Abstract:

Objective To design and manufacture a stoma bag changer，and explore its application effect in patients with high displacement stoma. Methods The stoma bag changer consists of a communicating tube，an air bag，a collecting bag，an air pressure valve and a tube body. The convenience sampling method was used to select 2023.From December to March 2024，patients with ileal high-displacement stoma who were treated or hospitalized in the outpatient clinics of 15 tertiary hospitals in Zhejiang Province were used as research subjects. The subjects were randomly divided into an experimental group and a control group，with 35 cases in each group. The experimental group used the stoma bag changer to assist bag change，and the control group used the routine method. Data were collected continuously for 1 week through the questionnaire star platform，and differences of the single ostomy bag replacement time，the number of perioral skin cleaning treatments，and effective wearing time of ostomy bag were compared. Results In the end，all 70 patients completed the trial without stoma complications. In the experimental group，the time of single ostomy bag replacement，around the stoma number of skin cleaning treatments were significantly lower than those of the control group，and the effective wearing time of ostomy bag was significantly longer than that of the control group.In the control group，the differences were statistically significant（all P<0.05）. Conclusion The stoma bag changer is used in patients with high ileal displacement stoma，which can effectively shorten the single stoma bag replacement time and reduce the number of skin cleaning around the stoma，and prolong the use of a stoma bag.

Key words: Ileostomy, High Displacement, Stoma Bag Changer, Nursing Care

摘要：

目的 设计并制作造口换袋器，探讨其在高排量造口患者中的应用效果。 方法 造口换袋器由连通管、气囊、收集袋、气压阀和管体组成。采用便利抽样法，选取2023年12月—2024年3月在浙江省15所三级医院的门诊就诊或住院的回肠高排量造口患者作为应用对象，随机分为试验组和对照组，每组各35例。试验组使用造口换袋器辅助更换造口袋，对照组采用常规方法更换造口袋。通过电子问卷连续收集1周数据，对比两组的单次造口袋更换时间、造口周围皮肤清洁次数、造口袋有效佩戴时间的差异。 结果 最终70例患者均完成试验，未发生造口相关并发症。试验组的单次造口袋更换时间少于对照组、造口周围皮肤清洁次数均低于对照组，且造口袋有效佩戴时间长于对照组，差异均有统计学意义（P<0.05）。 结论 造口换袋器应用于回肠高排量造口患者，可有效缩短单次造口袋更换时间，减少造口周围皮肤清洁处理次数，延长造口袋使用周期。

关键词: 回肠造口, 高排量, 造口换袋器, 护理