Authors

Belén Bueno Cruz

Position

Enfermera referente de consultas externas, experta en curas y estomaterapeuta. Hospital Nostra Senyora de Meritxell (Andorra)

Contact address

Belén Bueno Cruz. C/ Fiter i Rosell, 1-13. AD700 Escaldes-Engordany. Principat D’Andorra

Contact email: belenand25@hotmail.com

Abstract

Objective: to assess the flexibility and safety of the new improved devices in the three-piece Alterna® Confort range, as well as the level of overall satisfaction of patients with the new device.

Method: an observational, open and multicenter study in a real patient care scenario, in order to study the new and improved range of three-piece Alterna® Confort devices with mechanical click fastening. The study involved two visits, where the professional and the patient completed a basal questionnaire on the day of inclusion, and a final one after one week of trying the product studied.

Outcomes: data were collected from 283 patients: 36.5% with colostomy, 47.5% with ileostomy, and 16% with urostomy. Regarding the improvements in the flange, 87.2% of patients believed that adhesion was very good or good, 85% of patients were very satisfied or satisfied with its flexibility, and 83.9% stated that they were very satisfied or satisfied in terms of its safety. An 87.3% of patients were very satisfied or satisfied with the new click fastening. Patients evaluated the device in general with an 8.32 score out of 10; besides, the new flange improved the skin in cases of peristomal problems, and there was a statistically significant difference for both premises compared with the value assigned to the former device.

Conclusions: after one single week of study, the three-piece Alterna® Confort devices demonstrated a high level of flexibility and safety in ostomized patients, as well as a very positive evaluation by healthcare professionals regarding its adaptability to folds and difficult areas. Therefore, it was confirmed that this new device is a good therapeutical alternative for those patients who require a multiple device.

Keywords:

Click fastening; ostomy; Alterna® Confort; adhesion; comfort; colostomy; ileostomy; Urostomy; flexibility; security; peristomal skin

Versión en Español

Título:

Evaluación clínica de los nuevos dispositivos de tres piezas para ostomías Alterna® Confort