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Prevalence of Peristomal Dermatitis-Related Pain: A Cross-Sectional Study
Larissa Silva Santana1, Maristela Lopes Gonçalves Nunes2, Vera Lucia Conceição de Gouveia Santos3
1Emergency Medical Service, Pereiras, São Paulo, Brazil.
Peristomal dermatitis pain affects over a third of stoma patients, worsening with lesion severity. Healthcare professionals should focus on preventing dermatitis to reduce pain and improve quality of life.
Area of Science:
- Dermatology
- Wound Care
- Pain Management
Background:
- Peristomal skin complications are common in stoma patients, significantly impacting quality of life.
- Peristomal dermatitis is the most frequent complication, often accompanied by pain, itching, and erosion.
- Effective management requires understanding pain prevalence and associated factors.
Purpose of the Study:
- To determine the prevalence of peristomal dermatitis-related pain in patients attending specialized outpatient clinics.
- To identify factors associated with the presence and intensity of pain in this patient group.
Main Methods:
- A secondary analysis of data from a primary epidemiological, observational, cross-sectional study.
- Data collected using sociodemographic forms, Numerical Rating Scale (NRS) for pain, and DET® Score for dermatitis severity.
- Regression analyses were performed to identify pain-associated factors.
Main Results:
- 33.9% of 109 stoma patients reported peristomal dermatitis-related pain.
- Moisture-associated dermatitis was the most common complication (72.5%).
- Higher DET® Score (dermatitis severity) significantly correlated with increased pain intensity at consultation and over the week.
Conclusions:
- Peristomal dermatitis-related pain is prevalent and linked to lesion severity.
- Comprehensive patient assessment, including pain, is crucial for effective care planning.
- Preventative measures and pain management strategies are essential for improving patient outcomes and quality of life.
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