Usability of a Novel Instrument to Measure Damaged Peristomal Skin in Patients with an Ostomy.
Adv Skin Wound Care
; 34(6): 309-312, 2021 Jun 01.
Article
in English
| MEDLINE | ID: covidwho-1254847
ABSTRACT
OBJECTIVE:
To evaluate the usability of a novel instrument (stoma ruler) to measure damaged peristomal skin in patients with an ostomy.METHODS:
A wound ostomy and continence nurse used both the stoma ruler and a linear ruler to assess DET (discoloration, erosion, tissue overgrowth) scores and the height of protrusion above the skin of 10 patients with ileostomies and took photographs. The photographs were presented to five ostomy care nurses for reliability testing. The difference between the two methods was determined using paired Wilcoxon signed ranks test. PRIMARY OUTCOMEMEASURE:
Interrater reliability of the linear versus stoma ruler.RESULTS:
The interrater reliabilities of the stoma ruler versus the linear ruler for the domain-area DET score were 0.95 (95% confidence interval, 0.89-0.99) and 0.68 (95% confidence interval, 0.42-0.89), respectively. Only nurse 5 reported a significant difference between the two rulers (z = -2.24, P = .03).CONCLUSIONS:
In busy clinical settings, the stoma ruler is easy for ostomy care nurses to use to obtain accurate DET scores and the height of stoma protrusion above the skin. Observing the position of damaged skin using the clock marks on the stoma ruler enhance clinical description and reduce assessment variation among professionals.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Weights and Measures
/
Ostomy
/
Skin Care
Type of study:
Experimental Studies
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Adv Skin Wound Care
Journal subject:
Nursing
Year:
2021
Document Type:
Article
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