关键词: 尿路造口；皮炎；护士；干预方案；行动研究

Abstract: Objective: To improve the care protocol for peristomal irritant dermatitis in patients with urostomies, and evaluate its implementation effect. Methods: Taking action research method as the theoretical framework, aiming at the problems in urostomy nursing, and guided by the four steps of planning, action, observation and reflection, the nursing protocol of peristomal irritant dermatitis was formed. The occurrence and wound healing of peristomal irritant dermatitis before and after implementation and the effective replacement of the ostomy bag were compared. Results: After the implementation of the 2 rounds of circulation, the incidence of peristomal irritant dermatitis decreased from 46.67% to 13.51%, the onset time was delayed from 2.64±0.74 days to 4.60±0.55 days, the healing rate of irritant dermatitis was increased from 50.00% to 100.00%, the healing time was shortened from 8.57±0.53 days to 6.60±0.55 days, and the effective replacement rate of ostomy bag was increased from 83.76% to 96.03% (all P<0.05). Conclusion: The implementation of the urostomies care protocol based on action research is scientific, the content is reasonable and the operability is robust, thereby reducing the incidence of peristomal irritant dermatitis and improving the healing rate of dermatitis.

Key words: urostomy; dermatitis; nurse; intervention plan; action research