Early peristomal skin complications reported by WOC nurses.
PURPOSE: The range of peristomal skin complications reported in the literature varies from 10% to 70%. Inconsistent terminology as well as a lack of a standardized tracking tool may account for this variability. The purpose of this study was to describe peristomal skin complications seen by WOC nurs...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 37; no. 5; pp. 505 - 511 |
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| Autor principal: | |
| Formato: | forms research tables/charts Journal Article |
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Lippincott Williams & Wilkins
2010 Sep-Oct
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105106453&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105106453 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10715754 4CQ jtl: Journal of Wound, Ostomy & Continence Nursing issn: 10715754 maglogo: N pubinfo: dt: 2010 Sep-Oct vid: 37 iid: 5 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105106453 105106453 2010802060 10.1097/WON.0b013e3181edac57 NLM20736859 105106453 ppf: 505 ppct: 6 formats: tig: atl: Early peristomal skin complications reported by WOC nurses. aug: au: Ratliff CR affil: University of Virginia Health System, Charlottesville, VA 22908; crr9m@Virginia.edu sug: subj: Ostomy Adverse Effects Peristomal Skin Care Wound, Ostomy and Continence Nursing Adolescence Adult Aged Aged, 80 and Over Child Child, Preschool Colostomy Convenience Sample Dermatitis, Contact Descriptive Statistics Documentation Female Funding Source Human Ileostomy Infant Inpatients Interrater Reliability Male Middle Age Observational Methods Outpatients Prospective Studies Urinary Diversion Virginia Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Middle Aged: 45-64 years Female Male ab: PURPOSE: The range of peristomal skin complications reported in the literature varies from 10% to 70%. Inconsistent terminology as well as a lack of a standardized tracking tool may account for this variability. The purpose of this study was to describe peristomal skin complications seen by WOC nurses over a 1-year period using a standardized data collection tool and using the peristomal terminology developed by the WOCN Society. METHODS: A prospective research design was used to describe peristomal skin complications of ostomy patients seen within the first 2 months of ostomy surgery by WOC Central Virginia Affiliate nurses. The WOC nurses completed a peristomal skin complication form on each ostomy patient that was seen within 2 months of the original ostomy surgery regardless of whether or not he or she had a peristomal complication. Descriptive statistics were used to summarize data. SUBJECTS AND SETTING: Twelve WOC nurses saw a total of 89 patients over a 12-month period. Subjects had a median age of 61 years (range, 1-91 years). The sample included 46 females and 43 males. All patients were seen in the central Virginia area. Thirty-two patients were seen in hospital, 31 were seen in a home health setting, and 26 were seen in outpatient clinic. RESULTS: Forty-two patients (47%) had peristomal complications. The types of ostomies seen were 37 colostomies, 33 ileostomies, and 15 urinary conduits. Thirty-one patients had chemical damage to the peristomal skin (irritant dermatitis), 5 had mechanical injury, and 4 had Candida infections, 1 had an allergic reaction, and another had pyoderma gangrenosum. CONCLUSIONS: Research studies that describe peristomal skin complications over time and over multiple settings are limited. A central data repository using a standardized tool may be one way to monitor them and then begin to look at standardized evidence-based peristomal skin care. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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