Comparison of standardized peristomal skin care and crusting technique in prevention of peristomal skin problems in ostomy patients.
OBJECTIVE
This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.


METHODS
A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.


RESULTS
In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.


CONCLUSIONS
SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.
Department of Nursing & Research Institute for Basic Science, Hoseo University, Asan, Korea.
Seungmi
S
Park
Yun Jin
YJ
Lee
Doo Nam
DN
Oh
Jiyun
J
Kim
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010030:Ostomy / Q000451:nursing*; D017592:Skin Care / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D014947:Wounds and Injuries / Q000209:etiology / Q000517:prevention & control