Colorectal and Stoma Clinical Nurse Specialist, the London Clinic.
Br J Nurs. 2023 Sep 6;32(Sup16c):S2-S7. doi: 10.12968/bjon.2023.32.Sup16c.S2.
This article explores convex stoma appliances, introduces Aura Plus Soft Convex (CliniMed) and presents three case studies of its use. Convexity applies pressure to flatten uneven peristomal skin and form an effective adhesive seal, as well as increase protrusion of a poorly spouted stoma. This reduces the risk of leaks and peristomal skin damage, as well as minimising accessory use. Excess pressure can damage the skin, so convexity should be used with caution at the appropriate depth and firmness for the ostomate's body profile and stomal complications. Aura Plus Soft Convex has a soft and flexible baseplate for easy application and adherence, as well as a unique shape, comfort curves and a large adhesive area to reduce creases and leaks. The hydrocolloid contains Manuka honey to promote skin health, and integral belt loops offer additional security. The case studies show how this appliance can restore peristomal skin integrity and relieve stoma-related anxiety; provide gentle support for a flush stoma and a rounded abdomen; and prevent leaks and improve quality of life after years of stoma-related complications.
本文探讨了凸面造口器具，介绍了 Aura Plus Soft Convex（CliniMed）并展示了其使用的三个案例研究。凸面施加压力以抚平不均匀的造口周围皮肤并形成有效的粘性密封，同时增加了造口的突出度。这降低了泄漏和造口周围皮肤损伤的风险，并最大限度地减少了附件的使用。过度的压力会损害皮肤，因此凸面应该谨慎使用，其深度和硬度应适合造口者的身体轮廓和造口并发症。Aura Plus Soft Convex 具有柔软灵活的底板，易于应用和贴合，以及独特的形状、舒适的曲线和较大的粘性区域，可减少皱纹和泄漏。水胶体含有麦卢卡蜂蜜，可促进皮肤健康，并且有完整的腰带环，提供额外的安全性。案例研究表明，该器具如何恢复造口周围皮肤的完整性并缓解与造口相关的焦虑；为平齐的造口和圆形腹部提供温和的支撑；并防止多年来与造口相关的并发症导致的泄漏和提高生活质量。
