A care algorithm for stomal mucocutaneous separation

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  • ストーマ粘膜皮膚接合部離開時のケアアルゴリズムの作成

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<p>　With the aim of supporting nurses who manage patients with stomal mucocutaneous separation（SMS）, we developed a trial version of an SMS care algorithm（trial version）consisting of a wound management and stomal appliance selection algorithm. The trial version was revised after testing with randomly-selected WOC nurses using pictures of several SMS cases. In the second, revised version, the option of a moderate amount of exudates was deleted from the wound management algorithm, and the height of the stoma was added to the stomal appliance selection algorithm. Version 2 was again tested with randomly-selected WOC nurses using pictures of several SMS cases and further revised（version 3）. In version 3 the depth of the wound cavity was clearly defined as 5 mm in the wound management algorithm, and some explanatory notes were added to the stomal appliance selection algorithm. Herein we present an overview of the development and revision of the SMS care algorithm for nurses practicing SMS care to promote wound healing and stomal rehabilitation. Further study in a clinical setting is needed.</p>

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