Evaluation of stoma skin barrier in peristomal wound healing

doi:10.16139/j.1007-9610.2021.01.015

Abstract

Abstract:

Objective To assess the effect of stoma skin barrier in the treatment of peristomal wound. Methods Sixty patients of intestinal stoma with less than 10 cm from wound in our peristomal skin care departments of surgery from November 2018 to November 2019 were enrolled. The cases were randomly divided into study group and control group each 30 cases. Stoma skin barrier was used to treat the cases in study group and hydrocolloid dressing to treat the cases in control group. The effect of treatment, satisfaction, dressing change time and cost-benefit were compared between two groups. Results Ileostomies were 23 cases in study group and 21 cases in control group. Colostomies were 7 cases in study group and 9 cases in control group. Scores of discoloration erosion, tissue overgrowth of peristoma were evaluated to be (5.67±1.21) in study group and (5.84±1.24) in control group. Would area was (18.76±16.14) cm² to patients in study group and (20.91±15.39) cm² in control group. There was no statistically significant difference in the effect and satisfaction after 7 days between two groups. However, treatment cost of study group was lower than that of control group[(244.67±58.47) yuan vs.(341.43±106.13) yuan, P<0.001], and dressing change time of study group was also less than that of control group[(10.90±1.58) min vs.(14.77±3.42) min, P<0.001]. There was significant difference in the two parameters between two groups. Conclusions Stoma skin barrier can be used to replace hydrocolloid dressing to care peristomal wound, which would be the strategy of peristomal wound healing.

Key words: Stoma skin barrier, Wound healing, Effect

CLC Number:

QIAO Yi, LI Chen, ZHAO Ren, XI Beihua. Evaluation of stoma skin barrier in peristomal wound healing[J]. Journal of Surgery Concepts & Practice, 2021, 26(01): 72-75.

Figures/Tables 3

References 19

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项目	研究组	对照组	χ²/t值	P值
性别			0.067	0.795
男	17	16
女	13	14
年龄（岁）	59.93±9.01	60.70±6.94	2.497	0.476
≤39	1	0
40~49	4	2
50~59	8	12
60~69	17	16
造口类型			0.341	0.559
回肠造口	23	21
结肠造口	7	9
疾病			2.199	0.333
直肠肿瘤	13	18
结肠肿瘤	8	4
其他	9	8
DET评分（$\bar{x}±s$）	5.67±1.21	5.80±1.24	-0.421	0.676
切口面积（cm²）	18.76±16.14	20.91±15.39	-0.295	0.769

组别	病人（n）	治疗效果（n）			舒适度（n）			换药时间（min）	总换药成本（元）
组别	病人（n）	治愈	有效	无效	轻度不适	中度不适	重度不适	换药时间（min）	总换药成本（元）
研究组	30	22	5	3	24	6	0	10.90±1.58	244.67±58.47
对照组	30	20	6	4	20	10	0	14.77±3.42	341.43±106.13
χ²/t值		0.329			1.364			-5.618	-4.374
P值		0.848			0.243			<0.001	<0.001