Sanada H, Kawashima K, Tsuda M, Yamaguchi A
Ostomy Wound Manage. 1992 May;38(4):24, 26-30, 32 passim.
The comparison of the influences of the natural evacuation method and the colostomy irrigation method on complaints, daily activities and psychosocial conditions revealed that colostomy irrigation, as compared to natural evacuation, imposes less distress on the patient, causes fewer skin problems and is less of a financial burden. In daily activities, irrigation causes fewer difficulties in comparison to natural evacuation in the areas of bathing and sleeping. Furthermore, the frequency of going outdoors remains at the same level as in pre-operative days and the patients are able to adjust to daily activities post-operatively. By comparing irrigation patients and natural evacuation patients from a psychosocial standpoint, irrigation patients hold a higher degree of self-esteem, have fewer anxieties and fewer worries than those using natural evacuation. The instruction of evacuation control, management of gas odor, and a great deal of psychosocial support needs to be given to natural evacuation patients.
对自然排便法和结肠造口灌洗法对患者主诉、日常活动及心理社会状况的影响进行比较后发现，与自然排便相比，结肠造口灌洗给患者带来的痛苦更少，皮肤问题更少，经济负担也更小。在日常活动方面，与自然排便相比，灌洗在洗澡和睡眠方面造成的困难更少。此外，外出频率与术前保持在同一水平，患者术后能够适应日常活动。从心理社会角度比较灌洗患者和自然排便患者，灌洗患者比自然排便患者拥有更高的自尊水平，焦虑和担忧更少。对于自然排便的患者，需要给予排便控制指导、气体气味管理以及大量的心理社会支持。
