Cobb Ann, Knaggs Elaine
Harrogate Health Care NHS Trust.
Br J Community Nurs. 2003 Sep;8(9):S32-8. doi: 10.12968/bjcn.2003.8.Sup4.11582.
This article focuses on the principles of managing patients with enterocutaneous fistulae. Successful management involves comprehensive assessment, planning, implementation and evaluation of care and involves all members of the multidisciplinary team in both primary and secondary care. The main challenge for the nursing team is effective containment of the effluent to prevent excoriation of the skin thereby ensuring patient comfort. The article includes suggestions for choice and application of suitable appliances which have been successfully used by the authors. Early involvement in of patient and carer in all aspects of management is recommended for successful discharge of patients into the community.
本文重点关注肠皮肤瘘患者的管理原则。成功的管理涉及对护理的全面评估、规划、实施和评价，并且在初级和二级护理中需要多学科团队的所有成员参与。护理团队面临的主要挑战是有效收集流出物，防止皮肤擦伤，从而确保患者舒适。本文包括作者成功使用的合适器具的选择和应用建议。建议让患者和护理人员尽早参与管理的各个方面，以便患者成功出院回归社区。
