المؤلفون: Piotr Kluska, Adam Dziki, Joanna Piasecka-Zelga, Piotr Zelga, Marta Zelga

المصدر: Journal of Wound, Ostomy & Continence Nursing. 48:415-430

مصطلحات موضوعية: medicine.medical_specialty, Ostomy, medicine.medical_treatment, MEDLINE, law.invention, Cohort Studies, Postoperative Complications, Stoma (medicine), Randomized controlled trial, law, Colostomy, Health care, Humans, Medicine, Aged, Advanced and Specialized Nursing, Ileostomy, business.industry, Surgical Stomas, Perioperative, Surgery, Medical–Surgical Nursing, Female, Observational study, business, Cohort study

الوصف: PURPOSE Ostomy creation is often an integral part of the surgical management of various diseases including colorectal malignancies and inflammatory bowel disease. Stoma and peristomal complications may occur in up to 70% of patients following ostomy surgery. The aim of this scoping literature review was to synthesize evidence on the risk factors for developing complications following creation of a fecal ostomy. DESIGN Scoping literature review. SEARCH STRATEGY Two independent researchers completed a search of the online bibliographic databases PubMed, MEDLINE, Cochrane, Google Scholar, and EMBASE for all articles published between January 1980 and December 2018. The search comprised multiple elements including systematic literature reviews with meta-analysis of pooled findings, randomized controlled trials, cohort studies, observational studies, other types of review articles, and multiple case reports. We screened 307 unique titles and abstracts; 68 articles met our eligibility criteria for inclusion. The methodological rigor of study quality included in our scoping review was variable. FINDINGS/CONCLUSIONS We identified 6 risk factors associated with an increased likelihood of stoma or peristomal complications (1) age more than 65 years; (2) female sex; (3) body mass index more than 25; (4) diabetes mellitus as a comorbid condition; (5) abdominal malignancy as the underlying reason for ostomy surgery; and (6) lack of preoperative stoma site marking and WOC/ostomy nurse specialist care prior to stoma surgery. We also found evidence that persons with a colostomy are at a higher risk for prolapse and parastomal hernia. IMPLICATIONS Health care professionals should consider these risk factors when caring for patients undergoing fecal ostomy surgery and manage modifiable factors whenever possible. For example, preoperative stoma site marking by an ostomy nurse or surgeon familiar with this task, along with careful perioperative ostomy care and education of the patient by an ostomy nurse specialist, are essential to reduce the risk of modifiable risk factors related to creation of a fecal ostomy.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0134098943a631c16119842a43347defTest
https://doi.org/10.1097/won.0000000000000796Test

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: Jeremy Meyer, Frédéric Ris, Sotirios Georgios Popeskou, Eleftherios Gialamas, Nicolas C. Buchs, Ziad Abbassi

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 48(1)

مصطلحات موضوعية: Adult, medicine.medical_specialty, Ostomy, Mucocutaneous zone, MEDLINE, 030230 surgery, law.invention, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Stoma (medicine), Randomized controlled trial, law, medicine, Irritant dermatitis, Humans, Adverse effect, Prospective cohort study, Advanced and Specialized Nursing, business.industry, Surgical Stomas, Surgery, Medical–Surgical Nursing, surgical procedures, operative, Bridge (graph theory), Treatment Outcome, 030220 oncology & carcinogenesis, Dermatitis, Irritant, business

الوصف: Purpose We evaluated evidence related to the use of a rod (bridge) to prevent stoma retraction during loop ostomy construction. Methods We completed a systematic review of the literature. We searched MEDLINE, EMBASE, and COCHRANE databases up to December 4, 2019. We posed the following question based on a PICO format. Do adult patients undergoing ostomy surgery experience less stomal retraction when compared to patients managed without placement of a stoma rod? Findings Our initial search returned 182 articles; after reading studies in full, 5 articles were identified that collectively enrolled 1058 participants. Four studies were randomized controlled trials and one was a prospective cohort study. Meta-analysis could not be performed because of the small number of studies and the heterogeneity of outcomes measurements. The incidence of stoma retraction ranged between 0%-8% in patients managed with a rod and 0.78%-8.2% in patients with no rod. The number of reported adverse events was low. Placement of a stoma rod was associated with more adverse outcomes than in patients managed without a rod. Adverse events included local edema, stoma necrosis, skin necrosis, peristomal moisture-associated skin damage (irritant dermatitis), peristomal abscess, bleeding, and mucocutaneous separation. Conclusions Stoma rod does not seem to reduce the risk of stoma retraction and might result in other adverse events. Implications We recommend avoidance of stoma rod/bridge placement during ostomy surgery.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23809211bf67fa4dc5956581a9c838b7Test
https://pubmed.ncbi.nlm.nih.gov/33427808Test

المؤلفون: Émilie Dufour, Arnaud Duhoux

المصدر: Journal of Wound, Ostomy & Continence Nursing. 45:492-493

مصطلحات موضوعية: medicine.medical_specialty, Ostomy, MEDLINE, 030209 endocrinology & metabolism, law.invention, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Diabetes mellitus, medicine, Humans, Foot ulcers, Foot Ulcer, Advanced and Specialized Nursing, Wound Healing, business.industry, Foot exercises, medicine.disease, Diabetic foot, Diabetic Foot, Medical–Surgical Nursing, Diabetes Mellitus, Type 2, Physical therapy, Wound healing, business

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1f67ab7d80106e7a784ed21cc7301802Test
https://doi.org/10.1097/won.0000000000000484Test

المؤلفون: Mikel Gray, Joyce Pittman, Kathryn Kozell

المصدر: Journal of Wound, Ostomy & Continence Nursing. 36:254-265

مصطلحات موضوعية: Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, Health Status, Ostomy, Nursing research, Emotions, MEDLINE, Validity, CINAHL, law.invention, Surgery, Nursing Research, Medical–Surgical Nursing, Randomized controlled trial, Quality of life, law, Quality of Life, medicine, Nursing Interventions Classification, Humans, Recreation, Wounds and Injuries, business, Sexual function

الوصف: Background Ostomy surgery requires significant reconstruction of the gastrointestinal tract, resulting in uncontrolled passage of fecal effluent from a stoma in the abdominal wall. Concerns about creation of an ostomy often supersede all other concerns. Ostomy-related concerns include impaired body image; fear of incontinence; fear of odor; limitations affecting social, travel-related, and leisure activities; and impaired sexual function. Because the creation of an ostomy affects multiple domains within the construct of health-related quality of life (HRQOL), it is not surprising that quality of life is a frequent outcome measure in ostomy-related research. Objectives We reviewed existing research in order to identify the influence of intestinal ostomy surgery on HRQOL. We sought to identify clinical evidence documenting the influence of nursing interventions on HRQOL in patients with an intestinal ostomy. In addition, we systematically reviewed the literature to evaluate the validity and reliability of condition-specific instruments for measuring HRQOL in this patient population. Search strategy We completed an integrative review using the key terms "quality of life" and "ostomy" in order to identify sufficient evidence to determine the influence of intestinal ostomy surgery on HRQOL. A systematic review using the key terms "ostomy" and "nursing" was completed to identify the effect of specific nursing interventions on HRQOL in patients with intestinal ostomies. Only randomized clinical trials were included in this review. A systematic review using the key terms "quality of life" and "ostomy" was used to review and identify condition-specific HRQOL instruments and evidence of their validity and reliability. MEDLINE and CINAHL databases were used to address all 3 aims of this Evidence-Based Report Card. Searches were limited to studies published between 1980 and January 2009. Hand searches of the ancestry of studies and review articles were completed to identify additional studies. Results An integrative literature review revealed sufficient research to conclude that intestinal stoma surgery impairs HRQOL. Multiple factors, including the underlying reason for an ostomy, presence and severity of ostomy complications, presence and severity of comorbid conditions, sexual function, age, and ability to pay for ostomy supplies influence the magnitude of this effect. HRQOL tends to be most severely impaired during the immediate postoperative period. It usually improves most dramatically by the third postoperative month, and it continues to improve more gradually over the first postoperative year. A systematic review revealed 2 randomized clinical trials demonstrating that at least 2 nursing interventions improve HRQOL in persons with intestinal ostomies. A separate systematic review identified 4 instruments for measuring HRQOL in the research setting. Implications for practice There is sufficient research-based evidence to conclude that intestinal ostomy surgery exerts a clinically relevant impact on HRQOL, and that nursing interventions can ameliorate this effect. While a small number of instruments exist, including several that have proved valid and reliable in the research setting, no instrument has yet been adapted for routine in the clinical setting.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ab246314170ae87cd50110915eb5fa66Test
https://doi.org/10.1097/won.0b013e3181a39347Test

المؤلفون: Lee Ann Krapfl, Mikel Gray

المصدر: Journal of Wound, Ostomy & Continence Nursing. 35:571-577

مصطلحات موضوعية: Pressure Ulcer, Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, Movement, Ostomy, Posture, MEDLINE, CINAHL, Lateral position, law.invention, Prolonged exposure, Medical–Surgical Nursing, Regimen, Primary outcome, Randomized controlled trial, law, Pressure, Humans, Medicine, Limited evidence, business, Intensive care medicine, Randomized Controlled Trials as Topic

الوصف: Background Prolonged exposure to pressure is the primary etiologic factor of a pressure ulcer (PU) and effective preventive interventions must avoid or minimize this exposure. Therefore, frequent repositioning of the patient has long been recommended as a means of preventing PU. Objectives To review the evidence on the efficacy of repositioning as a PU prevention intervention. Search strategy A systematic review of electronic databases MEDLINE and CINAHL, from January 1960 to July 2008, was undertaken. Studies were limited to prospective randomized clinical trials or quasi-experimental studies that compared repositioning to any other preventive interventions or any study that compared various techniques of repositioning such as turning frequency. Only those studies that measured the primary outcome of interest, PU incidence, were included in our review. Results Limited evidence suggests that repositioning every 4 hours, when combined with an appropriate pressure redistribution surface, is just as effective for the prevention of facility- acquired PUs as a more frequent (every 2 hour) regimen. There is insufficient evidence to determine whether a 30 degrees lateral position is superior to a 90 degrees lateral position or a semi-Fowler's position. Implications for practice The current regulatory and legal environment has focused increased attention on PU prevention. Pressure redistribution methods and the frequency of application are among the first factors scrutinized when a PU develops. Our clinical experience validates that regular movement of the immobilized patient is important, but evidence defining the optimal frequency of repositioning or optimal positioning is lacking.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e267f26f83f5a05383ee0902e0da00dcTest
https://doi.org/10.1097/01.won.0000341469.33567.61Test

المؤلفون: Mikel Gray, Janice C. Colwell

المصدر: Journal of Wound, Ostomy & Continence Nursing. 34:492-496

مصطلحات موضوعية: Advanced and Specialized Nursing, medicine.medical_specialty, business.industry, Ostomy, Teaching, MEDLINE, Psychological intervention, Urinary Diversion, Affect (psychology), Preoperative care, law.invention, Surgery, Stoma, Medical–Surgical Nursing, Treatment Outcome, Patient Education as Topic, Randomized controlled trial, law, Preoperative Care, Preoperative teaching, Physical therapy, medicine, Humans, In patient, business

الوصف: Summary of Studies on Influence of Preoperative Teaching on Postoperative Outcomes Study Methods Outcomes Haugen, Bliss, & Savik 17 Chaudhri et al 18 Gulbiniene et al 19 Abbreviations: RCT, Randomized Clinical Trial; HRQoL, Health Related Quality of Life. Cross-sectional survey of community-dwellingpersons with an incontinent ostomyRCT, compared traditional preoperativeeducation to intensive teaching interventionusing community-based nurses with expertisein colorectal and ostomy nursingCompared control group to group receivingpreoperative education and stoma sitemarking; method of group assignment notspecified in English-language abstractPreoperative education by WOC nurse associatedwith improved long-term adjustment to livingwith an ostomyIntensive, community-based education reduced the time to pouching efficiency, length ofpostoperative hospital stay, and unplannedostomy-related interventions when compared totraditional preoperative educationPreoperative teaching alone did not improveHRQoL, but preoperative teaching combined withstoma site marking by a stoma therapist didimprove postoperative HRQoL

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9fb230ea29c25fa7e8626adc4e7a6567Test
https://doi.org/10.1097/01.won.0000290726.08323.a6Test