Turnbull Gwen B
Ostomy Wound Manage. 2002 Dec;48(12):14,16.
Mr. D, 76 years old, underwent a colostomy in a local hospital after several weeks of preoperative outpatient radiation therapy that caused severe diarrhea. The nurses at the hospital managed his colostomy and told him he probably "would not need to wear a pouch" after he was taught how to irrigate. They showed him how to empty a two-piece system before he was discharged 7 days after his surgery. Mr. D was able to manage emptying but did not pay much attention to the procedure because he viewed wearing the pouch as a temporary situation. After his discharge, the home care nurse informed him that due to the diarrhea he was experiencing, colostomy irrigation would not be an option and he would have to use a pouching system - one different from the one he had learned to use in the hospital. Mr. D was disappointed and bewildered.
D先生，76岁，在经历了数周导致严重腹泻的术前门诊放疗后，在当地一家医院接受了结肠造口术。医院的护士负责护理他的结肠造口，并告诉他，在学会如何冲洗后，他“可能不需要佩戴造口袋”。在他术后7天出院前，护士向他展示了如何排空两件式造口袋系统。D先生能够自行排空，但并未太在意这个操作，因为他认为佩戴造口袋只是暂时的情况。出院后，家庭护理护士告知他，由于他正在经历腹泻，结肠造口冲洗不是一个可行的办法，他将不得不使用一种造口袋系统——与他在医院所学使用的不同。D先生感到失望和困惑。
