Effect of the stoma cares service for the people with ostomy.

造口护理服务对造口患者的效果。

基本信息

批准号：
14370800
负责人：
MAEKAWA Atsuko
金额：
$ 3.14万
依托单位：
Nagoya University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14370800/
关键词：
ostomy skin care nursing service ostomy club elderly people QOL emergency preparedness inflammatory bowel disease ストーマ外来

项目摘要

This study was conducted to find current status of Japanese people with ostomy through out there life span.1)Issues of elderly people with ostomy : The ratio of elderly people with ostomy was over 60%, issues were expanded from daily ability needs to home nursing care and end of life care. Making network system between hospital ostomy team and home care setting members were most important key for best practice.2)Issues of inflammatory bowel disease(IBD) patients with ostomy : There were 13.1% of ostomy/fistula patients from 2175 inflammatory bowel disease patients. Average age was 39.8(SD 12.9), gender ratio was 1.6:1.There was 81% of skin care needs, surgical part, perrstomal skin and anal-perineal region. Those patients also had continuous mental support by IBD specialist.3)Issues of life cycle with ostomy : It was very important to intervention after the life threatening experience ; cancer or non-curable disease were always effect to their life cycle. We must understand manifold value, life experiences and background of people with ostomy before care management.4)QOL issues after ostomy surgery : Overall survival rate was higher than previous years, but health related problems and peristomal skin problem correlated to the meaning of life. It was very important to team problem solving approach for the clients with complex needs. Quality of Life of the clients were changed after proper stoma/fistula care m anagement

进行了这项研究是为了发现造口术的日本人的现状。1）造口术的老年人的问题：造口术的老年人比例超过60％，从日常能力到家庭护理和终身护理的问题扩大了问题。在医院造口术团队和家庭护理环境之间建立网络系统是最佳实践的最重要关键。2）炎症性肠病（IBD）骨术患者的问题：2175例炎症性肠病患者的造口术/瘘管患者中有13.1％。平均年龄为39.8（SD 12.9），性别比率为1.6：1。1. 1. 1. 1.占皮肤护理需求，手术部分，垂直皮肤和肛门腹膜区域的81％。这些患者也得到了IBD专家的持续心理支持。3）造口术的生命周期问题：在威胁生命的经历后干预非常重要；癌症或不可治疗的疾病始终会影响其生命周期。我们必须在护理管理前了解造口术的人的多种价值，生活经验和背景。4）造口术后的QOL问题：总体生存率高于往年，但是与健康有关的问题和蠕动皮肤问题与生活意义相关。对于有复杂需求的客户解决团队问题解决方法非常重要。适当的造口/瘘管护理后，改变了客户的生活质量