O'Connor Gloria
Stoma Care Department, Altnagelvin Hospital, Derry, Northern Ireland.
Br J Nurs. 2003;12(13):800-7. doi: 10.12968/bjon.2003.12.13.11348.
Discharge planning and establishing goals for rehabilitation after stoma surgery is an ongoing process, which should be preceded by an holistic assessment, ideally carried out by a specialist practitioner with knowledge and experience in this area. The practitioner needs to have effective listening skills to ensure that both practical and psychological care are patient-centred. The patient and his/her carers must be involved in all aspects of care planning and establishing goals for rehabilitation. The specialist practitioner should adopt an evidence-based approach to care, ensuring that important aspects of care, such as the early teaching of stoma management skills, are not neglected. The specialist practitioner may not be able to meet all the patient's needs and should refer on to other specialist staff where these services are available. Such multidisciplinary input, utilizing appropriate problem-solving approaches with the involvement of patients and their carers, can only enhance the quality of care delivered and optimize the process of rehabilitation.
造口手术后的出院计划制定和康复目标设定是一个持续的过程，在此之前应进行全面评估，理想情况下由在该领域有知识和经验的专科医生进行。医生需要具备有效的倾听技巧，以确保实际护理和心理护理都以患者为中心。患者及其护理人员必须参与护理计划的各个方面以及康复目标的设定。专科医生应采用循证护理方法，确保诸如造口管理技能早期教学等重要护理方面不被忽视。专科医生可能无法满足患者的所有需求，在有其他专科人员提供服务的情况下，应将患者转介给他们。这种多学科的投入，在患者及其护理人员的参与下采用适当的解决问题方法，只会提高所提供护理的质量并优化康复过程。
