国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (10): 1753-1756.DOI: 10.3760/cma.j.cn441417-20240924-10035

• 护理研究 • 上一篇    下一篇

消瘦合并腹泻腹膜透析患者个性化皮肤护理实践的1例病例报告

阳培1  汪玉泉2  王琦2   

  1. 1广州市从化区太平中心卫生院,广州 510900;2广州市花都区人民医院肾病学科 ,广州 510800

  • 收稿日期:2024-09-24 出版日期:2025-05-15 发布日期:2025-05-22
  • 通讯作者: 王琦,Email:13828400657@126.com
  • 基金资助:

    广东省医学科学技术研究基金项目(C2023100);广州市花都区人民医院院内重点学科建设项目(YNZDXK202401)

Personalized skin care management in a cachectic peritoneal dialysis patient with chronic diarrhea: a clinical case study 

Yang pei1, Wang Yuquan2, Wang Qi2   

  1. 1 Central Hospital of Taiping Town, Conghua District, Guangzhou 510900, China; 2  Department of Nephrology, Guangzhou Huadu District People's Hospital, Guangzhou 510800, China

  • Received:2024-09-24 Online:2025-05-15 Published:2025-05-22
  • Contact: Wang Qi, Email:13828400657@126.com
  • Supported by:

    Guangdong Provincial Medical Science and Technology Research Fund (C2023100); Project for Construction of Key Disciplines at Guangzhou Huadu District People's Hospital (YNZDXK202401)

关键词: 压力性损伤,  ,  , 腹泻,  ,  , 营养支持

Abstract:

Objective  To summarize the skin care measures and experience of patients with long hospitalization periods, high risk of pressure injuries, and susceptibility to pressure ulcers by a case study. Methods  One long-term bedridden patient with impaired active nutrient intake, diarrhea, and intraperitoneal infection who took peritoneal dialysis received pressure ulcer prevention and personalized perianal skin care interventions. Results  During the 15-day hospitalization, there was no perianal skin damage during episodes of diarrhea. The patient's skin remained intact until        discharge. Conclusions  Timely personalized nursing interventions, such as the use of                     foam dressings for pressure ulcer prevention and management, should be implemented for patients at high risk of pressure injuries. For patients with diarrhea, rectal tampon insertion can keep the skin around the anus and buttocks dry, preventing stool contamination from irritating the skin and pressure ulcers and improving their comfort and satisfaction with the care.

Key words: Pressure injury,  , Diarrhea,  , Nutritional support