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凸面在造口护理中的应用:国际共识会议结果

Use of Convexity in Ostomy Care: Results of an International Consensus Meeting.

作者信息

Hoeflok Jo, Salvadalena Ginger, Pridham Sue, Droste Werner, McNichol Laurie, Gray Mikel

机构信息

Jo Hoeflok, MA, BSN, RN, CETN(C), CGN(C), Gastroenterology & General Surgery, St. Michael's Hospital, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Ginger Salvadalena, PhD, RN, CWOCN, Clinical Affairs, Hollister Incorporated, Libertyville, Illinois. Sue Pridham, BA, Diploma Nursing (Adult), Manchester Royal Infirmary, Manchester, United Kingdom. Werner Droste, ET Nurse, private practice, Selm, Germany. Laurie McNichol, MSN, RN, GNP, CWOCN, CWON-AP, CNS/WOC Nurse, Cone Health, Greensboro, North Carolina. Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, School of Medicine (Department of Urology) and School of Nursing (Department of Acute and Specialty Practice), University of Virginia, Charlottesville.

出版信息

J Wound Ostomy Continence Nurs. 2017 Jan/Feb;44(1):55-62. doi: 10.1097/WON.0000000000000291.

Abstract

Ostomy skin barriers that incorporate a convexity feature have been available in the marketplace for decades, but limited resources are available to guide clinicians in selection and use of convex products. Given the widespread use of convexity, and the need to provide practical guidelines for appropriate use of pouching systems with convex features, an international consensus panel was convened to provide consensus-based guidance for this aspect of ostomy practice. Panelists were provided with a summary of relevant literature in advance of the meeting; these articles were used to generate and reach consensus on 26 statements during a 1-day meeting. Consensus was achieved when 80% of panelists agreed on a statement using an anonymous electronic response system. The 26 statements provide guidance for convex product characteristics, patient assessment, convexity use, and outcomes.

摘要

带有凸面特征的造口皮肤屏障已在市场上存在数十年,但指导临床医生选择和使用凸面产品的资源有限。鉴于凸面特征的广泛应用,以及需要为合理使用具有凸面特征的造口袋系统提供实用指南,于是召集了一个国际共识小组,就造口实践的这一方面提供基于共识的指导。在会议召开前,向小组成员提供了相关文献的摘要;在为期一天的会议期间,利用这些文章就26项声明达成了共识。当80%的小组成员通过匿名电子应答系统对一项声明达成一致时,即达成了共识。这26项声明为凸面产品特性、患者评估、凸面特征的使用及结果提供了指导。

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本文引用的文献

4
A convex urostomy pouch with adhesive border: a patient survey.
Br J Nurs. 2014;23(22):1182-6. doi: 10.12968/bjon.2014.23.22.1182.
6
Factors related to ostomy leakage in the community setting.社区环境中与造口渗漏相关的因素。
J Wound Ostomy Continence Nurs. 2014 May-Jun;41(3):249-53. doi: 10.1097/WON.0000000000000017.
7
Use of convexity in pouching: a comprehensive review.
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