Brigham and Women's Hospital, Nursing Office, Boston, Massachusetts, USA.
J Wound Ostomy Continence Nurs. 2010 Nov-Dec;37(6):686-90. doi: 10.1097/WON.0b013e3181f9140b.
The management of jejunostomy and gastrostomy tubes that are not well stabilized and leak effluent around the insertion site present significant challenges to WOC nursing practice. The result is often peritubular skin erosion, patient discomfort, and high-volume fluid losses that are not measurable.
WOC nursing was consulted when a 70-year-old woman with a jejunostomy tube experienced leakage, skin erosion, and pain. A novel technique for tube stabilization and local treatment of the peritubular skin was successful in stabilizing her jejunostomy tube, protecting the skin surrounding the tube, relieving associated pain, and enabling accurate measurement of output from the tube. Alternative strategies for stabilization and treatment are discussed.
The outcomes of patients who have been treated with these strategies has been improved comfort since they do not feel any tube movement and decreased pain since the skin is protected from the caustic effluent and remains healthy and intact.
对于那些未得到良好固定且在插入部位周围有渗出液的空肠造口管和胃造口管的管理，给 WOC 护理实践带来了重大挑战。结果往往是套管周围皮肤侵蚀、患者不适和大量无法测量的液体流失。
一位 70 岁的女性患者出现空肠造口管漏液、皮肤侵蚀和疼痛，遂向 WOC 护理人员咨询。一种用于稳定套管和局部治疗套管周围皮肤的新技术成功稳定了她的空肠造口管，保护了套管周围的皮肤，缓解了相关疼痛，并能够准确测量套管的输出量。讨论了其他稳定和治疗策略。
接受这些策略治疗的患者的治疗效果得到了改善，因为他们感觉不到任何管移动，并且疼痛减轻了，因为套管周围的皮肤受到保护，免受腐蚀性渗出物的侵害，并且保持健康完整。
