标准化护理流程对降低失禁性皮炎发生率及改善患者生存质量的效果分析(1)
【摘要】 目的 建立失禁性皮炎(IDA)的標准化护理流程， 并探讨其在降低失禁性皮炎中发生率及改善患者生存质量的应用效果。方法 选取2017年3月～2018年3月本院伤口造口失禁专科护理小组调查的8283例的住院患者作为对照组;选取2018年6月～2019年6月本院9147例住院患者作为研究组。对照组患者采用常规护理方式及护士的经验进行护理， 研究组患者采用标准化护理流程进行护理， 比较两组失禁性皮炎发病率、严重程度以及护士对失禁性皮炎的鉴别能力、预防方法以及处理能力。
结果 护理后， 进行4次IAD横断面调查， 对照组中有IAD患者283例， 发病率为3.42%;研究组中有IAD患者97例， 发病率为1.06%， 研究组失禁性皮炎发病率低于对照组， 差异具有统计学意义(P<0.05)。研究组患者失禁性皮炎严重程度轻于对照组， 差异具有统计学意义(P<0.05)。研究组护士对失禁性皮炎的鉴别正确率87.63%、预防方法正确率79.38%、处理方法正确率83.51%均高于对照组的56.89%、43.46%、33.22%， 差异具有统计学意义(P<0.05)。结论 标准化护理流程能够提高护士对失禁性皮炎的鉴别、预防和处理能力， 降低失禁性皮炎的发生率， 控制失禁性皮炎程度的进展， 促进愈合， 是一种更加有效的护理模式， 值得临床上推广应用。
【关键词】 失禁性皮炎;标准化护理流程;生存质量;应用效果
DOI：10.14163/j.cnki.11-5547/r.2020.21.075
Analysis of the effect of standardized nursing process on reducing the incidence of incontinence dermatitis and improving patients’quality of life FANG Yan-xia， ZOU Jian-mei， WEN Jie， et al. Zhongshan People’s Hospital， Zhongshan 528400， China
【Abstract】 Objective To establish a standardized nursing process for incontinence dermatitis (IDA) and discuss its application in reducing the incidence of incontinence dermatitis and improving the quality of life of patients. Methods A total of 8283 inpatients surveyed by our hospital's wound stoma incontinence nursing team from March 2017 to March 2018 were selected as the control group， 9147 inpatients from June 2018 to June 2019 were selected as the research group. The control group received conventional nursing and nurses' experience for nursing， and the research group received standardized nursing procedures for nursing. The incidence and severity of incontinence dermatitis， and identification ability， prevention method and handling ability of nurse to incontinence dermatitis were compared between the two groups. Results After nursing， 4 cross-sectional IAD investigations were conducted. There were 283 IAD patients in the control group with an incidence rate of 3.42%; there were 97 IAD patients in the research group with an incidence rate of 1.06%. The incidence of incontinence dermatitis in the research group was lower than in the control group， and the difference was statistically significant (P<0.05). The severity of incontinence dermatitis in the research group was lower than that in the control group， and the difference was statistically significant (P<0.05). The correct rate of identification， prevention and treatment of incontinence dermatitis of the research group was 87.63%， 79.38% and 83.51% respectively， which were significantly higher than those in the control group 56.89%， 43.46% and 33.22%， and the difference was statistically significant (P<0.05). Conclusion Standardized nursing procedures can improve the ability of nurses to identify， prevent and treat incontinence dermatitis， reduce the incidence of incontinence dermatitis， control the progress of incontinence dermatitis， and promote healing. It is a more effective nursing model and worthy of clinical promotion and application., 百拇医药(方艳霞 邹俭妹 文洁 李德芳)
结果 护理后， 进行4次IAD横断面调查， 对照组中有IAD患者283例， 发病率为3.42%;研究组中有IAD患者97例， 发病率为1.06%， 研究组失禁性皮炎发病率低于对照组， 差异具有统计学意义(P<0.05)。研究组患者失禁性皮炎严重程度轻于对照组， 差异具有统计学意义(P<0.05)。研究组护士对失禁性皮炎的鉴别正确率87.63%、预防方法正确率79.38%、处理方法正确率83.51%均高于对照组的56.89%、43.46%、33.22%， 差异具有统计学意义(P<0.05)。结论 标准化护理流程能够提高护士对失禁性皮炎的鉴别、预防和处理能力， 降低失禁性皮炎的发生率， 控制失禁性皮炎程度的进展， 促进愈合， 是一种更加有效的护理模式， 值得临床上推广应用。
【关键词】 失禁性皮炎;标准化护理流程;生存质量;应用效果
DOI：10.14163/j.cnki.11-5547/r.2020.21.075
Analysis of the effect of standardized nursing process on reducing the incidence of incontinence dermatitis and improving patients’quality of life FANG Yan-xia， ZOU Jian-mei， WEN Jie， et al. Zhongshan People’s Hospital， Zhongshan 528400， China
【Abstract】 Objective To establish a standardized nursing process for incontinence dermatitis (IDA) and discuss its application in reducing the incidence of incontinence dermatitis and improving the quality of life of patients. Methods A total of 8283 inpatients surveyed by our hospital's wound stoma incontinence nursing team from March 2017 to March 2018 were selected as the control group， 9147 inpatients from June 2018 to June 2019 were selected as the research group. The control group received conventional nursing and nurses' experience for nursing， and the research group received standardized nursing procedures for nursing. The incidence and severity of incontinence dermatitis， and identification ability， prevention method and handling ability of nurse to incontinence dermatitis were compared between the two groups. Results After nursing， 4 cross-sectional IAD investigations were conducted. There were 283 IAD patients in the control group with an incidence rate of 3.42%; there were 97 IAD patients in the research group with an incidence rate of 1.06%. The incidence of incontinence dermatitis in the research group was lower than in the control group， and the difference was statistically significant (P<0.05). The severity of incontinence dermatitis in the research group was lower than that in the control group， and the difference was statistically significant (P<0.05). The correct rate of identification， prevention and treatment of incontinence dermatitis of the research group was 87.63%， 79.38% and 83.51% respectively， which were significantly higher than those in the control group 56.89%， 43.46% and 33.22%， and the difference was statistically significant (P<0.05). Conclusion Standardized nursing procedures can improve the ability of nurses to identify， prevent and treat incontinence dermatitis， reduce the incidence of incontinence dermatitis， control the progress of incontinence dermatitis， and promote healing. It is a more effective nursing model and worthy of clinical promotion and application., 百拇医药(方艳霞 邹俭妹 文洁 李德芳)