Assessment of Peristomal Skin Complications in Turkish Individuals with in Intestinal Stoma: A Retrospective Study.

Background: Peristomal skin complications are a major problem for the patient with a intestinal stoma. Purpose: The aim of this study was conducted to identify peristomal skin complications among patients with an intestinal stoma. Methods: This was a descriptive, retrospective study. Data were obtai...

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Detalles Bibliográficos
Publicado en:International Journal of Caring Sciences Vol. 15; no. 1; pp. 627 - 633
Autores principales: Ustundag, Hulya, Gul, Asiye, Togluk, Eylem
Formato: research tables/charts Journal Article
Publicado: International Journal of Caring Sciences Jan-Apr2022
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: Peristomal skin complications are a major problem for the patient with a intestinal stoma. Purpose: The aim of this study was conducted to identify peristomal skin complications among patients with an intestinal stoma. Methods: This was a descriptive, retrospective study. Data were obtained via medical/nursing records review of 164 intestinal stoma patients admitted to a Turkish university hospital's stomatheraphy unit between January 2011 and December 2013. The data required for the study were obtained by way of a data collection form prepared by the researcher and based on the related literature. Demographic (age, gender, education), medical (diagnosis, comorbidities), and stomal characteristics (planned or urgent condition requiring surgery, presence of colostomy or ileostomy, and whether or not trauma induced the stoma) were evaluated along with stoma complications. Inclusion criteria were intestinal stoma presence, ≥ 18 years of age. Descriptive statistics, Fisher's exact test were used to evaluate the data. Results: The mean age of the patients was 55.24±15.24 and 58.5% were males. It was determined that 79.3% of the patients were given stoma due to colorectal cancer, 74.7% of them underwent elective surgery and 66.5% of them had a colostomy. It was shown that 23.78% of the patients had peristomal complications. Irritant dermatitis was the most frequent complication, with a rate of 10.4%. Upon comparison of the patients' demographic and clinical characteristics, as well as their complication statuses, a significant relationship was revealed between onset of stoma due to cancer and frequency of irritant dermatitis; elective and emergency operation and the frequency of contact dermatitis (p<0.05). Conclusions: It should be strongly emphasized that the patient must be informed adequately about stoma selfcare in order to avoid irritant dermatitis and other complications.