McClees Nancy, Mikolaj Eda L, Carlson Sharon L, Pryor-McCann Joan
ConvaTec, A Bristol-Myers Squibb Company, Westerville, Ohio 43082, USA.
J Wound Ostomy Continence Nurs. 2004 May-Jun;31(3):123-9. doi: 10.1097/00152192-200405000-00006.
The focus of this research was to explore another way for the patient to manage their colostomy. It was hoped that by inserting a glycerin suppository into the colostomy one would be able to evacuate the lower large intestine more effectively and efficiently.
To determine if persons with a sigmoid colostomy could obtain fecal continence by instituting a daily self-administered bowel-stimulating suppository.
Randomized crossover comparative study comparing usual ostomy emptying practice with emptying with a glycerine suppository to stimulate controlled emptying.
Adult males and females with a sigmoid colostomy were studied in their homes.
The instruments included a profile questionnaire, a take-home diary, crossover and end-of-study questionnaires, and an exit questionnaire.
Subjects were randomized to their usual pouching method or to the experimental suppository method for 14 days each.
There was no difference in fecal output, fecal volume, or flatus between the 2 groups. The action of the suppository was affected by its failure to remain in the bowel for an adequate amount of time.
Further research is needed to determine if an adjunct device/method to hold the suppository in place would produce successful results.
本研究的重点是探索患者管理结肠造口术的另一种方法。人们希望通过将甘油栓插入结肠造口，能够更有效且高效地排空降结肠。
确定患有乙状结肠造口术的人通过每日自行使用刺激肠道的栓剂是否能实现粪便节制。
随机交叉对照研究，比较常规造口排空方法与使用甘油栓刺激控制排空的方法。
对家中患有乙状结肠造口术的成年男性和女性进行研究。
工具包括一份个人资料问卷、一份带回家填写的日记、交叉问卷和研究结束时的问卷，以及一份退出问卷。
受试者被随机分配，分别采用常规造口袋方法或实验性栓剂方法，每种方法各持续14天。
两组之间在粪便排出量、粪便体积或肠胀气方面没有差异。栓剂的作用受到其未能在肠道内停留足够时间的影响。
需要进一步研究以确定一种辅助装置/方法，使栓剂固定在位是否会产生成功的结果。
