Analysis on the present situation and influencing factors of peristomal moisture-associated skin damage in 276 postoperative patients with fecal ostomies
10.3760/cma.j.issn.1672-7088.2019.05.001
- VernacularTitle:肠造口患者造口周围潮湿相关性皮肤损伤发生现状及影响因素分析
- Author:
Yan TAO
1
;
Luhong CHENG
;
Chengwen HU
;
Xiaoming ZHANG
Author Information
1. 安徽省肿瘤医院伤口造口门诊
- Keywords:
Enterostomy;
Postperative complications;
Dermatitis;
contact
- From:
Chinese Journal of Practical Nursing
2019;35(5):321-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the occurrence of moisture-associated skin damage (MASD) around the stoma in patients with colorectal tumor after enterostomy. Methods Using convenience sampling method, during March 2016 to December 2017 in Anhui Provincial Cancer Hospital wound and stoma outpatient, choose 276 patients with enterostomy (including temporary enterostomy and permanent enterostomy), using self-made general questionnaire and ostomy self nursing competence scale to investigate them. Results Totally 276 cases of enterostomy patients, including 119 cases (43.1％) underwent colostomy, 157 cases ileum ileostomy (56.9％). There were 92 cases (33.3％)of patients with MASD , the binary classification Logistic regression analysis showed that enterostomy time (P = 0.004), the type of enterostomy (P=0.009), height of enterostomy (P=0.001), enterostomy self-care knowledge (P=0.012) and nursing skills (P=0.002) were MASD influence factors. Conclusion The present study shows that MASD is widespread in patients with enterostomy, and targeted measures should be taken to reduce its incidence or to intervene in time.
