Evaluation of stoma skin barrier in peristomal wound healing
Journal Title: Journal of Surgery : Concepts & Practice - Year 2021, Vol 26, Issue 1
Abstract
[Objective] To assess the effect of stoma skin barrier in the treatment of peristomal wound. [Methods] Sixty patients of intestinal stoma with less than 10 cm from wound in our peristomal skin care departments of surgery from November 2018 to November 2019 were enrolled. The cases were randomly divided into study group and control group each 30 cases. Stoma skin barrier was used to treat the cases in study group and hydrocolloid dressing to treat the cases in control group. The effect of treatment, satisfaction, dressing change time and cost-benefit were compared between two groups. [Results] Ileostomies were 23 cases in study group and 21 cases in control group. Colostomies were 7 cases in study group and 9 cases in control group. Scores of discoloration erosion, tissue overgrowth of peristoma were evaluated to be (5.67±1.21) in study group and (5.84±1.24) in control group. Would area was (18.76±16.14) cm2 to patients in study group and (20.91±15.39) cm2 in control group. There was no statistically significant difference in the effect and satisfaction after 7 days between two groups. However, treatment cost of study group was lower than that of control group[(244.67±58.47) yuan vs.(341.43±106.13) yuan, P<0.001], and dressing change time of study group was also less than that of control group[(10.90±1.58) min vs.(14.77±3.42) min, P<0.001]. There was significant difference in the two parameters between two groups. [Conclusions] Stoma skin barrier can be used to replace hydrocolloid dressing to care peristomal wound, which would be the strategy of peristomal wound healing.
Authors and Affiliations
Yi QIAO, Chen LI, Ren ZHAO, Beihua XI
Keywords
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