Parastomal hernia (PSH) is a common stoma complication amongst people with a stoma and represents considerable challenge. This paper reviews research evidence to establish how nurses might help to prevent PSH and improve understanding. However, evidence was lacking in this area and found to be of low quality. Studies focused on adults with a stoma who developed a PSH identified that: An ostomist's waist circumference > 100cm can be a major contributing factor in developing a PSH.
The incidence of PSH can be reduced by a non-invasive, nurse-led prevention programme Pre-operative stoma-siting and education may play a part in preventing PSH. PSH presents significant physical, psychological and social morbidities for the ostomist, and as a result, many adopt coping strategies rather than seeking professional help.Further research is needed to strengthen the evidence base for care of those with parastomal hernia and elucidate professional opinion.
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