Cuidados de enfermería posquirúrgica y recomendaciones al alta en pacientes intervenidos de uretroplastia / No disponible

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Testing inter-rater reliability of the Urostomy Education Scale.

PURPOSE: Previous research has validated the Urostomy Education Scale as a standardised evidence based tool to document patients' level of stoma self-care skills. The aim of this study was to test the scale's inter-rater reliability among urology nurses in a continuous validation of the Urostomy Education Scale. METHODS: During the study period from June 2011 to September 2012, 38 ward nurses performing standard stoma care attended 150 validation sessions evaluating 70 patients' level of stoma self-care skills using the Urostomy Education Scale. In pairs, the nurses randomly observed the patients during a training episode involving change of a stoma appliance. Data were categorised into three groups to investigate the impact of nurses' experience on reliability: comparing two inexperienced nurses, two experienced or one of each. Data were compared for agreement by testing variation between groups and analysing Bland Altman Plots with Limits of Agreement. RESULTS: The variation in scores was not influenced by the nurses' level of experience (p > 0.05). Reliability was found to be high with Bland Altman Plot and Limits of Agreement documenting that 84% of scores (95% CI (Confidence interval): 74; 89) were within a range of 2 points. CONCLUSION: The Urostomy Education Scale demonstrates high reliability irrespective of nurses' different levels of experience. The results are clinically relevant and contribute to a precise documentation of stoma self-care skills. The tool ensures evidence based patient education and can provide a high standard of communication in transitions between sectors.

Impacto tras la implantación de una guía de buena práctica clínica: "Cuidado y manejo de la ostomía" / No disponible

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Estudio Avance de los dispositivos de ostomía de una y dos piezas: Moderma flex y Conform 2 de Hollister / Assessment of one and two piece ostomy devices: Moderma Flex and Conform 2 of Hollister

Objetivo: realizar una evaluación sistemática de los dispositivos de ostomía de una y dos piezas, correspondientes a las líneas de producto Moderma Flex y Conform 2 (pertenecientes a Hollister), con el fin de obtener una información rigurosa sobre los beneficios del producto en cuanto a seguridad y comodidad, así como descubrir posibles áreas de mejora. Material y métodos: estudio prospectivo, observacional y multicéntrico, en el que se incluyeron 1.018 pacientes ostomizados en los que se evaluó su grado de satisfacción con el uso de los nuevos dispositivos Moderma Flex y Conform 2. Se valoraron las características esenciales en un dispositivo de ostomía: en relación a la lámina adhesiva se evaluaron su aplicación, retirada, adherencia, resistencia, protección cutánea, flexibilidad y seguridad y en relación a la bolsa recolectora su tamaño y confort. Resultados: los resultados del estudio han demostrado un buen comportamiento de los dos dispositivos estudiados, en relación con los parámetros evaluados tanto de la lámina adhesiva como de la bolsa colectora. La piel periestomal de los 255 pacientes que comenzaron el estudio con la zona irritada mejoró considerablemente y en el 48% la piel al finalizar el estudio estaba intacta. El 95%de los pacientes manifestó que continuaría utilizando el dispositivo, frente a un 5% que no seguiría con él. Conclusiones: los resultados de este trabajo en el que los pacientes han usado los dispositivos de ostomía Moderma Flex y Conform2, muestran que la satisfacción global en la utilización de los mismos fue muy positiva. La utilización de estos dispositivos favorece la adaptación de la persona a la actividad cotidiana y mejora su calidad de vida, aspectos que, como numerosos autores señalan, no deben dejarse de lado en la recuperación de estos pacientes (AU)

Objectives: to carry out a systematic assessment of ostomy devices with one or two parts, corresponding to the product lines Moderma Flex and Conform 2 (of Hollister), in order to obtain accurate information on product benefits in terms of safety and comfort as well as identify possible areas for improvement. Material and methods: prospective, observational, multicenter study including 1,018 ostomized patients assessing their degree of satisfaction with the use of the two new devices, Moderma Flex and Conform 2. The essential characteristics of an ostomy device were assessed. In relation to the adhesive application, removal, adherence, resistance, skin protection, flexibility and safety were assessed; and in relation to the collection bag, size and comfort were assessed. Results: the study results have shown good performance of the two devices studied in relation to the evaluated parameters of both the adhesive and the collection bag. The peristomal skin of the 255 patients who began the study with the irritated area improved considerably, and in 48% the skin at study completion was intact. 95%of patients stated that they would continue using the device compared to 5% that not continue using it. Conclusions: the results of this study in which patients used the two ostomy devices -Moderma Flex and Conform 2- show that overall satisfaction with the use of both devices was very positive. The use of these devices promotes the adaptation of the individual to activities of daily living and improves their quality of life, issues which, as many authors point out, should not be ignored in the recovery of these patients (AU)

Beneficios del ejercicio físico en la recuperación del paciente intervenido de Bricker / No disponible

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Stoma care in the school setting.

An ostomy is an artificial opening in the body for the purpose of eliminating excretions from a working organ or for providing nourishment. Artificial openings may be from the stomach, intestine, urinary bladder, kidney, or trachea. The stoma is the terminal end of the ostomy, or the opening that is visible on the surface of the skin. This article will discuss stoma creation and the care of a stoma, as well as the complications and effects of living with one. Although the focus of this article is urinary stomas, the care is similar for all types. It is imperative that all care providers understand stoma care and potential problems that may arise. There are ongoing issues of quality of life for children with stomas, including body image and peer reaction. School nurses are in a unique position to educate children and families on the proper care of a stoma, to recognize potential complication, and to educate staff and student peers.

Practical aspects of stoma management.

The author provides an overview of common stoma complications and their practical management. The nurse's role in caring for these patients is also described.