Investigation and countermeasure of medical device-related pressure ulcer in the stoma care clinic

ObjectiveTo investigate the current situation of medical device-related pressure ulcer in the stoma care clinic, and to analyze the causes and discuss the countermeasures.

MethodsA total of 949 cases of enterostomy patients who were followed up for the first time in the stoma care clinic were selected. The clinical data of patients with medical device-related pressure ulcer were retrospectively analyzed to investigate the current situation, look for the causes and provide targeted measures.

ResultsThere were 76 cases of medical device-related pressure ulcer in different stages, the incidence was 8.01%. Among them, there were 38 cases of ostomy belt correlation, the incidence was 8.54%; 20 cases of rubber support correlation, the incidence was 75.92%; 12 cases of ostomy barrier correlation, the incidence was 1.28%; 4 cases of tail clip correlation, the incidence was 0.47%. There were 2 cases with other causes, and the incidence was 0.21%. There was no significant difference in the causes of medical device-related pressure ulcer in different stages. A total of 76 cases with 1-3 stage of wounds were healed, with healing time of 3-17 d. The main reasons were that the nurses' awareness of medical device-related pressure ulcer was not strong, the patients and caregivers did not have adequate health education and knowledge, and medical device material and local microenvironment changed.

ConclusionsThe prevention of medical device-related pressure ulcer is the most important. It is necessary to strengthen the training of the related knowledge for the nurses. The early intervention and making personal health education are also essential. Appropriate dressings and measures should be selected to treat the wounds in order to promote the wound healing according to the principle of TIME.