 ± 0.08) was lower than that before nursing (6.53 ± 0.71), and the SAS score (45.50 ± 3.21) was lower than that before nursing (62.85 ± 5.03), and the differences were significant (P < 0.05). At the same time, the total satisfaction of the patients with the nursing service was as high as 95.00%.
Conclusion   Based on the assessment of the patients, conducting targeted cause analysis, individualized care, and taking correct nursing measures can effectively promote the recovery of incontinence dermatitis and effectively protect the skin around the stoma, preventing the integrity of the skin around the stoma from being damaged again.