J Korean Clin Nurs Res.  2020 Aug;26(2):154-163. 10.22650/JKCNR.2020.26.2.154.

vidence-Based Nursing Practice Guideline: Ostomy Care

Affiliations
  • 1Uint Manager, Division of Nursing, Severance Hospital, Seoul, Korea
  • 2Wound Ostomy Continence Nurse, Division of Nursing, Severance Hospital, Seoul, Korea
  • 3Wound Ostomy Continence Nurse, Department of Nursing, Samsung Medical Center, Seoul, Korea
  • 4Wound Ostomy Continence Nurse, Department of Nursing, Korea University Anam Hospital, Seoul, Korea
  • 5Wound Ostomy Continence Nurse, Department of Nursing, Asan Medical Center, Seoul, Korea
  • 6Wound Ostomy Continence Nurse, Department of Nursing, Gangnam Severance Hospital, Seoul, Korea
  • 7Wound Ostomy Continence Nurse, Department of Nursing, Hanyang University Medical Center, Seoul, Korea

Abstract

Purpose
The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline.
Results
It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge.
Conclusion
The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients’ outcomes.

Keyword

Ostomy; Practice Guideline; Evidence-Based Nursing
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