護理師為一位腸造口(Colostomy)的病人進行出院指導。下列哪些資訊是必要的?(選所有適合的)
A nurse is providing discharge instructions to a client with a colostomy. Which information is critical to include? (Select all that apply.)
- AHow to inspect the stoma color and size✓ 正解如何檢查造口的顏色與大小
- BThe importance of adequate hydration✓ 正解充足水分攝取的重要性
- CHow to empty and change the appliance bag✓ 正解如何排空與更換造口器具袋
- DSigns and symptoms of stoma complications to report✓ 正解需回報之造口併發症的徵兆與症狀
- EAvoid eating any solid foods to prevent blockage避免食用任何固體食物以防阻塞
腸造口照護的重點在於造口監測、衛生清潔與併發症預防。健康造口應呈紅潤濕潤,任何顏色變暗都需回報。足夠水分避免便秘與阻塞。清潔更換是日常所需。限制飲食並非標準,除非特定類型的造口,通常鼓勵均衡飲食並細嚼慢嚥。
Discharge teaching for a colostomy must include how to inspect the stoma for health indicators such as color and size, maintain adequate hydration to regulate bowel consistency, and properly empty and change the appliance for independence. Clients should also recognize signs of complications like necrosis or stenosis that require medical attention. Restricting solid foods is generally unnecessary; instead, a balanced diet with gradual fiber introduction is encouraged.
美國醫院多有專屬造口治療師(WOCN);台灣則常由病房資深護理師負責,專業衛教品質在各院間差異較大。