Metcalf Christine
Clinical Nurse Specialist, Stoma Care, St Mark's Hospital, London North West University NHS Trust.
Br J Nurs. 2018 Dec 13;27(22):S6-S14. doi: 10.12968/bjon.2018.27.22.S6.
Moisture-associated skin damage from stoma effluent is the most common cause of peristomal skin problems. It is important to identify the causes for any treatment to be effective. A comprehensive assessment should be undertaken using an assessment tool to document the extent of the damage in an accurate and reliable way, and to assist with developing and evaluating a management plan. This article discusses the different types of appliances and accessories that can be used to treat moisture-associated skin damage. As some are costly they should be used wisely. Management of the peristomal skin should be proactive, with the goal being prevention by identifying and managing the causes effectively, thus preventing skin breakdown occurring.
造口排泄物引起的与水分相关的皮肤损伤是造口周围皮肤问题最常见的原因。确定任何治疗有效的原因很重要。应使用评估工具进行全面评估，以准确、可靠地记录损伤程度，并协助制定和评估管理计划。本文讨论了可用于治疗与水分相关的皮肤损伤的不同类型的器具和配件。由于有些成本高昂，应明智使用。造口周围皮肤的管理应积极主动，目标是通过有效识别和管理原因来预防，从而防止皮肤破损发生。
