Berti-Hearn Linda, Elliott Brenda
Linda Berti-Hearn, MSN, RN, CWOCN, is a Wound Ostomy Nurse, Virtua Health-Home Health Division, Mt. Laurel, New Jersey. Brenda Elliott, PhD, RN, CNE, is an Assistant Professor, Wilson College, Chambersburg, Pennsylvania.
Home Healthc Now. 2019 Sep/Oct;37(5):248-255. doi: 10.1097/NHH.0000000000000792.
This article focuses on the care and management of patients living with a urostomy. Improved surgical techniques and shortened hospital stays result in more patients receiving home care in the immediate postoperative period after surgical creation of a urostomy. It is important that home care clinicians have the knowledge and skills to manage the care of patients with a urostomy from hospital discharge to self-care. This article reviews the anatomy and physiology of the urinary tract, the formation of a stoma, and indications for the creation of a urostomy. Stent management, peristomal skin care, stomal complications as well as pouching options and accessories are discussed. Knowledge of care of patients with a urostomy can reduce the risk of complications and hospital readmissions, and assist patients to adjust to life with a urostomy.
本文重点关注接受尿流改道术患者的护理与管理。手术技术的改进和住院时间的缩短，使得更多患者在尿流改道术术后即刻接受家庭护理。家庭护理临床医生具备从患者出院到自我护理阶段管理尿流改道术患者护理的知识和技能至关重要。本文回顾了尿路的解剖学和生理学、造口的形成以及尿流改道术的适应证。还讨论了支架管理、造口周围皮肤护理、造口并发症以及造口袋选项和配件。了解尿流改道术患者的护理知识可降低并发症风险和再次入院率，并帮助患者适应尿流改道术后的生活。
