Holistic nursing management of high-output stomas after double stoma surgery in three cases of refractory Crohn's disease
10.7619/jcmp.20243577
- VernacularTitle:3例难治性克罗恩病双造口术后造口高排量的全程护理管理
- Author:
Kangyu HAO
1
;
Hua YANG
;
Yanqing ZHENG
;
Chang ZHENG
;
Ying XIE
;
Qin ZHAO
Author Information
1. 南京鼓楼医院,江苏南京,210008
- Keywords:
Crohn's disease;
double stoma;
high-output stoma;
nutritional support
- From:
Journal of Clinical Medicine in Practice
2025;29(2):133-137
- CountryChina
- Language:Chinese
-
Abstract:
This study summarizes the holistic nursing management of high-output stomas in three cases of refractory Crohn's disease following double stoma surgery.The nursing highlights encompassed management of high-output stomas(including assessment of high stoma output,use of octreotide ace-tate combined with Bifidobacterium and montmorillonite powder to reduce high stoma output,and dual stoma management),dynamic assessment of nutritional risk,stepped nutritional support,psychological intervention,and continued care at home.After treatment and nursing,the high stoma output in all three patients was effectively controlled,their nutritional status gradually improved,and they were dis-charged in an improved condition.