المؤلفون: Elizabeth A. Ayello, Jennifer L Prentice, Laurent Chabal

المصدر: Advances in Skin & Wound Care. 34:293-300

مصطلحات موضوعية: Patient Care Team, Advanced and Specialized Nursing, Wound Healing, Medical education, business.industry, Health Personnel, Ostomy, MEDLINE, Charter, Continuing education, Target audience, 030208 emergency & critical care medicine, Dermatology, Guideline, Skin Care, 030207 dermatology & venereal diseases, 03 medical and health sciences, Wound care, 0302 clinical medicine, General purpose, Guideline implementation, Practice Guidelines as Topic, Humans, Medicine, business

الوصف: To introduce the 15 recommendations of the International Ostomy Guideline (IOG) 2020, covering the four key arenas of education, holistic aspects, and pre- and postoperative care; and to summarize key concepts for clinicians to customize for translation into their practice.This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.After participating in this educational activity, the participant will:1. Analyze supporting evidence for the education recommendations in the IOG 2020.2. Identify a benefit of the International Charter of Ostomate Rights.3. Distinguish concepts related to pre- and postoperative ostomy-related care.4. Select a potential barrier to IOG 2020 guideline implementation.The second edition of the WCET® International Ostomy Guideline (IOG) was launched in December 2020 as an update to the original guideline published in 2014. The purpose of this article is to introduce the 15 recommendations covering four key arenas (education, holistic aspects, and pre- and postoperative care) and summarize key concepts for clinicians to customize for translation into their practice. The article also includes information about the impact of the novel coronavirus 2019 on ostomy care.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::394d9822f3874f4defb3d3547ea491bdTest
https://doi.org/10.1097/01.asw.0000742888.02025.d6Test

المؤلفون: Maria Barbierato, Andrea Bondurri, Marco Veltri, Francesco Ferrara, Gabriele Roveron, Dario Parini, Gianluca Rizzo, Francesco Pata, Cristiana Forni, Francesco Cattaneo, Alessandro Tafuri

المصدر: Journal of Wound, Ostomy & Continence Nursing. 48:137-147

مصطلحات موضوعية: Clinical guidelines, Adult, Consensus, Ostomy, MEDLINE, digestive system, Stoma, law.invention, Scientific evidence, 03 medical and health sciences, 0302 clinical medicine, Nursing, Stoma (medicine), Randomized controlled trial, law, Colostomy, Humans, Medicine, Nursing management, Advanced and Specialized Nursing, Urostomy, Executive summary, Ileostomy, business.industry, Surgical Stomas, Italy, Nursing Care, Practice Guidelines as Topic, digestive system diseases, not available, Medical–Surgical Nursing, surgical procedures, operative, Systematic review, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, business, Cohort study

الوصف: Purpose This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults. Methods Scoping review and generation of evidence and consensus-based clinical guidelines. Search strategy The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation," "stoma creation," "stoma complications," "stoma care," and "stoma reversal" (for enteral stomas)." All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication. Findings/conclusions This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7364314deeb63442a78330b7b8a6b0e2Test
https://doi.org/10.1097/won.0000000000000745Test

المؤلفون: Laurence Lataillade, Laurent Chabal

المصدر: Advances in Skin & Wound Care. 34:36-42

مصطلحات موضوعية: Advanced and Specialized Nursing, business.industry, Ostomy, media_common.quotation_subject, MEDLINE, 030208 emergency & critical care medicine, Dermatology, Skin Care, Health Literacy, 030207 dermatology & venereal diseases, 03 medical and health sciences, Wound care, Presentation, 0302 clinical medicine, Patient Education as Topic, Nursing, Therapeutic patient education, Health care, Humans, Medicine, Nursing science, business, media_common

الوصف: This contribution presents a literature review of therapeutic patient education and a summary of an oral presentation given by two wound care specialists at a recent European Congress. It relates these to models of care in nursing science and other research that contributes to this approach at the core of healthcare practice.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::167df2c2f1d0b7f94ae575f03b08547eTest
https://doi.org/10.1097/01.asw.0000722756.35017.02Test

المؤلفون: Jessica Breuing, Dawid Pieper, Simone Hess, Charlotte M. Kugler, Tanja Rombey, Erich Grohmann, Peter C. Ambe

المصدر: Systematic Reviews
Systematic Reviews, Vol 10, Iss 1, Pp 1-8 (2021)

مصطلحات موضوعية: Stoma site marking, medicine.medical_specialty, Ostomy, MEDLINE, Medicine (miscellaneous), 030230 surgery, Stoma, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Meta-Analysis as Topic, Quality of life, Protocol, Humans, Medicine, Hernia, 030212 general & internal medicine, Ostomy surgery, business.industry, General surgery, Surgical Stomas, medicine.disease, Clinical trial, Meta-analysis, Stenosis, Quality of Life, Systematic review, business, Systematic Reviews as Topic, Cohort study

الوصف: Background An intestinal ostomy is an artificial bowel opening created on the skin. Procedure-related mortality is extremely rare. However, the presence of an ostomy may be associated with significant morbidity. Complications negatively affect the quality of life of ostomates. Preoperative stoma site marking can reduce stoma-related complications and is recommended by several guidelines. However, there is no consensus on the procedure and recommendations are based on low-quality evidence. The objective of the systematic review will be to investigate if preoperative stoma site marking compared to no preoperative marking in patients undergoing intestinal stoma surgery reduces or prevents the rate of stoma-related complications. Methods We will include (cluster-) randomised controlled trials and cohort studies that involve patients with intestinal ostomies comparing preoperative stoma site marking to no preoperative marking and report at least one patient-relevant outcome. For study identification, we will systematically search MEDLINE/PubMed, EMBASE, CENTRAL and CINHAL as well as Google Scholar, trial registries, conference proceedings and reference lists. Additionally, we will contact experts in the field. Two reviewers will independently perform study selection and data extraction. Outcomes will be prioritised based on findings from telephone interviews with five ostomates and five ostomy and wound nurses prior to conducting the review. Outcomes may include but are not limited to stoma-related complications (infection, parastomal abscess, hernia, mucocutaneous separation, dermatological complications, stoma necrosis, stenosis, retraction and prolapse) or other patient-relevant postoperative endpoints (quality of life, revision rate, dependence on professional care, mortality, length of stay and readmission). We will use the ROBINS-I or the Cochrane risk of bias tool to assess the risk of bias of the included studies. We will perform a meta-analysis and assess the certainty of evidence using the GRADE approach. Discussion With the results of the systematic review, we aim to provide information for future clinical guidelines and influence clinical routine with regard to preoperative stoma site marking in patients undergoing ostomy surgery. When the evidence of our systematic review is low, it would still be a useful basis for future clinical trials by identifying data gaps. Systematic review registration PROSPERO registration number: CRD42021226647

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60540246765c7dcfcb137ec27bb38c59Test
https://doi.org/10.1186/s13643-021-01684-8Test

المؤلفون: Ana Cristina dos Santos Monteiro, Maria Lucia Barbosa Maia dos Santos, Juliana Caires de Oliveira Achili Ferreira, Marcia Aparecida Souza

المصدر: Advances in Skin & Wound Care. 33:329-333

مصطلحات موضوعية: Male, medicine.medical_specialty, Ostomy, medicine.medical_treatment, Treatment outcome, MEDLINE, Child Welfare, Nursing workload, Dermatology, Lesion, 030207 dermatology & venereal diseases, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Quality of life, medicine, Humans, Child, Advanced and Specialized Nursing, business.industry, Standard treatment, Surgical Stomas, 030208 emergency & critical care medicine, Skin Care, Gastrostomy, Surgery, Ostium, Treatment Outcome, Female, medicine.symptom, business, Brazil

الوصف: Objective To describe the care of pediatric patients who had a gastrostomy and developed peristomal lesions and received a systematic single adapted crusting technique in a pediatric ICU in a tertiary Brazilian hospital. Methods An analysis of six cases presenting traumatic, noninfectious peristomal lesions with ostium enlargement resulting in gastric residual leaks. All six patients received the same treatment over 7 to 15 days. Results Lesion improvement was observed in all patients after 48 hours and considered attributable to the standard treatment recommended by ostomy professionals. Conclusions The adapted crusting technique was effective in the treatment of children with peristomal lesions. This technique may be beneficial to other patient and organizational outcomes such as improving safety of care, decreasing pain and discomfort, reducing nursing workload and hospital costs, and improving quality of life.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d16afed2e35ff4c0bd2a232408c7ab77Test
https://doi.org/10.1097/01.asw.0000661788.68292.81Test

المؤلفون: N. De Hous, S. Van den Broeck, Jérémie H. Lefevre, Antonio D’Urso, Niels Komen

المصدر: Colorectal disease

مصطلحات موضوعية: medicine.medical_specialty, Ostomy, Population, MEDLINE, Anastomotic Leak, Cochrane Library, Anastomosis, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, medicine, Animals, Humans, Prospective Studies, Intensive care medicine, education, Retrospective Studies, education.field_of_study, business.industry, Anastomosis, Surgical, Gastroenterology, Colorectal anastomosis, Colorectal surgery, Anastomotic leakage, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Human medicine, Colorectal Neoplasms, business

الوصف: Aim Anastomotic leakage (AL) is the most important complication of colorectal surgery, leading to high morbidity and mortality. Protective ostomy, the current standard of care for protecting a colorectal anastomosis, has important drawbacks that require the creation of an alternative strategy. Over the past 30 years, several intraluminal bypass devices, designed to shield the anastomosis from the faecal stream, have been developed. The aim of this literature review was to create an updated overview of the devices available and their effectiveness in preventing AL, and to investigate whether they could serve as an alternative to protective ostomy in the future. Method A systematic review of the literature on intraluminal bypass devices used for preventing colorectal AL was performed. The MEDLINE and Cochrane Library databases were searched, and articles were marked as relevant if an intraluminal bypass device was studied in an animal or human population. Results The database search yielded 24 relevant articles related to 10 intraluminal bypass devices protecting a colorectal anastomosis. These articles included experimental animal studies, preclinical (pilot) studies, as well as retrospective and prospective clinical studies. Each device was assessed with regard to surgical technique, effectiveness and device-related complications. Conclusion Intraluminal bypass devices show promise in preventing AL and its clinical consequences. However, there is insufficient high-level evidence to draw firm conclusions. There is a need for randomized controlled trials that directly compare these devices with the protective ostomy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b83d19936e305516c828ca680755a325Test
https://doi.org/10.1111/codi.15055Test

المؤلفون: Jennie G David, Steffany Moreno, Rhea Daniel, Harpreet Pall

المصدر: Journal of Pediatric Gastroenterology & Nutrition. 70:849-852

مصطلحات موضوعية: medicine.medical_specialty, Adolescent, Ostomy, MEDLINE, Coding (therapy), Inflammatory bowel disease, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, 030225 pediatrics, medicine, Humans, Child, business.industry, Medical record, Qualitative interviews, Gastroenterology, Developmentally Appropriate Practice, Colitis, Inflammatory Bowel Diseases, medicine.disease, Chronic disease, Caregivers, Family medicine, Pediatrics, Perinatology and Child Health, Quality of Life, 030211 gastroenterology & hepatology, business, Psychosocial

الوصف: Inflammatory bowel disease (IBD) is a chronic disease causing inflammation of the gastrointestinal tract. Some patients require ostomy surgery to optimize their health. This study assessed perceived medical and psychosocial educational needs related to ostomy surgery in pediatric patients with IBD. This mixed-methods study included qualitative interviews of pediatric patients and caregivers with demographic/medical variables obtained from medical records. Participants (n = 8) had an average age of 15.62 years (standard deviation = 2.97). Mean length of diagnosis was 4.5 years (standard deviation = 3.6 years). Interviews were transcribed and coded. Qualitative coding of narratives identified main codes of Ostomy Surgery, Preoperative Concerns, Postoperative Concerns, Education Preferences, and Social Concerns, with various subcodes. Codes captured unfamiliarity with the ostomies, preferences for education from a medical provider, and psychosocial concerns. Results suggest pediatric patients with IBD have limited understanding of ostomies and limited insight into educational preferences. These findings highlight the importance of developmentally appropriate information for accessible ostomy education.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d92ce95e5efd1e4d578413242f8ca99fTest
https://doi.org/10.1097/mpg.0000000000002665Test

المؤلفون: Aishah Alenezi, Karen Livesay, Amanda Kimpton, Ian McGrath

المصدر: Journal of clinical nursingREFERENCES. 30(21-22)

مصطلحات موضوعية: 030504 nursing, business.industry, Family support, Ostomy, MEDLINE, Surgical Stomas, General Medicine, PsycINFO, CINAHL, Guideline, 03 medical and health sciences, Nursing care, 0302 clinical medicine, Quality of life (healthcare), Systematic review, Nursing, Surveys and Questionnaires, Quality of Life, Medicine, Humans, Spirituality, 030212 general & internal medicine, 0305 other medical science, business, General Nursing

الوصف: Aim and objective This study aims to identify and summarise factors related to ostomy patients' experiences and how these impact the perceived quality of life for those patients. Background Ostomy formation is a common therapeutic technique used to treat different colorectal diseases such as colorectal cancer. Although surgical intervention and ostomy formation may prolong a patient's life, it may cause many problems in their daily lifestyle and affect their quality of life. The surgical creation of an ostomy has a significant impacts on a patient's quality of life from multiple perspectives, including physical, psychological, social and spiritual aspects. Design A narrative literature review, using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline). Methods This review analysis of search filters was conducted in the following databases: PubMed (MEDLINE), CINAHL, Embase, ProQuest, Science Direct, Scopus, and PsycINFO. A validation data set of 283 research articles between January 2000 and December 2019 were used to identify the impact of stoma surgery on patients' quality of life. Result Thirty-seven studies were identified as suitable for inclusion in this literature review. The results of the review indicate that quality of life (QoL) in patients who have an ostomy is influenced by many modifiable factors. Exercise, preoperative stoma site identification, family support, maintenance of social networks, education, spirituality and financial stability are all potentially modifiable factors that can improve the QOL for ostomy patients. Conclusion This review has identified multiple challenges that ostomy patients experience, which were clustered according to physical, psychological, social and spiritual challenges. Relevance to clinical practice This study identifies issues associated with stoma creation and can help in planning and providing the required nursing care which may assist in the reduction of predictable challenges. Recommendations for future research related to nursing practice are stated.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8f48482ac0da9f2f4bce67d3af5df52Test
https://pubmed.ncbi.nlm.nih.gov/33982291Test

المؤلفون: Eliza Maria Rezende Dázio, Silvana Maria Coelho Leite Fava, Raul de Paiva Santos

المصدر: Journal of Coloproctology, Vol 39, Iss 3, Pp 265-273 (2019)
Journal of Coloproctology (Rio de Janeiro), Volume: 39, Issue: 3, Pages: 265-273, Published: 30 SEP 2019
Journal of Coloproctology (Rio de Janeiro) v.39 n.3 2019
Journal of Coloproctology (Rio de Janeiro. Online)
Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP

مصطلحات موضوعية: Enfermagem gerontológica, Colorectal cancer, Autocuidado, Ostomy, education, MEDLINE, Scopus, Estomia, CINAHL, RC799-869, Elderly people, Pessoa idosa, 03 medical and health sciences, 0302 clinical medicine, Health team, Quality of life (healthcare), Nursing, medicine, 030504 nursing, business.industry, Gastroenterology, Diseases of the digestive system. Gastroenterology, medicine.disease, humanities, 030220 oncology & carcinogenesis, Gerontological nursing, Self care, Self-care, 0305 other medical science, business

الوصف: Objective: To identify in literature the scientific production about self-care in elderly people with ostomies by colorectal cancer. Method: Integrative review, performed with the descriptors “self-care”, “ostomy” and “elderly/aged” with the Boolean operator AND in the following databases: SCOPUS, CINAHL, MEDLINE, LILACS and COCHRANE. For the theoretical basis, Orem's Self-Care Deficit Theory was used. Results: A total of 533 papers were found, however, after applying the eligibility criteria, 16 studies composed the final sample of the review. Conclusion: The nurse is one of the professionals closest to the person with the stoma and his family, and should act as a link between the elderly person, the family and the multi-professional health team. In this sense, health professionals, especially nurses, should be trained and competent in assisting the diverse demands of care of this specific population, so that it is effective, resolutive, integral and, above all, humanized, aiming at the improvement of quality of life. Resumo: Objetivo: Identificar na literatura a produção científica sobre o autocuidado em pessoas idosas com estomia por câncer colorretal. Método: Revisão integrativa de literatura, realizada com os descritores “autocuidado/self-care”, “estomia/ostomy” e “pessoa idosa/idoso/aged” com o operador Booleano and nas Bases de Dados SCOPUS, CINAHL, MEDLINE, LILACS e COCHRANE. Para o embasamento teórico empregou-se a Teoria do Déficit de Autocuidado de Orem. Resultados: Encontrou-se um total de 533 artigos, no entanto, após a aplicação dos critérios de elegibilidade 16 estudos compuseram a amostra final da revisão. Conclusão: O enfermeiro é um dos profissionais mais próximos da pessoa com estomia e de sua família, devendo atuar como um elo entre a pessoa idosa, a família e a equipe multiprofissional de saúde. Nesse sentido, profissionais da área da saúde, especialmente o enfermeiro, devem estar capacitados e ser competentes na assistência às diversas demandas de cuidado dessa população específica, para que ela seja efetiva, resolutiva, integral e, sobretudo, humanizada, visando à melhora da qualidade de vida. Keywords: Self-care, Elderly people, Ostomy, Gerontological nursing, Palavras-chave: Autocuidado, Pessoa idosa, Estomia, Enfermagem gerontológica

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4c19d0a40a8a8d21501f9ab4fe9bd7b0Test
http://www.sciencedirect.com/science/article/pii/S2237936318305719Test

المؤلفون: Gianluca Bonitta, Luigi Bonavina, Federica Cavalcoli, Emanuele Rausa, Veronica Lazzari, Michael E. Kelly, Giovanni Sgroi, Alberto Aiolfi

المصدر: International Journal of Colorectal Disease. 34:209-216

مصطلحات موضوعية: Male, medicine.medical_specialty, Incisional hernia, Ostomy, Operative Time, MEDLINE, Anastomosis, law.invention, Stoma, Cicatrix, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Randomized controlled trial, law, Humans, Incisional Hernia, Surgical Wound Infection, Medicine, Skin, Wound Closure Techniques, business.industry, Gastroenterology, Length of Stay, Middle Aged, medicine.disease, Colorectal surgery, Surgery, 030220 oncology & carcinogenesis, Relative risk, Quality of Life, Female, 030211 gastroenterology & hepatology, business, Follow-Up Studies

الوصف: The importance of the defunctioning stoma on minimizing anastomotic leak in colorectal surgery is well established. However, a defunctioning stoma can substantially impact on quality of life (QoL). Circumferential purse-string approximation (PSA) and linear skin closure (LSC) are the most commonly performed surgical technique for reversal of stoma. The aim of this review was to systemically review and meta-analyze available randomized controlled trials (RCTs) comparing PSA and LSC. An electronic systematic search using MEDLINE databases (PubMed, EMBASE, and Web of Science) of RCTs comparing PSA and LSC was performed. Eight RCTs totalling 647 patients met the inclusion criteria and were included in this meta-analysis. Patient’s satisfaction is significantly lower in PSA group during the first postoperative week, but it sharply improves afterwards and no difference were noted at 1 and 6 months between the two groups. Relative risk (RR) of developing a SSI is significantly lower in PSA compared to LSC group (RR 0.16 95% CI 0.09; 0.30; p = 0.0001), whereas incisional hernia (RR 0.53 95% CI 0.08; 3.53; p = 0.512), operative time (MD − 0.06 95% CI − 0.30; 0.17; p = 0.593), and hospital stay (MD − 0.09 (95% CI − 0.29-0.11; p = 0.401) remain similar. QoL was similar in both patients groups after the first postoperative week. PSA significantly reduced SSI rate. No difference was observed in incisional hernia rate, operative time, or length of hospital stay.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fd0b9367ea738dcf75b4bcfbcea93617Test
https://doi.org/10.1007/s00384-018-3219-zTest