Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis. in Healthcare (Basel, Switzerland) / Healthcare (Basel). 2024 Sep 10;12(18):1805. doi: 10.3390/healthcare12181805.

2024
ASL Torino 3
AOU San Luigi di Orbassano

Tipo pubblicazione

Journal Article

Autori/Collaboratori (46)Vedi tutti...

Rumbolo N
Stomacare Service, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Rinaldi RE
Stomacare Service, Ospedale Pesenti Fenaroli, 24022 Alzano Lombardo, Italy.
Regaglia S
Stomacare Service, Ospedale Civile Santissima Annunziata, 07100 Sassari, Italy.

et alii...

Abstract

This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications. The red path corresponds to high risk, requiring stringent monitoring and immediate access to healthcare support. The study aims to reduce PSCs and improve patient outcomes. Methods include the stratification of 226 patients, with significant differences in gender distribution, BMI categories, and stoma types across the paths. Results show an occurrence rate of PSCs of 5.9% in all risk paths (5.7% green path, 4.7% yellow path, and 7.9% red path, p = 0.685), significantly lower than the median rate of 35% reported in the literature. Multiple correspondence analysis validated the stratification, with distinct clusters for each path. Poisson regression models in the exploratory framework of an interim analysis identified male gender as the only significant predictor of PSCs, indicating the need for gender-specific interventions. The findings suggest that the Dermamecum protocol effectively reduces early PSCs, providing a foundation for further research.

Accesso banca dati bibliografica

PMID : 39337146

DOI : 10.3390/healthcare12181805

Keywords

peristomal skin complications; patient stratification; ostomy care; multiple correspondence analysis; educational intervention; Poisson regression; specialized nurses;