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造口人面临的挑战:造口周围身体轮廓的风险因素和渗漏。

Challenges faced by people with a stoma: peristomal body profile risk factors and leakage.

机构信息

Clinical Nurse Specialist, Wound, Ostomy and Continence, London Health Sciences Centre, London, Ontario, Canada.

Enterostomal Therapist, The Stoma Clinic, Herlev Hospital, Herlev, Denmark.

出版信息

Br J Nurs. 2022 Apr 7;31(7):376-385. doi: 10.12968/bjon.2022.31.7.376.

DOI:10.12968/bjon.2022.31.7.376
PMID:35404660
Abstract

AIM

The Ostomy Life Study 2019 aimed to obtain a better understanding of the challenges faced by people with stoma.

METHODS

Online survey with participants from 17 countries.

FINDINGS

Of the 54 614 individuals invited to take part, 5187 responded; 62% of the respondents avoided physical and social activities because of their stoma and 37% had never consulted their stoma care nurse to have the fit of their stoma product checked. In a subgroup receiving questions on leakage (=4209), output under the baseplate and leakage onto clothes were experienced within the previous month by 76% and 26% of respondents, respectively. Higher chance of leakage was associated with an irregular stoma shape and peristomal body profile; a stoma level at or below the skin surface; and the presence of creases, folds and other changes in the peristomal area.

CONCLUSION

Leakage and access to a stoma care nurse to provide the necessary care and guidance remain important concerns for individuals with a stoma.

摘要

目的

2019 年造口生活研究旨在更好地了解造口患者面临的挑战。

方法

对来自 17 个国家的参与者进行在线调查。

结果

在受邀参与的 54614 人中,有 5187 人做出回应;62%的受访者因造口而避免身体和社交活动,37%的人从未咨询过造口护理护士来检查造口产品的适配情况。在接受渗漏问题调查的亚组(=4209)中,分别有 76%和 26%的受访者在过去一个月内经历过底盘下的排泄物漏出和漏到衣服上的情况。更高的渗漏风险与不规则的造口形状和造口周围身体轮廓、与皮肤平齐或低于皮肤表面的造口水平以及造口周围区域存在褶皱、折痕和其他变化有关。

结论

渗漏以及获得造口护理护士的帮助以提供必要的护理和指导仍然是造口患者关注的重要问题。

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Br J Nurs. 2022 Apr 7;31(7):376-385. doi: 10.12968/bjon.2022.31.7.376.
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