護理師為新造口病人規劃出院指導,哪些教學內容最重要?(選所有適合的)
A nurse is planning discharge care for a client with a new colostomy. Which instructions are most important for the nurse to teach? (Select all that apply.)
- AEmpty the bag when it is 1/3 to 1/2 full✓ 正解當造口袋裝到三分之一到一半時就倒掉
- BClean the stoma with mild soap and water✓ 正解用溫和的肥皂和水清潔造口
- CCall the provider if the stoma is dusky or dark in color✓ 正解如果造口顏色發暗或變黑,請聯繫醫師
- DAvoid all fiber-containing foods indefinitely永遠避免食用含纖維的食物
- EApply alcohol to the skin around the stoma to ensure adhesion在造口周圍皮膚上塗抹酒精以確保黏著力
造口照護關鍵在於防止滲漏、監測血液循環及維護皮膚完整性。A 項:避免過重導致底座脫落。B 項:溫和清洗即可。C 項:造口顏色若變暗紫色代表缺血,是極緊急狀況。D 錯誤:無需終生禁食纖維,應適量攝取以維持腸蠕動。E 錯誤:酒精會刺激皮膚,導致接觸性皮膚炎,影響底座密合度。
Effective colostomy care involves preventing appliance leakage, maintaining peristomal skin health, and monitoring for complications. The pouch should be emptied when one-third to one-half full to prevent weight-related detachment, and the stoma should be cleaned gently with mild soap and water. Additionally, a dusky or dark stoma color indicates ischemia, which is a medical emergency requiring immediate provider notification.
美國護理師常與 WOCN (造口失禁護理師) 合作進行教學;台灣多由專科護理師或造口護理師主導,一般病房護理師需精通基礎衛教。