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The Effect of Stoma Site Marking on Stomal Complications: A Long-term Retrospective Study
Sevil Guler1, Gulcan Eyuboglu, Zehra Gocmen Baykara
1Sevil Guler, PhD, RN, is Professor, Faculty of Nursing, Department of Surgical Nursing, Gazi University, Ankara, Turkey. Gulcan Eyuboglu, PhD, RN, is Research Assistant, Erbaa Faculty of Health Science, Department of Nursing, Fundamentals of Nursing, Gaziosmanpasa University, Tokat, Turkey. Also at Gazi University, Faculty of Nursing, Department of Fundamentals of Nursing, Zehra Gocmen Baykara, PhD, RN, is Professor. At Gazi University Health Research and Application Center Hospital, Stomatherapy Unit, Aysel Oren Hin, RN; Hülya Akdemir, RN; and Emine Akar, RN, are Stoma and Wound Care Nurses. Also at Gazi University, Sezai Leventoglu, MD, and Osman Yuksel, MD, are Professors, Faculty of Medicine, Department of General Surgery. The authors have disclosed no financial relationships related to this article. Submitted January 5, 2023; accepted in revised form March 14, 2023.
Objective:
To identify the effect of stoma site marking on stoma-related complications.
Methods:
The study sample included 639 individuals with stomas who were followed up in a stomatherapy unit in Turkey between January 1, 2017, and June 20, 2021. Researchers collected patient data from nursing records. Data were evaluated using number, percentage, χ2, and logistic regression tests.
Results:
Of the individuals with stomas, 60.6% (n = 387) were men, and 72.6% (n = 464) had a cancer diagnosis. Their mean age was 60.16 (SD, 14.81) years. The stoma site was marked preoperatively in of 67.1% of patients (n = 429), and 17.1% (n = 109) developed stoma-related complications. The complication rate was higher in individuals with unmarked stoma sites (25.7%; P = .000), emergency surgeries (25.0%; P = .006), colostomies (23.9%; P = .042), and permanent stomas (28.3%; P = .002). The three most common complications were peristomal skin problems (56.9%), mucocutaneous separation (13.8%), and edema (9.2%).
Conclusions:
The incidence of stoma-related complications in the postoperative period was higher in individuals with unmarked stoma sites. The authors recommend that stoma and wound care nurses mark the stoma site in individuals for whom stoma creation is planned.
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