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不断改进造口器具,改善患者预后,提高造口接受度。

Evolving stoma appliances to improve patient outcomes and increase stoma acceptance.

机构信息

Colorectal Stoma Nurse Specialist, Buckinghamshire NHS Trust.

出版信息

Br J Nurs. 2022 Sep 8;31(16):S18-S23. doi: 10.12968/bjon.2022.31.16.S18.

DOI:10.12968/bjon.2022.31.16.S18
PMID:36094032
Abstract

Adjusting to life with a stoma can be difficult physically and emotionally. Preoperative counselling, where possible in cases of elective surgery, is fundamental to preparing those facing stoma formation, and a lack of support can be detrimental and can increase the risk of stoma patients experiencing complications. The stoma care nurse specialist (SCN) uses a range of clinical skills and specialist knowledge to support a patient through their surgical pathway; this is important for helping patients gain the skills and confidence to care for their stoma and reduce the risk of stoma-related complications. Complications are common and can reduce patient wellbeing and quality of life. As well as patient education and SCN support, using the appropriate stoma care appliances is important in achieving positive outcomes and preventing complications. Furthermore, the correct appliance for an individual patient can help to improve their confidence and wellbeing, leading to better stoma acceptance by meeting their needs and allowing them to carry out everyday life without feeling obstructed by having a stoma pouch. This article discusses the Aura Plus stoma pouch range, and highlights the features designed to prevent common complications and improve patient outcomes and confidence. A case study demonstrates how Aura Plus led to positive outcomes for a patient who had been experiencing significant leakage and peristomal skin complications when using a multitude of different pouches. The change to Aura Plus resolved these complications and led to improved wellbeing and quality of life.

摘要

适应带有造口的生活在身体和情感上可能都很困难。术前咨询对于择期手术的患者来说至关重要,可以为即将接受造口的患者做好准备,而缺乏支持可能会产生不利影响,并增加造口患者出现并发症的风险。造口护理专科护士(SCN)利用一系列临床技能和专业知识,在患者的手术过程中为其提供支持;这对于帮助患者获得护理造口的技能和信心,降低造口相关并发症的风险非常重要。并发症很常见,会降低患者的幸福感和生活质量。除了患者教育和 SCN 支持外,使用合适的造口护理器具对于获得积极的结果和预防并发症也很重要。此外,为个体患者选择合适的器具有助于增强他们的信心和幸福感,满足他们的需求,使他们在日常生活中不会因为带有造口袋而感到受阻,从而更好地接受造口。本文讨论了 Aura Plus 造口袋系列,并强调了旨在预防常见并发症和改善患者结果和信心的特点。一项案例研究展示了 Aura Plus 如何为一位经历了严重渗漏和造口周围皮肤并发症的患者带来积极的结果,该患者在使用多种不同的造口袋时都出现了这些并发症。改用 Aura Plus 解决了这些并发症,提高了患者的幸福感和生活质量。

相似文献

1
Evolving stoma appliances to improve patient outcomes and increase stoma acceptance.不断改进造口器具,改善患者预后,提高造口接受度。
Br J Nurs. 2022 Sep 8;31(16):S18-S23. doi: 10.12968/bjon.2022.31.16.S18.
2
Novel stoma appliances to minimise complications and improve patient outcomes.新型造口器具可减少并发症并改善患者预后。
Br J Nurs. 2021 Sep 9;30(16):S4-S10. doi: 10.12968/bjon.2021.30.16.S4.
3
Using a convex ostomy appliance to manage peristomal skin complications: introducing Aura Plus Soft Convex.使用凸面造口器械管理造口周围皮肤并发症:介绍 Aura Plus 软凸面。
Br J Nurs. 2023 Sep 6;32(Sup16a):S1-S7. doi: 10.12968/bjon.2023.32.Sup16a.S1.
4
Using a convex ostomy appliance to manage peristomal skin complications: introducing Aura Plus Soft Convex.使用凸面造口器械管理造口周围皮肤并发症:引入 Aura Plus 软凸面。
Br J Nurs. 2023 Sep 6;32(Sup16c):S2-S7. doi: 10.12968/bjon.2023.32.Sup16c.S2.
5
Institution of a Preoperative Stoma Education Group Class Decreases Rate of Peristomal Complications in New Stoma Patients.开展术前造口教育小组课程可降低新造口患者的造口周围并发症发生率。
J Wound Ostomy Continence Nurs. 2017 Jul/Aug;44(4):363-367. doi: 10.1097/WON.0000000000000338.
6
Results of an audit of the Peristomal Body Profile Assessment Tool.造口周围身体状况评估工具审核结果。
Br J Nurs. 2022 Dec 15;31(22):S4-S12. doi: 10.12968/bjon.2022.31.22.S4.
7
Convexity in stoma care: developing a new ASCN UK guideline on the appropriate use of convex products.造口护理中的凸面问题:制定英国造口治疗师协会关于凸面产品合理使用的新指南。
Br J Nurs. 2021 Sep 9;30(16):S12-S20. doi: 10.12968/bjon.2021.30.16.S12.
8
Utilities associated with stoma-related complications: peristomal skin complications and leakages.与造口相关并发症相关的问题:造口周围皮肤并发症和渗漏。
J Med Econ. 2022 Jan-Dec;25(1):1005-1014. doi: 10.1080/13696998.2022.2101776.
9
Evaluating skin care problems in people with stomas.评估造口人士的皮肤护理问题。
Br J Nurs. 2010;19(17):S6-S15. doi: 10.12968/bjon.2010.19.Sup7.78569.
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Challenges faced by people with a stoma: peristomal body profile risk factors and leakage.造口人面临的挑战:造口周围身体轮廓的风险因素和渗漏。
Br J Nurs. 2022 Apr 7;31(7):376-385. doi: 10.12968/bjon.2022.31.7.376.

引用本文的文献

1
Experience of providing care to a family member with Crohn's disease and a temporary stoma: A qualitative study.照顾患有克罗恩病和临时造口的家庭成员的经历:一项定性研究。
Heliyon. 2023 Oct 13;9(10):e21013. doi: 10.1016/j.heliyon.2023.e21013. eCollection 2023 Oct.
2
The lived experience of colorectal cancer patients with a temporary ileostomy and the patient's perception of the ostomy nurses' educational interventions.结直肠癌临时肠造口患者的生活体验及患者对造口护士教育干预的感知。
Support Care Cancer. 2023 Apr 18;31(5):276. doi: 10.1007/s00520-023-07748-w.