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2. Factors influencing the incidence of peristomal skin complications:Evidence from a multinational survey on living with a stoma

Author

Voegeli, David, Karlsmark, Tonny, Eddes, Eric Hans, Hansen, Helle Doré, Zeeberg, Rikke, Håkan-Bloch, Jonas, Hedegaard, Chris Juul, Voegeli, David, Karlsmark, Tonny, Eddes, Eric Hans, Hansen, Helle Doré, Zeeberg, Rikke, Håkan-Bloch, Jonas, and Hedegaard, Chris Juul

Abstract

Leakage of stomal effluents underneath the baseplate or inappropriate removal of stoma appliances can cause peristomal skin complications (PSCs), which are known to have many negative implications for people with a stoma. While numerous studies have examined the causes of PSCs, less is known about what drives the risk of a PSC developing. To address this gap in knowledge, the largest multinational survey to date was conducted, including 4235 people with a stoma on four continents and in 13 countries. The survey revealed that, besides leakage, other factors, such as age, gender, time since surgery and type of stoma, also drive the risk of PSCs. The survey also revealed that having a PSC resulted in greater use of stoma accessories and more frequent contact with health professionals, increasing overall healthcare costs. Collectively, the survey results reveal a need for more awareness on the risk factors for PSCs, which subsequently could have a positive effect on healthcare spending.

Published
2020

4. Leakage and peristomal skin complications influences user comfort and confidence and are associated with reduced quality of life in people with a stoma.

Author

Juul Hedegaard, Chris, Adeltoft Ajslev, Teresa, Zeeberg, Rikke, and Steen Hansen, Anne

Subjects
STATISTICAL significance, CONFIDENCE, OSTOMATES, SKIN care, HUMAN comfort, COLOSTOMY, SURGICAL complications, RETROSPECTIVE studies, OSTOMY, T-test (Statistics), QUALITY of life, QUESTIONNAIRES, SCALE analysis (Psychology), DESCRIPTIVE statistics, DATA analysis software
Abstract

Objective The purpose of the research was to investigate how leakage of stomal effluent and peristomal skin complications (PSC) affects the quality of life (QoL) of people living with a stoma. Method Data were collected from an online questionnaire sent out to approximately 20,000 people living with a stoma. The validated Ostomy-Q scale was used to measure changes in QoL. Results More than 4,200 people from 13 countries completed the study between 30 August and 3 October 2016. Leakage had a statistically significant impact on the QoL for participants who experienced leakage four times (or more) out of ten baseplates changes. All four domains in the Ostomy-Q scale -- confidence in stoma appliance, comfort, discretion and socialising -- were affected. Also, people with PSC had a significantly lower QoL than those who had not experienced PSC in the 6 months before the survey. PSC impacted the confidence and comfort domains significantly. The discretion and socialising domains were also significantly affected by PSC but were below the pre-defined limit for a minimal important difference. Conclusion The data support that leakage and PSC have a significant physical and psychological impact on people living with a stoma. [ABSTRACT FROM AUTHOR]

Published
2020
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