Study of peristomal skin disorders in patients with permanent stomas

Abstract

The aim of this article was to investigate the frequency, severity and diversity of peristomal skin disorders among individuals with a permanent stoma in a community population. All individuals with a permanent stoma (n=630) in a Danish community population were invited to participate in a cross-sectional study. A total of 202 individuals (101 men; 101 women) agreed to participate. Data were collected through questionnaires and clinical examinations. It was found that peristomal skin disorders were higher for participants with an ileostomy (57%) and urostomy (48%) than in those with a colostomy (35%). Of the diagnoses of skin disorders, 77% could be related to contact with stoma effluent. Only 38% of diagnosed participants agreed that they had a skin disorder and more than 80% did not seek professional health care. The study revealed a high frequency of peristomal skin disorders. Participants frequently failed to perceive that they had a skin irritation and did not seek help. This suggests that more education and perhaps regular, annual follow-up visits at local stoma care clinics are needed.

Recommendations for the improvement of bladder cancer quality of care in Canada: A consensus document reviewed and endorsed by Bladder Cancer Canada (BCC), Canadian Urologic Oncology Group (CUOG), and Canadian Urological Association (CUA), December 2015

“…250,256 Home care support can also help increase independence and quality of life. 250,257 Given that external stoma complications are the most frequent indication for re-operation after cystectomy, 258,259 but often go unrecognized, the recommendation to educate the patient and caregivers is also crucial.…”

Quality of Life with an Intestinal Stoma

“…17 Recent research indicates that skin problems may affect QOL on an even greater scale than hitherto anticipated by health professionals and patients 18 : The first large-scale cross-sectional epidemiological study setup to investigate the frequency, severity, and diversity of peristomal skin disorders among 202 individuals with a permanent stoma in a community population found that peristomal skin disorders were higher for participants with an ileostomy (57%) and urostomy (48%) than in those with a colostomy (35%). Of the diagnoses of skin disorders, 77% could be related to contact with stoma effluent.…”

Nurse activity to prevent and support patients with a parastomal hernia

“…However, pre-operative PSH prevention strategies are often a logistical challenge due to the emergency nature of many procedures, poor quality supporting evidence and a lack of patient accessibility to stoma clinics and specialist care (Herlufsen et al,2006).…”