Aoki Kazue, Ishiguro Miho
Shizuoka Cancer Center.
Gan To Kagaku Ryoho. 2014 Jan;41(1):11-4.
People with stomas who have either been cured of cancer or are living with cancer have achieved good interrelationships among the three issues of"establishing self-care","dealing with stoma complications", and"accepting stomas", and they are maintaining stable physical and mental states.However, self-care may become difficult due to stoma complications and adverse events caused by chemotherapy and radiation therapy in the cancer treatment period, and in advanced phases of cancer serious stoma complications may occur due to deterioration of general condition and advancing cancer. Therefore, there is a risk that those stable physical and mental states will collapse.In order to deal with this critical state, in the cancer treatment period, stoma skin care is used for handling skin problems around the stoma, and for adverse events such as hand-and-foot syndrome, braces that are easy to operate are chosen from among various types of stoma braces in order to cover impediments.During advanced phases of cancer, care is conducted with the main priority placed on physical stability in order to ensure that the three major complications of stoma varicose veins, stoma prolapse, and parastomal hernia do not worsen and significantly affect general condition and daily life.Stoma outpatient treatment that provides lifelong support for such issues, and the existence of skin- and excretion-care certified nurses who provided highly specialized selfcare support, are extremely important for cancer survivors with stomas.
已治愈癌症或仍患有癌症的造口人士在“建立自我护理”“应对造口并发症”和“接受造口”这三个问题上取得了良好的相互关系，且身心状态保持稳定。然而，在癌症治疗期间，由于造口并发症以及化疗和放疗引起的不良事件，自我护理可能会变得困难，而在癌症晚期，由于全身状况恶化和癌症进展，可能会出现严重的造口并发症。因此，存在那些稳定的身心状态崩溃的风险。为应对这种危急状态，在癌症治疗期间，造口皮肤护理用于处理造口周围的皮肤问题，对于手足综合征等不良事件，从各种类型的造口支撑物中选择易于操作的支撑物来弥补障碍。在癌症晚期，护理工作主要以身体稳定为首要重点，以确保造口静脉曲张、造口脱垂和造口旁疝这三大并发症不会恶化并严重影响全身状况和日常生活。为这些问题提供终身支持的造口门诊治疗，以及提供高度专业化自我护理支持的皮肤和排泄护理认证护士的存在，对于有造口的癌症幸存者极为重要。
