Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois.
Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California.
J Wound Ostomy Continence Nurs. 2022;49(3):240-246. doi: 10.1097/WON.0000000000000874.
Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group of 10 nurses and physicians with expertise caring for patients with an ostomy completed a scoping review identifying research-based evidence and gaps in our knowledge of the safety and effectiveness related to the use of a convex pouching system following ostomy surgery. Results of this scoping review demonstrated the need for a structured consensus to define best practices when selecting a pouching system that provides a secure and reliable seal around the stoma, avoids undermining and leakage of effluent from the pouching system, and contributes to optimal health-related quality of life for patients following ostomy surgery. The expert panel reached consensus on 8 statements for the use of convex products immediately after surgery and throughout the first 6 months after stoma creation, as well as describing goals in choosing the best pouching system for the patient with an ostomy.
凸面袋系统已经为造口患者使用了几十年；然而，在术后使用凸面仍然存在争议。一组由 10 名具有造口护理专业知识的护士和医生组成的团队完成了一项范围审查，确定了与造口手术后使用凸面袋系统的安全性和有效性相关的基于研究的证据和知识空白。这项范围审查的结果表明，需要进行结构化的共识来定义最佳实践，以选择提供围绕造口的安全可靠密封、避免袋系统下的削弱和流出物泄漏以及有助于造口手术后患者最佳健康相关生活质量的袋系统。专家小组就术后立即和造口术后 6 个月内使用凸面产品的 8 项声明达成了共识，并描述了为造口患者选择最佳袋系统的目标。
