PDF(Pubmed)
Abstract：
BACKGROUND: Specialist nurses need to have an accurate understanding of colostomy care-related concepts to provide care. Although patients with different types of ostomy have different types of needs, terms such as ostomy care, colostomy care, and ileostomy nursing are interchangeably used. Moreover, there are limited concept analysis studies into the concept of colostomy nursing care (CNC) in ostomy care centers (OCCs). The aim of this study was to analyze and clarify the concept of CNC in outpatient OCCs.
METHODS: This was a concept analysis study. This concept analysis was conducted using Walker and Avant\'s eight-step method. The online databases were searched until 2022 to retrieve documents on CNC. Finally, 35 articles and four books were included in the analysis, the defining attributes, antecedents, and consequences of the concepts were determined, and model and additional cases as well as empirical referents were presented.
RESULTS: The defining attributes of CNC in OCCs are the development of professional role, participatory practice and interdisciplinary care, selection of the best clinical procedures, care based on patient education, and patient rehabilitation. The antecedents of the concept are nurse-related antecedents, patient- and family-related antecedents, environmental antecedents, and professional rules and regulations. Its consequences are patients\' and families\' greater care-related knowledge, improvement of nurses\' care quality, patient autonomy, and self-efficacy.
CONCLUSIONS: The concept of CNC in OCCs can be defined as \"a continuous and coherent care based on knowledge, skill, expertise, experience, and colostomy type which uses interdisciplinary collaboration and the best available evidence in order to select and provide the best services according to patients\' and families\' culture and background, fulfill patients\' physical, mental, sexual, social, and spiritual needs, and timely refer patients to specialists, with the ultimate goal of improving patient autonomy and facilitating their return to normal life.\"
METHODS: This was a concept analysis study. This concept analysis was conducted using Walker and Avant\'s eight-step method. The online databases were searched until 2022 to retrieve documents on CNC. Finally, 35 articles and four books were included in the analysis, the defining attributes, antecedents, and consequences of the concepts were determined, and model and additional cases as well as empirical referents were presented.
RESULTS: The defining attributes of CNC in OCCs are the development of professional role, participatory practice and interdisciplinary care, selection of the best clinical procedures, care based on patient education, and patient rehabilitation. The antecedents of the concept are nurse-related antecedents, patient- and family-related antecedents, environmental antecedents, and professional rules and regulations. Its consequences are patients\' and families\' greater care-related knowledge, improvement of nurses\' care quality, patient autonomy, and self-efficacy.
CONCLUSIONS: The concept of CNC in OCCs can be defined as \"a continuous and coherent care based on knowledge, skill, expertise, experience, and colostomy type which uses interdisciplinary collaboration and the best available evidence in order to select and provide the best services according to patients\' and families\' culture and background, fulfill patients\' physical, mental, sexual, social, and spiritual needs, and timely refer patients to specialists, with the ultimate goal of improving patient autonomy and facilitating their return to normal life.\"
摘要：
背景：专科护士需要对结肠造口护理相关概念有准确的理解才能提供护理。虽然不同造口术类型的患者有不同类型的需求，诸如造口护理之类的术语，结肠造口护理,和回肠造口术护理可互换使用。此外，关于造口护理中心(OCC)结肠造口护理(CNC)概念的概念分析研究有限.这项研究的目的是分析和阐明门诊OCC中CNC的概念。
方法：这是一项概念分析研究。此概念分析是使用Walker和Avant的八步方法进行的。在线数据库一直搜索到2022年，以检索CNC上的文档。最后,分析中包括35篇文章和4本书，定义属性，前身，并确定了概念的后果，并给出了模型和其他案例以及经验参考。
结果：OCC中CNC的定义属性是专业角色的发展，参与式实践和跨学科护理，选择最佳临床程序，基于患者教育的护理，病人康复。这个概念的前身是与护士相关的前身，与患者和家庭相关的前身，环境的前身，和专业规章制度。其后果是患者和家属更多的护理相关知识，提高护士护理质量，患者自主性,和自我效能感。
结论：OCC中的CNC概念可以定义为“基于知识的连续且连贯的护理”，技能，专业知识,经验,和结肠造口术类型，使用跨学科合作和最佳可用证据，以便根据患者和家庭的文化和背景选择和提供最佳服务，履行患者的身体，心理，性,社会,和精神需求，并及时将患者转诊给专家，最终目标是提高患者的自主性，促进他们恢复正常生活。\"
方法：这是一项概念分析研究。此概念分析是使用Walker和Avant的八步方法进行的。在线数据库一直搜索到2022年，以检索CNC上的文档。最后,分析中包括35篇文章和4本书，定义属性，前身，并确定了概念的后果，并给出了模型和其他案例以及经验参考。
结果：OCC中CNC的定义属性是专业角色的发展，参与式实践和跨学科护理，选择最佳临床程序，基于患者教育的护理，病人康复。这个概念的前身是与护士相关的前身，与患者和家庭相关的前身，环境的前身，和专业规章制度。其后果是患者和家属更多的护理相关知识，提高护士护理质量，患者自主性,和自我效能感。
结论：OCC中的CNC概念可以定义为“基于知识的连续且连贯的护理”，技能，专业知识,经验,和结肠造口术类型，使用跨学科合作和最佳可用证据，以便根据患者和家庭的文化和背景选择和提供最佳服务，履行患者的身体，心理，性,社会,和精神需求，并及时将患者转诊给专家，最终目标是提高患者的自主性，促进他们恢复正常生活。\"
