Peristomal Moisture-Associated Skin Damage and Independence in Pouching System Changes in Persons With New Fecal Ostomies.
Midori Nagano, Yasuko Ogata, Masaomi Ikeda and 3 others
PMID 30688864WHAT IT FOUND
Patients with ileostomies were 3 times more likely to develop peristomal skin damage than those with colostomies.
Older adults and patients with diabetes were significantly less likely to become independent in changing their pouching system within 8 weeks.
Key findings
01Patients living with an ileostomy were 3 times more likely to experience peristomal moisture-associated skin damage than patients living with a colostomy.
02Patients with postsurgical chemotherapy were more than 2.5 times more likely to experience peristomal moisture-associated skin damage than those who did not require postoperative chemotherapy.
03Patients 65 years or older were significantly more likely to have difficulty changing their pouching system, as were patients with diabetes mellitus.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study was conducted at a single facility in Japan, which may limit the generalizability of the findings to other populations or healthcare settings. The retrospective design relied on routine clinical documentation, which may have missed details or introduced subjectivity in how skin damage and independence were recorded. Independence was assessed at a single time point (last visit within 8 weeks) and did not evaluate performance under specific challenging circumstances, such as fecal leakage.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume that all patients with colostomies are free from peristomal skin damage, or that all young patients will achieve independence quickly. The study identifies risk factors, not certainties. Additionally, the odds ratios for diabetes and age are large but based on a small sample size (N=89), so the precision of these estimates may be lower than in larger trials.