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Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients
Journal of Korean Academy of Nursing ; : 814-820, 2011.
Artigo em Coreano | WPRIM | ID: wpr-166509
ABSTRACT

PURPOSE:

This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.

METHODS:

A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.

RESULTS:

In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.

CONCLUSION:

SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ferimentos e Lesões / Estomia / Neoplasias Colorretais / Doenças Inflamatórias Intestinais / Razão de Chances / Seguimentos / Higiene da Pele Tipo de estudo: Ensaio Clínico Controlado / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Coreano Revista: Journal of Korean Academy of Nursing Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ferimentos e Lesões / Estomia / Neoplasias Colorretais / Doenças Inflamatórias Intestinais / Razão de Chances / Seguimentos / Higiene da Pele Tipo de estudo: Ensaio Clínico Controlado / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Coreano Revista: Journal of Korean Academy of Nursing Ano de publicação: 2011 Tipo de documento: Artigo