التفاصيل البيبلوغرافية
| العنوان: |
RISK FACTORS ASSOCIATED WITH PERISTOMAL SKIN COMPLICATIONS: INTEGRATIVE LITERATURE. |
| المؤلفون: |
John, Blessy, Mi-Yeong Kim, Kelly, Daniel |
| المصدر: |
World Council of Enterostomal Therapists Journal; Apr/Jun2018, Vol. 38 Issue 2, p41-42, 2p |
| مصطلحات موضوعية: |
CINAHL database, COLON tumors, MEDICAL information storage & retrieval systems, MEDLINE, ONLINE information services, OSTOMATES, QUALITY of life, RECTUM tumors, SKIN, SKIN care, SYSTEMATIC reviews, OSTOMY |
| مصطلحات جغرافية: |
QATAR |
| مستخلص: |
Background: Colorectal cancer is the third most common cancer and fourth leading cause of death. The incidence of colorectal cancer in the Arabian Gulf region, in general, is less than that of other countries. The surgical intervention of colorectal cancer often includes formation of ostomy. Fifty-five ostomy surgeries were performed in Hamad General Hospital between the periods of July 2015 to July 2016. Irrespective of the type of stoma, many among them suffer from peristomal skin complications. Identifying risk factors related to peristomal skin complications is one of the crucial factors in maintaining peristomal skin health. Maintaining peristomal skin health will facilitate post stoma adjustment in individual with ostomy. Peristomal skin issues following intestinal ostomy surgery can compromise the quality of life of ostamates and lead to limitations in physical, psychological, and social well being. The care of ostomy patients living in Qatar is directly related to the goal of preventive health care in Qatar's health strategy. Reduction in the incidences of peristomal skin complications from effective management of risk factors would encourage ostomy patients to better self-care and promotion of wellness. Aim: The purpose of this integrative review is to identify the risk factors associated with the development of peristomal skin complications Design: Whittmore and Knafl's (2005) framework for integrative literature review guided this study. Method: A systematic literature search focused on studies of risk factors associated with the development of peristomal skin complications was conducted using CINAHL, Web of Science, Embase, and PubMed. A total of 17 quantitative, two qualitative, and one mixed method study met the exclusion and inclusion criteria. Critical Appraisal Skill Program, Johns Hopkins Nursing Evidence Appraisal Tool, and Mixed Methods Appraisal Tool were the critical appraisal checklists used to check the scientific rigor of each study. Results: Leakage of stoma output, type and structure of stoma, stoma site marking and nature of surgery, ostomy education, ostomy appliances, mechanical trauma, and demographic factors are the most significant risk factors in developing peristomal skin complications. Discussion: The development of peristomal skin complications is closely associated with contact with ostomy effluent. Maintaining peristomal skin health is crucial and it has a profound impact on the overall outcome as well as the patient quality of life. Higher quality reporting of qualitative studies is required to improve to overall evidence related to peristomal skin health. Conclusion: In conclusion, this review provides a comprehensive understanding of the most common risk factors that patients with stoma be faced with for developing peristomal skin complications based on up-to-date review of the literature. Skin complications can diminish quality of life for individuals living with an ostomy, resulting in various negative consequences in physical and psychosocial aspects. In all settings, from acute care to long term care, community, or home a person with an ostomy requires specialized care and management to prevent development of peristomal skin complications and promote quality of life. Therefore, the findings of this focused study suggest that prevention and early identification of risk factors related to peristomal skin complications are very important. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
