Challenges faced by people with a stoma: peristomal body profile risk factors and leakage.
| Autor: | Martins L; Clinical Nurse Specialist, Wound, Ostomy and Continence, London Health Sciences Centre, London, Ontario, Canada., Andersen BD; Enterostomal Therapist, The Stoma Clinic, Herlev Hospital, Herlev, Denmark., Colwell J; Advanced Practice Nurse, Ostomy and Wound Care, University of Chicago Medicine, Chicago, Illinois, USA., Down G; previously Nurse Consultant Stoma Care, Bristol; North Somerset and South Gloucestershire Clinical Commissioning Group, Bristol, UK., Forest-Lalande L; Enterostomal Therapist, Montreal, Canada., Novakova S; Enterostomal Therapist, Masaryk Hospital, Surgery Department, Ústí nad Labem, Czech Republic., Probert R; Clinical Nurse Consultant Stomal Therapy, Wound Management Department, Division of Surgery, Queensland, Australia., Hedegaard CJ; Evidence Manager, Coloplast A/S, Humlebaek, Denmark., Hansen AS; Lead Medical Specialist, Coloplast A/S, Humlebaek, Denmark. |
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| Jazyk: | angličtina |
| Zdroj: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2022 Apr 07; Vol. 31 (7), pp. 376-385. |
| DOI: | 10.12968/bjon.2022.31.7.376 |
| Abstrakt: | Aim: The Ostomy Life Study 2019 aimed to obtain a better understanding of the challenges faced by people with stoma. Methods: Online survey with participants from 17 countries. Findings: Of the 54 614 individuals invited to take part, 5187 responded; 62% of the respondents avoided physical and social activities because of their stoma and 37% had never consulted their stoma care nurse to have the fit of their stoma product checked. In a subgroup receiving questions on leakage ( n =4209), output under the baseplate and leakage onto clothes were experienced within the previous month by 76% and 26% of respondents, respectively. Higher chance of leakage was associated with an irregular stoma shape and peristomal body profile; a stoma level at or below the skin surface; and the presence of creases, folds and other changes in the peristomal area. Conclusion: Leakage and access to a stoma care nurse to provide the necessary care and guidance remain important concerns for individuals with a stoma. |
| Databáze: | MEDLINE |
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