Nordström G M, Borglund E, Nyman C R
Scand J Caring Sci. 1990;4(1):35-42. doi: 10.1111/j.1471-6712.1990.tb00005.x.
The aim of the study was to describe types of appliances and stoma care routines and evaluate their relation to peristomal skin complications. Sixty-six patients with a cutaneous uretero-ileostomy were interviewed and the peristomal skin was assessed according to Classification of Peristomal Skin (CPS). The results show a conservatism regarding the types of appliance and the stoma care routines. More than half of the patients used the same product at follow-up as they were initially fitted with three to 14 years earlier. The routines adopted by the patients were often inadequate, resulting in skin complications. Continuous exposure of the skin to urine by creation of a too wide opening in the face-plate and infrequent changing of the appliance resulted in development of pseudoverrucose skin lesions.
该研究的目的是描述器械类型和造口护理常规，并评估它们与造口周围皮肤并发症的关系。对66例皮肤输尿管回肠造口术患者进行了访谈，并根据造口周围皮肤分类（CPS）对造口周围皮肤进行了评估。结果显示，在器械类型和造口护理常规方面存在保守性。超过一半的患者在随访时使用的产品与他们最初安装时使用的产品相同，时间间隔为3至14年。患者采用的护理常规往往不充分，导致皮肤并发症。由于面板开口过大导致皮肤持续接触尿液，以及器械更换不频繁，导致了假疣状皮肤病变的发生。
