Gabriele Roveron, RN, Ostomy and Pelvic Floor Rehabilitation Centre, S. Maria Della Misericordia Hospital, Rovigo, Italy.
Maria Barbierato, RN, Ostomy Centre, Azienda Ospedaliera di Padova, Padova, Italy.
J Wound Ostomy Continence Nurs. 2021;48(2):137-147. doi: 10.1097/WON.0000000000000745.
This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults.
Scoping review and generation of evidence and consensus-based clinical guidelines.
The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation," "stoma creation," "stoma complications," "stoma care," and "stoma reversal" (for enteral stomas)." All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication.
FINDINGS/CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.
本文是意大利成人肠造口和尿造口护理管理指南的执行摘要。
范围审查和证据生成以及基于共识的临床指南。
多学科意大利造口研究小组（MISSTO）成立于 2018 年。该小组根据文献范围审查，为成人肠造口和尿造口的管理制定了指南。研究包括以前的指南、系统评价、荟萃分析、随机临床试验、队列研究和病例报告。确定了五个主要主题：“造口准备”、“造口创建”、“造口并发症”、“造口护理”和“造口逆转”（用于肠造口）。所有研究均根据 GRADE 系统和 AGREE II 工具进行评估。建议以陈述的形式制定，为每个陈述确定推荐等级。对于科学证据水平较低的陈述，由意大利造口管理和护理领域的主要专业学会的专家成员组成共识会议，对陈述进行讨论、纠正、验证或删除。制定并准备发布指南的最终版本，其中包含明确的建议。
本文代表了意大利第一份关于肠造口和尿造口管理的指南，旨在为护理肠造口和尿造口患者的护士提供帮助。
