Martins Lina, Tavernelli Kathy, Sansom Wendy, Dahl Kirsten, Claessens Ineke, Porrett Terri, Andersen Birgitte Dissing
London Health Sciences Centre, Ontario, Canada.
Br J Nurs. 2012;21(22):1312-5. doi: 10.12968/bjon.2012.21.22.1312.
Peristomal skin complications (PSCs) are common and troublesome and the consequences are substantial both for the patient and from a health-economic viewpoint. The purpose of this article is to demonstrate that early detection and treatment of PSCs, combined with the use of a correctly fitted and appropriate pouching system, can reduce treatment costs-in the UK, it is estimated to save £28.1m annually. A model for cost estimation of PSCs and a real-life global data set of people with stomas are used for the calculations. A high priority should be given to ensuring resources are available to provide education, guidance and assistance to people with a stoma. This would support increased awareness of the first signs of PSCs and enable self-management at an early stage.
造口周围皮肤并发症(PSCs)很常见且令人困扰,无论对患者还是从卫生经济学角度来看,其后果都很严重。本文旨在证明,对PSCs进行早期检测和治疗,结合使用合适且适配的造口袋系统,可降低治疗成本——在英国,据估计每年可节省2810万英镑。PSCs成本估算模型和真实的全球造口人群数据集用于计算。应高度重视确保有资源为造口人士提供教育、指导和帮助。这将有助于提高对PSCs早期迹象的认识,并实现早期自我管理。