Abstract:

Objective To examine the effects of standardized management of chassis leakage for patients with enterostomy. Methods The patients were included in the control group from September 2019 to February 2020,and the team member of a non-leakage ward construction group investigated the baseline incidence of chassis leakage and analyzed the causes of leakage through fishbone diagram. Intervention measures were then developed. The patients were included in the experimental group from March to August 2020,and improvements were made including stoma location,health education and continuation management. Patients’ stoma care knowledge and skills level,chassis leakage incidence,and patient satisfaction were compared between the two groups. Results The score of knowledge and skills of patients were（80.04±7.43）and（96.25±6.53）between the two groups（t=11.115,P<0.001）. Fourteen patients had chassis leakage in the control group,but no chassis leakage was found in the experimental group implementation（χ²=16.042,P<0.001）. The score of satisfaction of patients was（39.07±6.53） and （46.39±5.82） between the two groups（t=6.206,P<0.001）. Conclusion The non-leakage ward improves the knowledge and skills of ostomy patients,reduces the incidence of chassis leakage and improves the satisfaction level of patients.

Key words: Enterostomy, Clinical Governance, Patient Safety, Chassis leakage