To explore the risk factors of fecal dermatitis after prophylactic ileostomy, and to propose nursing strategies and preventive measures.

Take the method of reviewing medical records, continuous nursing records, and ostomy clinic records. Retrospective analysis of 161 patients with rectal cancer undergoing low anterior resection+ preventive ileostomy in colorectal surgery from October 2017 to October 2018 in Chinese Academy of Medical Sciences and Peking Union Medical College, to analysis the risk factors for fecal dermatitis.

Among the 161 subjects, forty-three cases of fecal dermatitis occurred, accounting for 26.7%. Patients with improper position of the intestine, uneven skin around the skin, low intestinal mucosa or flat skin, have a higher incidence of fecal dermatitis than those with no such problems (P<0.01); The incidence of fecal dermatitis in patients with high BMI is higher than that in patients with normal BMI (χ²=3.938, P<0.01); Patients who received specialist guidance from specialist nurses had significantly lower rates of fecal dermatitis than patients who did not receive personalized guidance, The difference was statistically significant (χ²=29.625, P<0.01).

Before the operation, the patient and the family, the enterostomy specialist nurse and the doctor jointly help the patient to choose the ideal stoma position; When the intraoperative doctor sutures the stoma, it is ensured that the skin around the intestine is flat. Note that the proximal stoma is higher than the skin and the opening of the bowel cannot be biased to one side; During the postoperative hospitalization, the specialist nurses gave personalized nursing guidance according to the characteristics of the patient′s stoma, helping the patient to select suitable ostomy products and improve nursing skills; Strengthening continuous care after discharge to prevent the occurrence of fecal dermatitis.