Abstract
OBJECTIVE: To explore the application and effect of a new type of ostomy chassis measuring scale in the nursing care of patients with ileostomy. METHODS: Forty-two patients with ileostomy who met the inclusion criteria (first ileostomy performed without surgical complications, age ≥ 18 years, and voluntary participation with informed consent) were enrolled. The patients were randomly assigned to the control group (Group A, n = 20) and intervention group (Group B, n = 22) according to their hospitalization number. Group A used the conventional ostomy chassis measurement method, while Group B used a new type of ostomy chassis measuring ruler. The leakage rate of the ostomy chassis, time spent cutting the ostomy chassis, number of nurse teaching sessions needed to master the correct cutting method, and differences in self-efficacy and discharge readiness scores were compared between groups using t-tests and chi-square tests, with significance set at p < 0.05. RESULTS: The leakage rate of the ostomy chassis in Group B was significantly lower than in Group A (18.2% vs. 55.0%, χ² = 6.185, p = 0.013). Group B also had significantly shorter cutting time (8.45 ± 1.67 min vs. 12.30 ± 2.98 min, t = -4.667, p < 0.001) and fewer nurse teaching sessions required (2.30 ± 0.98 vs. 3.45 ± 0.60, t = -4.196, p < 0.001). Furthermore, self-efficacy (113.95 ± 15.76 vs. 77.00 ± 8.52, t = 10.262, p < 0.001) and discharge readiness scores (159.45 ± 18.81 vs. 110.10 ± 27.95, t = 6.723, p < 0.001) were significantly higher in Group B compared to Group A. CONCLUSION: The application of the new ostomy chassis measuring scale can effectively reduce the time required for ostomy care, enable more accurate cutting of the ostomy chassis, and decrease complications such as leakage. This improvement enhances patients’ quality of life and reduces the nursing workload. We recommend adopting this measurement method in clinical practice to improve ostomy care efficiency and patient outcomes. CLINICAL TRIAL: Not applicable.