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1例重症伪膜性肠炎患者行粪菌移植的护理
Nursing care of a patient with severe pseudomembranous colitis undergoing fecal microbiota transplantation
【摘要】 总结1例直肠癌根治术后并发肺部感染和伪膜性肠炎患者行粪菌移植的护理经验。护理主要内容如下:第1阶段预防感染加重,包括回肠造瘘口及造瘘液的观察与管理、呼吸功能锻炼、早期活动、营养支持、病情观察;第2阶段粪菌移植护理,包括前期准备、粪菌移植实施要点、粪菌移植后观察与护理。经过精心护理,患者康复出院,随访6个月,患者回肠造瘘液为560~1 050 ml/d,生活自理能力增强,焦虑、抑郁症状改善,生活质量提升。
【Abstract】 To summarize the nursing care of fecal microbiota transplantation in a patient complicated with pulmonary infection and pseudomembranous colitis after radical resection of rectal cancer. The main contents of nursing are as follows. The first stage is to prevent the aggravation of infection,including the observation and management of ileostomy and ostomy fluid,respiratory function exercise,early functional exercise,nutritional support,and disease observation. The second stage is the care of fecal microbiota transplantation,including preparation for transplantation,the key points of nursing during transplantation,and nursing after transplantation. After careful nursing,the patient has recovered and discharged from the hospital. After 6-month follow-up,the ileostomy fluid was controlled at a normal level of 560-1 050 ml/d,with the enhanced self-care ability and the improved symptoms of anxiety and depression,and the quality of life was improved.
【Key words】 Fecal Microbiota Transplantation; Severe Pseudomembranous Colitis; Ileostomy; Nursing Care;
- 【文献出处】 中华护理杂志 ,Chinese Journal of Nursing , 编辑部邮箱 ,2022年20期
- 【分类号】R473.5
- 【下载频次】407