凹形皮肤屏障可改善造口术患者的临床效果。

IF 1.8 3区 医学 Q2 NURSING
Diane St-Cyr, Danielle Gilbert, Isabelle Dionne, Matthew T Kelly, Natalie Kameka
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引用次数: 0

摘要

目的:本研究的目的是比较凹形造口系统与非凹形造口系统的渗漏率、皮肤健康、适合度、患者影响和可用性。设计:单臂、开放标签、多中心、前瞻性研究,受试者作为自身对照。受试者和环境:样本包括来自加拿大魁北克省3个门诊诊所的20名受试者。所有的参与者都是接受造口手术的成年人,并有一个向外的口周体轮廓(OPBP)。方法:由调查人员在访视中收集资料。使用造口皮肤工具评估皮肤健康状况。在每次访问时,使用为本研究设计的问卷收集患者报告的结果。研究者报告的观察结果也在每次访问时使用研究特定问卷收集。采用广义线性混合模型分析对数据进行分析。结果:与平面或凸面皮肤屏障相比,凹面皮肤屏障的使用显著减少了渗漏的发生,改善了胃周皮肤的健康状况,提供了更好的贴合,增强了使用者的安全感、舒适感和使用便利性。结论:在OPBP患者中使用凹形造口系统可显著减少泄漏,同时改善皮肤健康,适合度,患者影响和可用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Concave Shaped Skin Barrier Provides Improved Clinical Outcomes for People Living With an Ostomy Who Have an Outward Peristomal Body Profile.

Purpose: The purpose of this study was to compare leakage rates, skin health, fit, patient impact and usability for a concave ostomy system versus the non-concave ostomy system subjects were using prior to the study.

Design: Single-arm, open-label, multicenter, prospective study with subjects acting as their own control.

Subjects and setting: The sample comprised 20 subjects recruited from 3 outpatient clinics in Quebec, Canada. All participants were adults with an ostomy and had an outward peristomal body profile (OPBP).

Methods: Data were collected by investigators during in-person visits. Skin health was assessed using the Ostomy Skin Tool. Patient-reported outcomes were collected at each visit using a questionnaire designed for this study. Investigator-reported observations were also collected using a study-specific questionnaire at each visit. Generalized linear mixed model analyses were used to analyze the data.

Results: Use of the concave skin barrier significantly reduced leakage occurrences, improved peristomal skin health, provided a better fit, enhanced the users' sense of security, comfort, and ease of application of the concave pouching system when compared to a flat or convex skin barrier.

Conclusions: The use of a concave ostomy system for patients with an OPBP significantly reduced leakage while improving skin health, fit, patient impact and usability.

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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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