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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (23): 73-78.doi: 10.16460/j.issn1008-9969.2024.23.073

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Best evidence summary for prevention and management of high-output stoma in adult patients with enterostomy

ZHANG Xing-xing1, LI Rui-hua1,2, ZHU Mu-lan1, LIN Mei-yan1,2, LI Ya-nan1, GONG Li-hong1, ZENG Hai-ting1, ZHEN Li1   

  1. 1. Dept. of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2024-06-27 Online:2024-12-10 Published:2025-01-08

Abstract: Objective To summarize the best evidence for the prevention and management of high-output stoma in adult patients with enterostomy and to provide reference for clinical management. Methods We systematically retrieved evidence for the prevention and management of high-output stoma in adult patients with enterostomy from decision support systems, guideline websites, databases and professional institution websites, and the retrieval period spanned from the inception to December 31, 2023. Two researchers conducted quality evaluation, evidence extraction and summary of the studies that met the standards. Results A total of 14 articles were collected, including 1 clinical decision, 4 guidelines, 2 evidence summaries, 3 systematic reviews, 2 expert consensuses, and 2 randomized controlled trials. The best evidence for the prevention and management of high-output stoma in adult patients with enterostomy was summarized into six aspects: diagnosis and risk, dietary management, drug intervention, health education, stoma management, monitoring, and follow-up. Conclusion The best evidence for the prevention and management of high-output stoma in adult patients with enterostomy is scientific and practical, providing evidence-based basis for clinical practice.

Key words: ostomy, high-output stoma, management, evidence summary

CLC Number: 

  • R473.57
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