Varma Sarah
Stoma Care, St. Mark's Hospital, Harrow, Middlesex, UK.
Br J Nurs. 2009;18(17):S18-22. doi: 10.12968/bjon.2009.18.Sup6.44171.
Stoma surgery results in significant changes for the patient. These are both physical and psychological. Not only must the patient get used to the loss of control over elimination, but they must adapt to their altered physiology and may lack confidence in participating in everyday and sporting activities. Such surgery can have a profound effect on their pyschosocial wellbeing. In today's society, we are encouraged to maintain a healthy lifestyle, which includes exercise. As healthcare professionals, we should be encouraging the ostomist to resume a healthy lifestyle as part of their rehabilitation and adaption to their new stoma, as well as encouraging social interaction; however, their is a lack of clarity in the literature as to how appropriate sport and exercise are for the ostomist. To date, evidence-based literature relating to ostomists and stoma-related injuries is sparse, and anecdotal evidence from healthcare professionals may be discouraging ostomists from taking part in sport and exercise. This article explores sporting and exercise issues among ostomists. A variety of strategies are offered, which the stoma nurse can use to encourage ostomists to engage in gentle exercise and to participate or return to physical sports that they once enjoyed prior to their surgery.
造口手术会给患者带来重大改变。这些改变既有身体上的，也有心理上的。患者不仅要适应失去对排便的控制，还必须适应生理上的变化，并且可能对参与日常活动和体育活动缺乏信心。这种手术会对他们的心理社会幸福感产生深远影响。在当今社会，我们被鼓励保持健康的生活方式，其中包括锻炼。作为医疗保健专业人员，我们应该鼓励造口患者恢复健康的生活方式，将其作为康复和适应新造口的一部分，同时鼓励社交互动；然而，关于运动和锻炼对造口患者的适宜程度，文献中缺乏明确的阐述。迄今为止，与造口患者和造口相关损伤有关的循证文献很少，医疗保健专业人员的轶事证据可能会使造口患者不愿参加运动和锻炼。本文探讨了造口患者的运动和锻炼问题。文中提供了多种策略，造口护士可以利用这些策略鼓励造口患者进行适度锻炼，并参与或恢复他们在手术前曾经喜爱的体育活动。
