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易-X 磁性造口连接器系统。造口护理的未来概念?

The Easy-X magnetic stoma connector system. A future concept for stomal dressing?

机构信息

Department of Surgical and Perioperative Sciences, Umeå University and Umeå University Hospital, Umeå, Sweden.

出版信息

Int J Colorectal Dis. 2013 Mar;28(3):371-4. doi: 10.1007/s00384-012-1527-2. Epub 2012 Jul 5.

Abstract

AIM

A considerable proportion of stoma patients are disabled for various reasons and are elderly. To be able to dress their stoma themselves is of crucial importance for their integrity and social life. This study evaluates a novel stomal dressing system based on a magnetic connector--the Easy-X system.

METHOD

Twenty patients (8 women, mean age of 40-89 years) with a well-functioning colostomy tested the Easy-X system for 6 weeks. The system was judged by the patients using a multiple choice scale, and by the stoma nurses using a 10-grade VAS.

RESULTS

Eighteen of 20 patients completed the trial. Ten patients rated the Easy-X as better than their ordinary system, 3 as equal to and 4 deemed it inferior. Despite this, only three were prepared to change to the Easy-X system. Eleven of 18 patients experienced discomfort with the new adhesive plate. Three patients suffered leakage less often and five patients more often than with their ordinary system. Stoma nurse ratings were available for 14 patients. Their evaluation of the magnetic connector in the Easy-X system was positive in eight cases, neutral in one case and negative in three cases. Global impression ratings were 3 positive, 3 negative and 5 neutral.

CONCLUSION

The Easy-X system showed potential advantages over conventional stomal dressing systems, but the system must be improved in terms of a varied assortment of dressing products enabling individual fitting before a larger trial can be carried out on disabled patients. Furthermore, the increased use of metal has to be handled with an ecologic recycling system. WHAT IS NEW IN THIS PAPER: A new stomal dressing system with a magnetic connector has potential advantages over conventional stomal dressings for disabled persons.

摘要

目的

由于各种原因,相当一部分造口患者存在残疾,且多数为老年人。能够自行护理造口对他们的完整性和社会生活至关重要。本研究评估了一种基于磁性连接器的新型造口敷料系统——Easy-X 系统。

方法

20 名(8 名女性,平均年龄 40-89 岁)造口功能良好的患者使用 Easy-X 系统进行了 6 周的测试。患者使用多项选择量表对系统进行评估,造口护士使用 10 级视觉模拟量表(VAS)进行评估。

结果

20 名患者中有 18 名完成了试验。10 名患者认为 Easy-X 优于他们的常规系统,3 名认为相等,4 名认为较差。尽管如此,只有 3 名患者愿意更换为 Easy-X 系统。18 名患者中有 11 名对新型粘性板感到不适。3 名患者渗漏较少,5 名患者较常规系统渗漏更多。14 名患者的造口护士评估结果可用。他们对 Easy-X 系统中磁性连接器的评价有 8 例为阳性,1 例为中性,3 例为阴性。总体印象评价有 3 例为阳性,3 例为阴性,5 例为中性。

结论

Easy-X 系统相对于传统的造口敷料系统具有潜在的优势,但在进行更大规模的残疾患者试验之前,必须改进系统,提供更多种类的敷料产品,以实现个性化适配。此外,必须使用生态回收系统来处理金属使用量增加的问题。

本篇论文的新发现

一种带有磁性连接器的新型造口敷料系统相对于传统的造口敷料,为残疾人提供了潜在的优势。

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