PDF(Pubmed)
Abstract：
UNASSIGNED: Enterocutaneous fistula is a severe complication of an open abdomen, which poses devastating challenges for critical care nurses. The study aimed to explore and describe the challenges faced by critical care nurses caring for patients with enterocutaneous fistulas in a tertiary public hospital in Gauteng, South Africa.
UNASSIGNED: A qualitative, exploratory, descriptive, and contextual design was conducted to understand the challenges experienced by the critical care nurses caring for patients with enterocutaneous fistulas. The standards for reporting qualitative research checklists are utilized. The study conducted four semistructured focus group interviews with six members in each group.
UNASSIGNED: Critical care nurses revealed two overarching themes: the challenges regarding difficult nursing care and the lack of resources to provide quality patient care. Care of patients with ECF highlighted that nurses were not coping with the care of such patients.
UNASSIGNED: Collaboration of a multidisciplinary team involving dieticians, surgeons, and enterostomal therapy nurses could improve the management of ECF without surgical intervention, increase the knowledge and skills of nurses, alleviate their challenges, and yield safe patient outcomes. Standardized and updated protocols will ensure the best practices toward quality patient care that facilitate healing, closure, and reducing mortality and morbidity rates. The key principles for caring for patients with open abdomen, presenting with enterocutaneous fistulas, are based on correcting fluids and electrolytes, nutritional optimization and support, control of abdominal sepsis, wound care management, pain control, and emotional support to critical care nurses and ward nurses.
UNASSIGNED: A qualitative, exploratory, descriptive, and contextual design was conducted to understand the challenges experienced by the critical care nurses caring for patients with enterocutaneous fistulas. The standards for reporting qualitative research checklists are utilized. The study conducted four semistructured focus group interviews with six members in each group.
UNASSIGNED: Critical care nurses revealed two overarching themes: the challenges regarding difficult nursing care and the lack of resources to provide quality patient care. Care of patients with ECF highlighted that nurses were not coping with the care of such patients.
UNASSIGNED: Collaboration of a multidisciplinary team involving dieticians, surgeons, and enterostomal therapy nurses could improve the management of ECF without surgical intervention, increase the knowledge and skills of nurses, alleviate their challenges, and yield safe patient outcomes. Standardized and updated protocols will ensure the best practices toward quality patient care that facilitate healing, closure, and reducing mortality and morbidity rates. The key principles for caring for patients with open abdomen, presenting with enterocutaneous fistulas, are based on correcting fluids and electrolytes, nutritional optimization and support, control of abdominal sepsis, wound care management, pain control, and emotional support to critical care nurses and ward nurses.
摘要：
■肠皮瘘是腹部开放的严重并发症，这给重症监护护士带来了毁灭性的挑战。该研究旨在探索和描述在豪登省一家三级公立医院护理肠皮肤瘘患者的重症监护护士所面临的挑战，南非。
■定性的，探索性,描述性,描述性并进行了情境设计，以了解重症监护护士照顾肠皮肤瘘患者所面临的挑战。使用报告定性研究清单的标准。该研究进行了四次半结构化焦点小组访谈，每组有六名成员。
重症监护护士揭示了两个主要主题：困难护理方面的挑战和缺乏提供优质患者护理的资源。对ECF患者的护理强调，护士无法应对此类患者的护理。
■由营养师参与的多学科团队的协作，外科医生,而肠造口治疗护士可以在不进行手术干预的情况下改善ECF的管理，增加护士的知识和技能，缓解他们的挑战，并产生安全的患者结果。标准化和更新的协议将确保促进愈合的优质患者护理的最佳实践，关闭,降低死亡率和发病率。护理腹部开放患者的关键原则，出现肠皮肤瘘，基于校正液体和电解质，营养优化和支持，控制腹部败血症，伤口护理管理，疼痛控制,以及对重症监护护士和病房护士的情感支持。
■定性的，探索性,描述性,描述性并进行了情境设计，以了解重症监护护士照顾肠皮肤瘘患者所面临的挑战。使用报告定性研究清单的标准。该研究进行了四次半结构化焦点小组访谈，每组有六名成员。
重症监护护士揭示了两个主要主题：困难护理方面的挑战和缺乏提供优质患者护理的资源。对ECF患者的护理强调，护士无法应对此类患者的护理。
■由营养师参与的多学科团队的协作，外科医生,而肠造口治疗护士可以在不进行手术干预的情况下改善ECF的管理，增加护士的知识和技能，缓解他们的挑战，并产生安全的患者结果。标准化和更新的协议将确保促进愈合的优质患者护理的最佳实践，关闭,降低死亡率和发病率。护理腹部开放患者的关键原则，出现肠皮肤瘘，基于校正液体和电解质，营养优化和支持，控制腹部败血症，伤口护理管理，疼痛控制,以及对重症监护护士和病房护士的情感支持。
