Williams Julia
The Burdett Institute of Gastrointestinal Nursing inpartnership with Bucks New University, Uxbridge.
Br J Community Nurs. 2012 Jun;17(6):266, 268-9. doi: 10.12968/bjcn.2012.17.6.266.
Complications related to stoma surgery can occur immediately post surgery or following discharge from hospital, and will either resolve spontaneously or become a difficult management problem for both the stoma patient and healthcare practitioner. In the early stages of rehabilitation, the patient with a stoma relies heavily on the expertise of the healthcare practitioner to assist them in returning to the lifestyle they once enjoyed. Literature acknowledges that adjustment to life with a stoma depends largely on whether complications following the creation of a stoma are persistent (Bekkers et al, 1996; Taylor, 1999; Cottam and Richards, 2006). Evidence demonstrates that prolonged unresolved stoma problems hinder adaptation and adjustment to the stoma (Bekkers et al, 1996; Williams et al, 2010), therefore, it is important for the healthcare practitioner to be well informed and skilled regarding common stoma problems. This article aims to highlight common stoma complications and offer guidance on evidence-based management of such problems to inform healthcare practitioners working in the community setting.
与造口手术相关的并发症可能在手术后立即出现，也可能在出院后发生，并且要么会自行缓解，要么会成为造口患者和医护人员难以处理的管理问题。在康复的早期阶段，有造口的患者严重依赖医护人员的专业知识来帮助他们恢复曾经的生活方式。文献表明，对造口生活的适应很大程度上取决于造口术后并发症是否持续存在（贝克斯等人，1996年；泰勒，1999年；科塔姆和理查兹，2006年）。证据表明，长期未解决的造口问题会阻碍对造口的适应和调整（贝克斯等人，1996年；威廉姆斯等人，2010年），因此，医护人员了解常见的造口问题并具备相关技能非常重要。本文旨在突出常见的造口并发症，并为基于证据的此类问题管理提供指导，以便为在社区环境中工作的医护人员提供参考。
