辅助流皮肤屏障环的评估:一项前瞻性队列研究。

IF 1.7 3区 医学 Q2 NURSING
Janice C Colwell, Joyce Pittman, Paul Rider, Helen Purtill, Taylor Duckworth
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引用次数: 0

摘要

目的:本研究旨在评估回肠造口术患者使用带辅助血流的皮肤屏障环预防肛周皮肤并发症(PSCs)的效果,并评估参与者对该装置的看法:设计:单组前瞻性队列研究:从美国的两个临床研究机构招募了新造(14 人)或已造(1 人)回肠造口的住院和门诊患者:一个是位于美国中西部的学术教学医院系统,另一个是位于美国东南部的教学医院:方法:参与者在接受使用教育后,使用皮肤屏障环辅助流动。造口袋系统由造口术专科护士决定定期更换。造口皮肤工具 (OST) 用于评估每位参与者入院时(基线)和最终评估时(60 ± 33 天)的肛周变色 (D)、糜烂 (E) 和组织过度生长 (T)。次要结果(设备操作、舒适度和自由裁量权)通过最后数据收集访问期间的问卷进行评估:结果:在 14 名新做回肠造口术的参与者中,DET 的平均基线分数为 2 分或更低,表明没有发生 PSC。本研究中 PSC 的发生率为 40%(n = 6)。15 位参与者中有 13 位(86.7%)认为辅助导流皮肤屏障环易于使用。14位参与者(93.4%)认为该装置舒适且易于取下。所有 15 位参与者(100%)都认为该装置在衣服内很隐蔽:60%的参与者(n = 9)在使用研究设备时出现了 PSC。超过 90% 的参与者认为该装置佩戴舒适且易于取下,所有参与者(100%)都认为该装置在衣服内佩戴时非常隐蔽。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of a Skin Barrier Ring With Assisted Flow: A Prospective Cohort Study.

Purpose: The purpose of this study was to assess the effect of a skin barrier ring with assisted flow in preventing peristomal skin complications (PSCs) in patients with an ileostomy and to evaluate the participants' perceptions of the device.

Design: Single-group, prospective cohort study.

Subjects and setting: Both inpatients and outpatients with newly created (n = 14) or established (n = 1) ileostomies were recruited from 2 clinical sites in the United States: one was an academic teaching hospital system in the Midwestern United States and the second was a teaching hospital located in the Southeastern United States.

Methods: Participants used the skin barrier ring with assisted flow after receiving education on its use. The pouching system was changed on a routine basis as determined by the ostomy nurse specialist. The Ostomy Skin Tool (OST) was used to assess each participant's peristomal discoloration (D), erosion (E), and tissue overgrowth (T) on admission to the study (baseline) and at final assessment (60 ± 33 days). Secondary outcomes (device handling, comfort, and discretion) were assessed through a questionnaire administered during the final data collection visit.

Results: The mean baseline DET score among the 14 participants with a new ileostomy was 2 or less, indicating no PSCs. The incidence of PSCs in this study was 40% (n = 6). Thirteen of 15 participants (86.7%) agreed that the skin barrier ring with assisted flow was easy to apply. Fourteen (93.4%) agreed that the device was comfortable and easy to remove. All 15 participants (100%) agreed it was discreet under clothing.

Conclusions: Sixty percent of participants (n = 9) using the investigational device experienced a PSC. More than 90% of participants agreed that the device was comfortable and easy to remove, and all participants (100%) agreed it was discreet when worn under clothing.

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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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