Factors affecting ostomy-related complications in Korea.

PURPOSE: We sought to determine the type and incidence of ostomy-related complications and identify associated factors in Korean ostomy patients. METHODS: A retrospective analysis of medical records of 1,170 patients who underwent end colostomy in Samsung Medical Center between October 1994 and Febr...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Wound, Ostomy & Continence Nursing Vol. 37; no. 2; pp. 166 - 173
Autores principales: Sung YH, Kwon I, Jo S, Park S
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2010 Mar-Apr
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=105154996&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 105154996
    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 Mar-Apr
      vid: 37
      iid: 2
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
    artinfo:
      ui:
        105154996
        105154996
        2010604499
        10.1097/WON.0b013e3181cf7b76
        NLM20228659
        105154996
      ppf: 166
      ppct: 7
      formats:
      tig:
        atl: Factors affecting ostomy-related complications in Korea.
      aug:
        au:
          Sung YH
          Kwon I
          Jo S
          Park S
        affil: Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
      sug:
        subj:
          Ostomy
          Ostomy Care
          Postoperative Complications
          Body Mass Index
          Chi Square Test
          Colostomy
          Confidence Intervals
          Data Analysis Software
          Dermatitis, Contact Prevention and Control
          Descriptive Statistics
          Female
          Human
          Incidence
          South Korea
          Male
          Multiple Logistic Regression
          Odds Ratio
          Patient Education
          Postoperative Complications Epidemiology
          Postoperative Complications Risk Factors
          Record Review
          Retrospective Design
          T-Tests
          Female
          Male
      ab: PURPOSE: We sought to determine the type and incidence of ostomy-related complications and identify associated factors in Korean ostomy patients. METHODS: A retrospective analysis of medical records of 1,170 patients who underwent end colostomy in Samsung Medical Center between October 1994 and February 2005 was completed. Complications were classified as stomal or peristomal. Stomal complications included bleeding, necrosis, mucocutaneous separation, prolapsed stoma, retracted stoma, and stenosis. Peristomal complications included varices, hernia, irritant contact dermatitis, allergic contact dermatitis, maceration, folliculitis, hyperplastic granulation, bacterial infection, candidal infection, malignancy in the peristomal area, mechanical damage, and pyoderma gangrenosum. A flat (flush) stoma was the most common stomal complication, occurring in 8.5% of subjects. Irritant contact dermatitis, occurring in 15.5%, was the most common peristomal complication. Gender and body mass index were associated with irritant contact dermatitis, hyperplasia, peristomal hernias, flat stomas, and retracted stomas. CONCLUSIONS: Education for preventing irritant contact dermatitis, such as proper pouching and peristomal skin protection, and for weight control, should be emphasized in a self-care program for persons living with an ostomy. Preoperative marking by a WOC nurse is needed to reduce the prevalence of flat (flush) stomas.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N