Abstract:

Objective: To explore effect of the colostomy skin tool in the ileum colostomy nursing, including DET assessment and
AIM guide. Methods: The DET assessment of colostomy skin tool was used to assess the surrounding skin problems of ileum of
colostomy patients. The type and reason of skin problems were diagnosed on the basis of the content of AIM nursing guide. Targeted
nursing intervention was conducted in patients with ileum colostomy and the intervention results were analyzed in return visit. Results:
The DET total score of newly diagnosed skin problems around the stoma was（4.84 ± 2.44）, while total score was（1.53 ± 0.51）（P <
0.05）in return visit, which showed that the difference before and after the intervention was statistically significant. Conclusion: The
use of colostomy skin tools DET assessment and AIM guide to evaluate colostomy surrounding skin problems and corresponding
nursing instruction can effectively improve the surrounding skin condition of ileum colostomy patients and reduce the incidence rate of
skin around the colostomy complications, which was worthy of further promoting and applying in clinic.

Key words: the ileum colostomy, skin, care, assessment tool