1、正确的造口产品更换流程 -ARC 标准化造口护理管理流程之一This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the syste
2、m are AT89C51 microcontroller and DS18B20 temperature sensor.1. 提高护理质量2. 提高患者满意度3. 节省护理时间1. 建立正确的操作流程与习惯2. 减少造口并发症3. 提高生活质量ARC 流程ARC流程的教育目标 预防重于治疗预防 和 减少 皮肤问题的发生建立 一个标准的造口产品更换流程造口患者专业人员This paper mainly introduces the design of an intelligent temperature control system which realizes the function of
3、 temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 3为什么要建立 ARC流程 多项临床研究提示我们什么？This paper mainly introduces the design of an intell
4、igent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.（ Ostomy Skin Study -
5、 Herlufsen, P et al. BJN, 2006; 15:854-862- The British Journal of Nursing,）一项永久性造口患者造口周围皮肤损伤的研究 （丹麦）202份 有效调查45% 的造口人出现皮肤问题其中：57%回肠造口48%尿路造口35%结肠造口Ostomy Skin Study显示：45%的造口人出现皮肤问题This paper mainly introduces the design of an intelligent temperature control system which realizes the function of tem
6、perature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.轻度 中 度 重度被皮肤科医生诊断为皮肤问题的病例皮肤问题发生率(%)患者自我诊断中发现的皮肤问题造口人自己判断的皮肤问题与实际发生存在很大差距轻度皮肤损伤 的病例中67%的患
7、者不认为自己皮肤有问题中度皮肤损伤 的病例中41%的患者不认为自己皮肤有问题严重皮肤损伤 的病例中56%的患者不认为自己皮肤有问题 80%的患者没有寻求专业指导造口人自己判断的皮肤问题与实际发生存在很大差距This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature senso
8、r DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.最常见的原因 发生率 % 排泄物导致的浸蚀 33浸渍 20红斑 16接触性皮炎 8.5毛囊炎 3.5肉芽肿 3.5溃疡 2.5Ostomy Skin Study - Herlufsen, P et al. BJN, 2006; 15:854-86277%排泄物的渗漏 是导致皮肤问题最常见的原因导致皮肤问题的原因This paper
9、 mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B2
10、0 temperature sensor.Page 71. Herlufsen et al. Brit J Nursing 2006 15(16):854-62 2. Nybk et al. Br J Dermatol. 2009; DOI 10.1111/j.1365-2133.2009.09418.x3000造口人参与研究60% 造口人存在皮肤问题（经过造口护士的评估）仅 32% 造口人意识到自己的皮肤问题一项 18个国家参与的全球干预型研究同样显示造口人对皮肤问题的认知与专业人士有很大差距This paper mainly introduces the design of an inte
11、lligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 8调查：患者出院后 6个月内
12、最担心的问题， N= 500* 问卷调查可选择多个答案DiscretionEmotional stateEase of use Specific body issues 与渗漏有关“ 我买了这个腰带来预防造口袋 ” 脱落 “ 所带来的一切问题 Myriam, user, US% of nurses造口疝皮肤问题（刺激性）是否容易使用佩带 /更换问题造口结构改变造口尺寸渗漏：突然 /缓慢渗漏L. Ehmsen 2011 (data on file)该项研究同样显示造口患者面临的最大问题是 渗漏This paper mainly introduces the design of an intell
13、igent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.The importance of an
14、appropriate ostomy appliance-change routine September 2013渗漏将导致造口周围皮肤问题与生活质量的降低Page 9生活质量 皮肤问题 P0.0001P0.0001问题：您遇到过排泄物渗漏到 底盘黏胶 下面的情况吗？回答选项：总是，经常，有时候，很少，从不发生）渗漏 *DialogueStudy - Gastrointestinal Nursing vol 9 no 2 (Suppl) March 2011, T. Porret et al*DialogueStudy - Gastrointestinal Nursing vol 9 no
15、2 (Suppl) March 2011, J. Davis et al渗漏 总是 经常有时候 很少从不发生This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core
16、 components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 10The importance of an appropriate ostomy appliance-change routine September 2013 一旦患者造口皮肤出现问题，底盘与皮肤粘贴将不牢固，出现排泄物渗漏 渗漏又会加剧皮肤问题 从而形成恶性循环DialogueStudy - Gastrointestinal Nursing vol 9 no 2 (Suppl) March 2011, T. P
17、orret et al渗漏造口周围皮肤问题造口生活质量结论：预防 渗漏 是减少皮肤问题发生的关键因素This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core com
18、ponents of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 11正确 的造口产品更换流程佩戴 （ Apply） -揭除 （ Remove） -检查 （ Check）This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using s
19、ingle bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 12Apply 佩戴正确的产品佩戴将确保造口底盘紧密的粘帖在造口周围，保护皮肤，防止排泄物渗漏到皮肤上而引起皮肤浸渍Check 检查检查底盘黏胶及黏胶 覆盖下的皮肤，如需要可使用镜子查看。 底盘黏胶 被腐蚀，造口周围皮肤上有排泄物或皮肤浸渍，提示我们需
20、要改变更换的频率Remove 揭除 正确的移除技巧将确保移除造口产品时不损伤皮肤，保护造口周围皮肤标准的造口产品更换流程 _ARCThis paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcompute
21、r. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.造口后造口周围皮肤浸渍是不正常的状况通过一定频率的 宣教和示教 ，指导造口人掌握 正确的造口用品更换流程， 并关注检查环节关注检查 环节会提示现有的更换流程是否正确，是否需要增加更换频率来降低渗漏的风险，从而来 预防和改善 造口周围皮肤状况提高造口人的生活质量ARC流程的目标（面向造口人）This paper mainly introduces the design of an intelligent t
22、emperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.Page 14 使用清水清洗造口 （住院期间使用生理盐水
23、） 擦干造口周围皮肤，并保持干净，干燥，以确保黏胶与皮肤更好的粘合 正确剪切造口底盘 中心孔 ：与造口形状匹配，不能太大也不能太小 如果造口周围皮肤不平或有其他问题，要恰当地使用造口附件产品，如防漏膏，皮肤保护膜，造口护肤粉保持皮肤干净，干燥及正确的佩戴方法非常重要Apply 佩戴This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by usin
24、g single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 造口会随着手术时间和身体的变化而出现造口粘膜结构及直径大小的变化，提醒您的造口患者在出院后要及时修正底盘中心孔的剪切尺寸 为了确保患者最佳的佩戴，您的患者要定期检查造口的大小，以确保底盘中心孔合适 注意：造口凹陷等可选择微凸 /凸面底盘以达到治疗目的关注
25、造口粘膜结构的改变Apply 佩戴This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51
26、 microcontroller and DS18B20 temperature sensor. 定期的产品更换和轻柔的揭除方法可以最大限度的减少对造口周围皮肤的牵拉力和刺激，保持皮肤健康 一只手轻握底盘揭除手柄，另一只手轻轻按压皮肤，使底盘缓慢轻柔的从上到下，环形揭除 避免暴力揭除底盘 如果您的患者感觉到底盘下的皮肤出现 痒，疼痛 等不适感觉，要建议他 及时及早更换轻柔的揭除以减少对皮肤的刺激性损伤 Remove 揭除This paper mainly introduces the design of an intelligent temperature control system whi
27、ch realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 正常的造口周围皮肤：造口周围的皮肤与 对侧腹部 的皮肤颜色一致 造口周围的皮肤应该没有明显的颜色改变或表皮损伤什
28、么是健康的正常的皮肤？ Check 检查This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89
29、C51 microcontroller and DS18B20 temperature sensor.Page 18 快速检查底盘的 黏胶 层和底盘覆盖下的皮肤 ，判断您的患者： 是否需要进一步改善造口周围的皮肤健康 是否需要增加造口用品更换频率 正常的情况如右图： 底盘黏胶无腐蚀 底盘下的皮肤颜色正常（与 对侧腹部皮肤相同） 最理想的产品更换的时机应在 底盘腐蚀前和渗漏发生前检查的目的 Check 检查This paper mainly introduces the design of an intelligent temperature control system which reali
30、zes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 首先，检查底盘背面的 黏胶 是否有腐蚀及是否有排泄物残留 然后，检查造口周围的 皮肤 是否发红或破损，必要时可以建议患者使用小镜
31、子来查看 关注皮肤改变的形状是否与黏胶的腐蚀形状相匹配，以 确定渗漏的原因 皮肤损伤或黏胶 的腐蚀，表明您的造口患者产品更换流程不正确： 不仅要掌握正确的更换流程 同时要增加造口用品更换频率 我们检查什么？ Check 检查This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperat
32、ure sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 影响造口产品佩戴的因素 造口类型，排泄物的性状 造口黏膜结构的改变，如造口平齐，凹陷等 造口人的年龄及皮肤状况，如皮肤不平 气候，湿度，运动，生活习惯，运动等因素 每个造口人的产品佩戴时间都是 个性化 的 正确的造口产品更换流程能够帮助造口人保持 皮肤健康，保障舒适的生活正确的更换流程，恰当的更换频率- 确保造
33、口人更舒适更安全的生活 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 micr
34、ocontroller and DS18B20 temperature sensor.Page 21帮助造口人建立 标准化的 ARC 使用流程 医护合作 - 造口定位 -了解 ARC术前术后出院前恢复期造口门诊康复期 第一次 : 手术台上佩戴第一个造口袋 第二次：护士 示教 ARC 第三 /四次：家属 /患者 学习 ARC，护士指导出院指导： 家属 操作 ARC 患者参与，护士检查 评估 ARC 出院后 2周造口门诊首诊 熟练掌握 ARC 阳光之家 Care项目：康乐保售后持续服务This paper mainly introduces the design of an intelligent
35、 temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.运用 ARC流程，帮助患者掌握正确的产品更换频率让造口人 生活得更轻松
