Beart R W, Curlee F
Geriatrics. 1978 Nov;33(11):45-50.
Learning to live with an intestinal stoma is a difficult adjustment for elderly patients. Thoughtful, sensitive preoperative counseling and postoperative education in caring for the stoma are essential, and both are often the responsibility of the primary care physician. Irrigation is the preferred method of colostomy management, and with proper instruction, most patients can learn the technique. The physician and nurse should work in concert to teach patients how to control bowel movements, prevent odor, and maintain the integrity of the stoma and the skin. Elderly patients are able to accept a stoma much more readily if they can manage it easily.
对老年患者来说，学会适应肠道造口生活是一项艰难的调整。术前进行周到、贴心的咨询，术后对造口护理进行教育至关重要，而这两项工作通常都由初级保健医生负责。灌洗是结肠造口管理的首选方法，经过适当指导，大多数患者都能学会这项技术。医生和护士应协同工作，教导患者如何控制排便、防止异味以及保持造口和皮肤的完整性。如果老年患者能够轻松管理造口，他们就更容易接受它。
