- 期刊
Moldable Skin Barriers as a Clinical Option for Patients Following Ileostomy
單一機構在迴腸造口患者使用可塑形保護皮的臨床經驗
摘要
Purpose. Peristomal skin problems are the most common physical complications following ileostomy and are often caused by leakage or a poorly fitting skin barrier. This study aimed to assess the incidence of peristomal lesions and patient satisfaction with moldable skin barriers compared with conventional cut-to-fit skin barriers. Method. This was a prospective observational study designed to examine peristomal skin complications following ileostomy in patients within the first 2 months of surgery. Peristomal skin was assessed using the Studio Alterazoni Cutanee Stomale (SACS^(TM)) scale by enterostomal therapy nurses, and patients were asked to rate the product's effectiveness regarding skin protection, sealing effect, and ease of application. All patients were assessed at baseline, and 1 and 2 months post-surgery. Patient demographics, peristomal skin condition, and skin barrier performance were analyzed. Results. Between June 2018 and June 2019, a total of 120 patients under-went ostomy surgery at Chi-Mei Hospital, of which 60 ileostomy patients were recruited in this study. There were no significant statistical differ-ences in demographic features or peristomal skin complications between groups. However, up to 21.67% (13/60) ileostomy patients experienced peristomal skin complications and 70% (9/13) of peristomal skin complications occurred in the first month following surgery. The moldable skin barrier achieved significant satisfaction among patients, as wel as in effectiveness of skin protection, sealing effect and easy of application. Conclusion. Our findings confirm that the prevalence of skin irritation among ileostomy patients is high and suggest that the moldable skin barrier is comfortable and easy to use.
並列摘要
目的：造口旁皮膚問題是造口手術後最常見的身體併發症，通常是由滲漏或保護皮不適用所引起。本篇研究目的在評估使用可塑形保護皮的病患，其造口旁皮膚問題的發生率及使用上的滿意度。方法：本篇為前瞻性觀察性研究，旨在描述接受造口手術後的前二個月，病人所遇到的造口旁皮膚併發症。造口旁皮膚病灶是由造口治療師使用Studio Alterazoni Cutanee Stomale（SACS^(TM)）scale來評估，且由病人為產品的皮膚保護功效、密合效果及使用容易度評分。所有病患皆在基線、術後一個月及二個月進行評估。患者的統計資料、造口旁皮膚情形，及保護皮性能的評估皆納入分析。結果：於2018年6月至2019年6月期間，有120位病患在奇美醫院接受造口手術。本研究納入其中60位迴腸造口的患者。兩個組別在基本資料及造口旁皮膚併發症並沒有統計上的差異。然而，高達21.67%（13/60）的迴腸造口病患發生造口旁皮膚併發症，且其中70%（9/13）的併發症發生在術後的第一個月。而可塑形保護皮在皮膚保護功效、密合效果及使用容易度上有顯著的滿意度。結論：我們的研究發現證實迴腸造口的病患其皮膚刺激的發生率很高，因而我們建議使用可塑形保護皮較為舒適且容易。
參考文獻
延伸閱讀
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