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采用造口周围身体轮廓评估来改善造口患者与渗漏相关的生活质量。

Using peristomal body profile assessment to improve leakage-related quality of life for individuals with an ostomy.

作者信息

Vendelbo Grethe, Carlsson Eva, Tøndel Lise Toril, Myller Elena, Sternhufvud Catarina, Simonsen Kenneth Starup, Munch Philip, Petersen Birte

机构信息

Stoma Care Nurse, Regionshospitalet Gødstrup, Herning, Denmark.

Stoma Care Nurse, Surgical Department, Sahlgrenska University Hospital, Gothenburg, and Associate Professor, Institute of Health and Care Sciences, University of Gothenburg, Sweden.

出版信息

Br J Nurs. 2023 Feb 23;32(4):173-181. doi: 10.12968/bjon.2023.32.4.173.

DOI:10.12968/bjon.2023.32.4.173
PMID:36828564
Abstract

BACKGROUND

Improper fitting between peristomal body profile and ostomy product(s) is one of the main reasons for leakage among individuals with an ostomy.

AIM

To evaluate clinical usability of the Body Assessment Tool developed by Coloplast that is available free of charge. The aim was also to study how changing to product(s) that were best suited to an individual, guided by peristomal body profile, affected the number of leakages and individuals' quality of life.

METHODS

The study consisted of questionnaires administered before and after the study, which spanned 4-5 weeks. A total of 22 nurses and 68 individuals with an ostomy participated in four Nordic countries.

FINDINGS

Of the 22 nurses, 21 recommended use of the tool. A shift to best fitting ostomy product(s) resulted in a significant decrease in the number of leakages (from 5.9 to 1.8 per 7 days) and a substantial improvement in quality of life.

CONCLUSION

The findings support the use of the Body Assessment Tool in clinical practice and the results showed that optimally fitting ostomy product(s) reduced the number of leakages and increased individuals' quality of life.

摘要

背景

造口周围身体轮廓与造口产品之间的贴合不当是造口患者渗漏的主要原因之一。

目的

评估康乐保公司开发的免费提供的身体评估工具的临床实用性。目的还在于研究在造口周围身体轮廓的指导下更换为最适合个体的产品如何影响渗漏次数和个体的生活质量。

方法

该研究包括在为期4至5周的研究前后进行问卷调查。共有来自四个北欧国家的22名护士和68名造口患者参与。

结果

在22名护士中,21人推荐使用该工具。更换为最适合的造口产品导致渗漏次数显著减少(从每7天5.9次降至1.8次),生活质量有实质性改善。

结论

研究结果支持在临床实践中使用身体评估工具,结果表明,最佳贴合的造口产品减少了渗漏次数,提高了个体的生活质量。

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