Abstract：
OBJECTIVE: This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults.
METHODS: Scoping review and generation of evidence and consensus-based clinical guidelines.
METHODS: The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: \"stoma preparation,\" \"stoma creation,\" \"stoma complications,\" \"stoma care,\" and \"stoma reversal\" (for enteral stomas).\" All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication.
CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.
METHODS: Scoping review and generation of evidence and consensus-based clinical guidelines.
METHODS: The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: \"stoma preparation,\" \"stoma creation,\" \"stoma complications,\" \"stoma care,\" and \"stoma reversal\" (for enteral stomas).\" All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication.
CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.
摘要：
目的：本文是意大利成人肠内和泌尿造口术护理管理指南的执行摘要。
方法：范围审查和证据生成以及基于共识的临床指南。
方法：多学科意大利研究小组STOmas（MISSTO）成立于2018年。该小组根据对文献的范围审查，制定了成人肠内和泌尿造口术管理指南。这项研究包括以前的指导方针，系统评价,荟萃分析，随机临床试验，队列研究，和病例报告。确定了五个主要主题：“造口准备，\"\"造口创建，\"\"造口并发症，\"\"造口护理,“和”造口逆转“(用于肠内造口)。“所有研究均根据GRADE系统和AGREEII工具进行评估。以声明的形式阐述了建议，每个陈述都有一个既定的推荐等级。对于低水平的科学证据陈述，由意大利主要科学学会在气孔管理和护理领域的专家成员组成的共识会议进行了讨论，更正,已验证，或删除语句。制定并准备了带有明确建议的准则的最终版本以供发布。
结论：本文件代表了意大利第一份关于肠和泌尿造口管理的指南，旨在帮助护士照顾肠或泌尿造口患者。
方法：范围审查和证据生成以及基于共识的临床指南。
方法：多学科意大利研究小组STOmas（MISSTO）成立于2018年。该小组根据对文献的范围审查，制定了成人肠内和泌尿造口术管理指南。这项研究包括以前的指导方针，系统评价,荟萃分析，随机临床试验，队列研究，和病例报告。确定了五个主要主题：“造口准备，\"\"造口创建，\"\"造口并发症，\"\"造口护理,“和”造口逆转“(用于肠内造口)。“所有研究均根据GRADE系统和AGREEII工具进行评估。以声明的形式阐述了建议，每个陈述都有一个既定的推荐等级。对于低水平的科学证据陈述，由意大利主要科学学会在气孔管理和护理领域的专家成员组成的共识会议进行了讨论，更正,已验证，或删除语句。制定并准备了带有明确建议的准则的最终版本以供发布。
结论：本文件代表了意大利第一份关于肠和泌尿造口管理的指南，旨在帮助护士照顾肠或泌尿造口患者。
