Rudoni Caroline, Dennis Heather
Stoma Care, St George's Healthcare NHS Trust, Tooting, London.
Br J Nurs. 2009;18(18):1106, 1108, 1110-2. doi: 10.12968/bjon.2009.18.18.44551.
Usage and opinion of accessory products in stoma care vary enormously. The aim of this study was to identify what constitutes an accessory product and to find out whether there is any standardization regarding their recommendation. Views of both patients and stoma nurses were examined. Patients identify accessory products as being necessary both physically and psychologically in improving their quality of life. While stoma nurses identify that the psychological effects of having a stoma should never be underestimated, there is still concern regarding the cost of recommending these products and their clinical necessity. It would appear that clinical necessity is based on nurses' opinions and is not always evidence or research based. Since accessory products have been shown to be essential to many patients with a stoma, should stoma nurses be more empathetic when considering their recommendation?
造口护理辅助产品的使用情况和看法差异极大。本研究的目的是确定什么构成辅助产品，并查明在推荐这些产品方面是否存在任何标准化。研究考察了患者和造口护士双方的观点。患者认为辅助产品在改善其生活质量方面无论在生理上还是心理上都是必要的。虽然造口护士认识到造口带来的心理影响绝不应被低估，但对于推荐这些产品的成本及其临床必要性仍存在担忧。临床必要性似乎基于护士的意见，并不总是基于证据或研究。既然辅助产品已被证明对许多造口患者至关重要，那么造口护士在考虑推荐时是否应该更具同理心呢？
