造口粉联合康复新应用于Ⅱ～Ⅲ度放射性皮炎中的研究

目的探讨造口粉联合康复新应用予Ⅱ~Ⅲ度以上放射性皮炎的效果。方法将68例发生Ⅱ~Ⅲ度放射性皮炎的患者随机分为2组,观察组在出现放射性皮炎后使用造口粉联合康复新进行治疗;对照组使用康复新进行治疗。观察2组措施对治疗皮炎的有效率。结果观察组有效率高于对照组(P0.05)。结论造口粉联合康复新治疗Ⅱ~Ⅲ度放射性皮炎,有效率高,值得临床推广应用。     

水胶体、液体敷料联合造口护肤粉治疗肠造口周围皮炎的护理体会

总结了22例水胶体、液体敷料联合造口护肤粉治疗肠造口周围皮炎的护理体会。采用了造口皮肤评估工具对22例患者造口周围皮肤进行了护理评估,其主要护理措施有:造口周围皮肤的处理及预防造口袋渗漏措施,同时给予心理护理、造口指导、饮食指导、生活工作指导。认为水胶体、液体敷料联合造口护肤粉治疗肠造口周围皮炎疗效确实,减轻了患者的痛苦。     

不同类型肠造口周围皮炎的原因分析及护理对策

目的:探讨肠造口周围皮炎的发生原因及护理对策。方法:选取在我院就诊的肠造口周围皮炎患者95例,通过回顾性分析肠造口周围皮炎的大小、形态及严重程度,寻找肠造口周围皮炎的发生原因,总结护理对策。结果:经相应护理后,所有患者均痊愈或好转。结论:肠造口周围皮炎的发生原因各不相同,护理人员应首先判断肠造口周围皮炎的发生原因,针对不同原因采用相应的护理对策,能够取得较为满意的治疗效果。     

防治回肠膀胱造口周围皮炎的循证护理

总结循证护理在防治回肠膀胱造口周围皮炎中的应用效果。对25例行回肠膀胱造口患者进行循证护理,根据造口周围皮炎的相关证据,制定并实施护理措施,包括减少排泄物的刺激、防止排泄物外渗、连续系统的健康教育指导、重视术前造口定位、提高患者自我护理能力。25例患者中8例出现造口周围皮炎,给予对症处理后未再发生皮炎。     

循证护理在肠造口周围皮炎预防及治疗中的应用

目的为肠造口患者制订合理的造口周围皮炎的预防及治疗方案。方法根据本组患者造口情况,提出临床问题并转换成检索式,计算机检索PubMed、SCI、Cochrane图书馆、中国期刊全文数据库等资源。结果检索出有关造口周围皮炎相关因素、预防和治疗的指南1篇、随机对照试验6篇、前瞻性研究7篇、回顾性研究2篇。参考检索结果,根据患者病情,为62例肠造口患者制订合理的皮炎预防及治疗措施:术前造口定位、术前教育、术后及出院时指导的全程分期式护理。出院1个月之内共有7例发生了造口周围皮炎,均于皮炎发生1周内好转。结论采用循证护理的方法可有效预防及治疗造口周围皮炎。     

壳聚糖伤口护理膜治疗肠造口周围皮炎效果观察

目的观察壳聚糖伤口护理膜治疗肠造口皮炎的临床疗效。方法将66例肠造口患者随机分成治疗组(34例)与对照组(32例),2组均给予常规护理,治疗组应用壳聚糖伤口护理膜,对照组应用氧化锌软膏,观察2组治疗效果。结果采用壳聚糖伤口护理膜治疗造口周围皮炎效果明显优于对照组(P0.05),有显著性差异。结论壳聚糖伤口护理膜能有效改善造口周围皮炎,值得临床推广。     

1例直肠癌术后结肠造口周围皮炎的护理

【】 总结了1例直肠癌姑息切除术后结肠造口的护理经验,明确了造口患者的护理及教育的重要性。对患者进行造口周围皮炎局部的处理及造口的正确护理,并给予造口的自我护理知识的健康教育,使患者掌握了正确的造口自我护理方法,促进造口周围皮炎愈合。     

肠造口周围皮炎的原因分析及处理

目的　分析肠造口周围皮炎发生的原因 ,探讨其护理对策。方法　将 88例肠造口周围皮炎患者按时间段、应用不同的造口用品分为两组 ,对皮炎的发生率、皮肤损伤等级、平均愈合时间进行比较。结果　应用捆绑式造口袋的患者比应用康乐保系列造口用品的患者皮炎发生率明显增多 (P <0 .0 1) ,且皮肤损伤的严重程度也明显增加 (P <0 .0 1)。结论　选择适宜的造口用品 ,制订周全的皮肤护理计划 ,加强肠造口的知识宣教 ,可有效地减少肠造口周围皮炎的发生率 ,降低皮肤损伤程度     

腹腔镜直肠癌造口周围皮炎预防与管理的循证护理实践

目的 制定符合腹腔镜直肠癌造口周围皮炎预防与管理的循证护理方案.方法 组建循证护理团队并确立问题,通过国际和国内高级医学数据库检索中英文词汇、文献并进行证据质量评价后,形成循证防护策略.同时选取2017年12月—2018年12月收治的35例腹腔镜直肠癌造口患者作为对照组,将2019年1月—2020年1月收治的36例同类型患者作为研究组,对照组实施经验性护理模式,研究组实施运用循证护理实践路径的护理模式,对比两组患者应用不同护理模式后疗效.结果 总结12条造口周围皮炎预防与管理防护策略并实施.干预后,与对照组相比,研究组周围皮炎发生率及各造口护理相关费用均显著降低(P<0.05);研究组周围皮炎0度严重程度发生率显著增高(P<0.05).结论 循证护理实践可有效促进护理人员对专科领域研究的学习积极性,增强造口周围皮肤炎防治意识和能力,降低护理造口相关费用.     

湿润烧伤膏治疗结肠造口皮炎的临床观察

目的：观察湿润烧伤膏治疗结肠造口皮炎的临床疗效。方法：将50例结肠造口皮炎患者随机分为实验组和对照组，两组均给予常规护理，实验组常规护理后外涂湿润烧伤膏，观察两组的治疗效果。结果：实验组痊愈率和总有效率明显高于对照组（P〈0．05）。结论：湿润烧伤膏治疗结肠造口皮炎具有起效快、疗程短、无不良反应等优点，值得临床推广。     

Living with a stoma: a review of the literature

Aims and objectives. This systematic review looks at the psychological and social impact of stoma surgery on peoples’ lives. Background. The formation of a stoma can have a negative effect on a person's quality of life and affect lifestyle in a number of ways. Methods. The review examines nursing literature from 1990 to date and focuses on how stoma patients’ lives are affected by the presence of a stoma. It informs nursing practice so nurses are better able to help individuals improve, maintain or recover their health following ostomy surgery. Results. The findings of the review indicate that stoma surgery can impact on individuals’ lives in many different ways. Relevance to clinical practice. Knowledge of the problems stoma patients can experience can help nurses plan care in an individualized way. Recommendations for nursing practice and future research are made.     

Changing practice: the role of the community stoma nurse

Over the past few decades the nursing profession has recognized the need for major reforms to ensure that it meets future challenges and changes. As a community stoma care nurse, the author was given the challenge of improving stoma care education for all community nurses within the local community trust. This article describes how the community stoma care nurse established what areas of stoma care community staff felt needed updating. However, it also demonstrates that not taking time to plan or use a change tool meant that this was not an organized process and outcomes were not measurable. The article also looks at some recommendations for improving future implementation of stoma care teaching sessions.     

5例同种异体小肠移植术后移植肠造口的护理

总结了5例同种异体小肠移植术后移植肠造口的护理经验。注重肠造口局部管理,包括对早期移植肠存活、蠕动、分泌等功能的观察;在进行肠镜病理学观察时做好准备和配合工作;加强肠内营养时肠造口的管理,包括对后期移植肠消化、吸收功能及排斥反应的观察。5例患者全部存活,移植肠造口血运良好,颜色红润,且未发生移植肠造口周围皮肤破溃等并发症,患者逐步恢复经口正常饮食。     

“造口护理工作坊”在肠造口护理中的作用

[目的]采用“造口护理工作坊”业务培训的方式加强临床护理人员对造口相关知识及护理操作的认识,提高对造口相关并发症的预防和处理能力。[方法]成立造口专业小组,组织造口相关科室护士长及护理骨干进行业务培训。[结果]提高了临床护理人员的专业知识,掌握了规范的造口相关操作,并对如何预防和护理造口相关并发症有了一定的了解。[结论]“造口护理工作坊”业务培训的方式为临床护理人员提供了学习、交流平台,提高了对造口病人全方面护理的重视,促进了造口专业的发展。     

Paediatric stoma care nursing in the UK and Ireland

Improving quality of care and developing and maintaining high standards of care are issues that are high on the NHS, nursing, and paediatric care agendas. Stoma formation will have an impact on the wellbeing and lifestyle of the person and their family, whatever the person's age. The specialty of stoma care nursing in the UK and Ireland is well established. However, the sub-specialty of paediatric stoma care nursing is much smaller in its 'membership' and its client group. There are differences in the needs of, and the associated care of, paediatric stoma patients even within this overall patient group. Paediatric stoma care nurses are in an ideal position to increase awareness about the specialty and improve standards of nursing care for neonates, children, adolescents and their families. However, until the establishment of the Paediatric Stoma Nurse Group (PSNG) in 2005, this 'position' had not being utilized. This article discusses the ongoing work of the PSNG to devise standards of paediatric stoma care nursing, best practice guidelines, relevant patient/parental information and establish itself as a valuable, proactive and independent forum for all healthcare professionals involved in the care of children with stomas.     

A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental health nurse highlights the importance of therapeutic communication in care plan development. This paper argues that the lack of meaningful care plan discussions between consumers and mental health nurses in an acute setting is a limitation to the practice of fully accountable mental health nursing care. We explore this limitation in quality care provision by examining literature on accountability and conclude that in mental health nursing, accountability is frequently enacted through an overarching focus on the organizational need to manage risks, rather than on therapeutic engagement.     

The nursing preparation of stoma patients for self-care

The changes brought about by stoma surgery require that patients re-learn self-care skills with regard to elimination. This is accomplished as an integral part of postoperative nursing care. In this paper, some of the findings of a study are presented on the nursing preparation of stoma patients for self-management of their appliance. The observations made showed that, even at the end of their postoperative period in hospital, the patients in the study was receiving considerable nursing assistance in the management of their appliance and had not demonstrated new self-care skills for all aspects of the physical care of the stoma. It is concluded that these findings highlight a need to examine the methods of preparation for self-care of stoma patients in hospital, as containment rather than control of elimination remains a key issue in their rehabilitation.     

肠造口护理进展

从心理护理、造口护理、康复期护理方面综述了近年来我国肠造口病人护理的发展，并提出今后要重视造口治疗师的培养、社区护理及家庭护理干预。     

腹壁造口的护理进展

腹壁造口有效延长患者寿命的同时也严重的影响了患者术后的生活质量,而护理(术前、术后护理、心理护理、造口护理、自护能力、家庭护理等)直接影响着患者的生活质量.如何为患者提供一个全程、连续、动态、有个体化、针对性的护理,是护理人员应该关心和研究的重要课题之一.     

The pre- and postoperative nursing care for patients with a stoma

This article revisits the various issues that surround the nurse caring for a patient with a stoma (colostomy, ileostomy or urostomy). Understanding the basic anatomy, reasons for stoma formation and the surgical operations, including variations such as continent stomas, can assist the nurse in caring for this patient group. The article discusses briefly the various stoma appliances that can be used by the nurse or ostomate (person with a stoma). Practical tips on pre- and postoperative nursing care of the patient with a newly formed stoma are provided for the nurse. In some cases, unfortunately, complications may occur following stoma-forming surgery; these are discussed and nursing advice provided. One of the most important ways in which the nurse can support the patient is to teach the patient his/her stoma care, ensuring independence before discharge and showing empathy and compassion.