Summary of the best evidence for the prevention and management of stoma prolapse in enterostomy patients
10.3760/cma.j.cn211501-20230915-00560
- VernacularTitle:肠造口患者造口脱垂预防及管理的最佳证据总结
- Author:
Feifei ZHAO
1
;
Jinchen HU
;
Hong HUANG
;
Lin LIU
;
Xiaohong HUANG
Author Information
1. 广州中医药大学深圳临床医学院，深圳 518116
- Keywords:
Enterostomy;
Stoma prolapse;
Prevention;
Nursing care;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2024;40(10):779-785
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the relevant evidence for prevention and management of stoma prolapse in patients with enterostomy, so as to provide reference for the clinical prevention and management of stoma prolapse measures.Methods:According to the evidence-based resource "6S" evidence pyramid model, systematically searched about the evidence of enterostomy patients prolapse prevention and management in UpToDate, BMJ best practice, Guidelines International Network, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, National Guideline Clearinghouse, CNKI, Wanfang database,VIP Database, SinoMed,etc. The search time limit was from 30 January 2017 to 30 May 2023, 2 researchers independently evaluated the quality of the literature, selected and extracted the evidence.Results:A total of ten articles were included, including one clinical decision, five guidelines, one expert consensus, one evidence, one systematic review, one position statement. Through analysis, 20 best evidences were identified, including perioperative evaluation, preoperative colostomy site marking, reducing abdominal pressure, enterostomy prolapse nursing, health education and the follow-up.Conclusions:Best evidence summary for the prevention and care of stoma prolapse in enterostomy patients provides evidence-based reference for clinical application. Nurses should carefully select and apply evidence in combination with clinical situations and patients′ wishes, so as to develop a personalised stoma prolapse prevention and management programme for patients with enterostomy.
