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Related Experiment Videos

Descriptive study of peristomal complications.

Catherine R Ratliff1, Kathryn A Scarano, Ann M Donovan

  • 1University of Virginia Health System, Department of WOC Nursing, Charlottesville, 22908, USA. CRR9M@hscmail.mcc.virginia.edu

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|February 19, 2005
PubMed
Summary

A study found that 16% of new ostomy patients experienced peristomal complications within two months post-surgery. Most complications were irritant dermatitis, often linked to stoma issues and improper pouching. Enhanced patient education and follow-up are crucial.

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Area of Science:

  • Ostomy care and wound, ostomy, and continence (WOC) nursing.
  • Surgical patient follow-up and complication assessment.

Background:

  • Peristomal complications are common in new ostomy patients.
  • Decreased hospital stays limit patient education on ostomy care.

Purpose of the Study:

  • To assess the frequency and types of peristomal complications in new ostomy patients at their 2-month postoperative follow-up.
  • To identify factors contributing to peristomal complications.

Main Methods:

  • A prospective descriptive study involving 220 new ostomy patients over 12 months.
  • Assessment by WOC nurses using an investigator-developed tool at 2-month follow-up.
  • Descriptive statistics to summarize complication rates and types.

Main Results:

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  • 16% (35 of 220) of patients experienced peristomal complications.
  • Common complications included irritant dermatitis (24), mechanical injury (7), and Candida infections (3).
  • Causes identified were flush stomas, hernias, incorrect pouching, and mechanical injury.

Conclusions:

  • Patients need improved education and post-discharge follow-up for ostomy management.
  • Challenges include shorter hospital stays and reduced reimbursement impacting WOC nurse support.
  • Further research is needed on universal complication definitions and stoma site marking.