BMC surgery · 2025
Effect of hydrocolloid dressing combined with continuous nursing intervention on patients with permanent ostomy.
СтатьяНазвание и аннотация: Перевод в очереди
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Luo Guizhi, Yang Youzhuan, Ma Hongchao, Zou Qi
Аннотация
BACKGROUND: This study aimed to retrospectively evaluate the effect of early postoperative hydrocolloid dressing combined with continuous nursing intervention on the quality of life of patients with permanent ostomy.
METHODS: This non-randomized retrospective study included 128 patients who underwent permanent ostomy surgery (primarily colostomy) between January 2020 and June 2023. Patients treated after mid-2021 received hydrocolloid dressing and continuous nursing as part of a hospital quality improvement initiative (observation group, n = 64), whereas those treated prior to mid-2021 received standard care (control group, n = 64). Outcomes, including self-care ability, quality of life, colostomy adaptability, and stoma-related complications, were compared between the two groups.
RESULTS: Following the intervention, the observation group exhibited significantly higher scores in self-care ability, quality of life, and ostomy adaptability compared with the control group (P < 0.05). The overall incidence of complications, including stoma infection, edema, hemorrhage, and stoma retraction, was lower in the observation group than in the control group (12.5% vs. 32.8%), with a statistically significant difference (χ2 = 4.588, P = 0.032).
CONCLUSION: The combination of hydrocolloid dressing and continuous nursing intervention improved self-care ability, quality of life, ostomy adaptability, and reduced complication rates in patients with permanent ostomy in this study. These findings suggest that this approach may enhance clinical practice, though its broader implementation should be supported by further validation through multi-center studies.
METHODS: This non-randomized retrospective study included 128 patients who underwent permanent ostomy surgery (primarily colostomy) between January 2020 and June 2023. Patients treated after mid-2021 received hydrocolloid dressing and continuous nursing as part of a hospital quality improvement initiative (observation group, n = 64), whereas those treated prior to mid-2021 received standard care (control group, n = 64). Outcomes, including self-care ability, quality of life, colostomy adaptability, and stoma-related complications, were compared between the two groups.
RESULTS: Following the intervention, the observation group exhibited significantly higher scores in self-care ability, quality of life, and ostomy adaptability compared with the control group (P < 0.05). The overall incidence of complications, including stoma infection, edema, hemorrhage, and stoma retraction, was lower in the observation group than in the control group (12.5% vs. 32.8%), with a statistically significant difference (χ2 = 4.588, P = 0.032).
CONCLUSION: The combination of hydrocolloid dressing and continuous nursing intervention improved self-care ability, quality of life, ostomy adaptability, and reduced complication rates in patients with permanent ostomy in this study. These findings suggest that this approach may enhance clinical practice, though its broader implementation should be supported by further validation through multi-center studies.