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Metas de Enfermería

Metas de Enfermería

MAYO 2019 N° 4 Volumen 22

Uses and attitudes of ostomy patients in Spain (U&A Study on Ostomy)

Section: Trabajos del Sector

How to quote

Lado Teso A, Fabeiro Mouriño MJ, Bueno Cruz B, Vázquez García MC, Jiménez López I, Mera Soto A. Usos y actitudes de los pacientes ostomizados en España (Estudio U&A en Ostomía). Metas Enferm may 2019; 22(4):19-27.

Authors

Alberto Lado Teso1, Mª José Fabeiro Mouriño2, Belén Bueno Cruz3, Mª Carmen Vázquez García4, Isabel Jiménez López5, Alejandra Mera Soto6

Position

1Enfermero experto en ostomías. Máster en coloproctología y estomaterapia. Hospital HM Sanchinarro. Madrid2Enfermera experta en ostomías. Máster en coloproctología y estomaterapia. Complejo Hospitalario Universitario de Vigo. Vigo3Enfermera experta en ostomías. Máster en coloproctología y estomaterapia. Hospital Universitario Vall d’Hebron. Barcelona4Enfermera experta en ostomías. Hospital Universitario General de Albacete. Albacete5Enfermera experta en ostomías. Máster en coloproctología y estomaterapia. Hospital Ciudad de Jaén. Jaén6Enfermera experta en ostomías. Máster en coloproctología y estomaterapia. Hospital Vithas Parque San Antonio. Málaga

Contact address

Alberto Lado Teso. Servicio de Cirugía General y Digestivo. Hospital HM Sanchinarro. C/ Oña, 10. 28050 Madrid.

Contact email: albertolado@hospitaldemadrid.com

Abstract

Objectives: to understand the daily practice of those professionals who are ostomy experts in Spain. To explore the uses and attitudes of the ostomy patients and their quality of life (QoL).
Method: a national retrospective study (U&A on Ostomy), with 148 participants who collected clinical data about ostomy patients. The study was open for the use of any marketed device. Professionals collected demographical data, characteristics of ostomy and device, the DET score for evaluating the peristomal skin (0-15), the mood of the patient (0-10), the Stoma-QoL scale (0-100), and changes of habits. There was also an assessment of the most highly valued characteristics of the device, care received and improvement suggestions by patients.
Results: the study included 871 patients (64% male, 36% female; 57.5% with colostomy, 28.6% with ileostomy and 13.9% with urostomy; 68.5% were permanent and 31.5% temporary; 75% for neoplasia, 13.2% for inflammatory bowel disease, and 11.8% with undetermined causes). Pre-surgical markings were conducted and observed in 55.35% of cases. The mean DET score was 1.7±2.7 (range 0-13), overall satisfaction with the device was of 8.1±1.3 (range 1-10), and the Stoma-QoL score was 57.8±10.3 (range 11.5-100).The use of Coloplast devices was associated with a lower frequency of leaks (p< 0.036). Overall, 89% of patients attended regularly their appointments with the Ostomy Nurse, and their score for the care received was 9.4 (0-10).
Conclusions: U&A in Ostomy is the first large-scale study evaluating the clinical reality of the ostomy patient in Spain. It describes the uses and patients attitudes towards their condition. The importance of pre-surgical marking was confirmed, as well as its impact on QoL.

Keywords:

stoma; ostomy; nursing care; quality of life; Stoma-Qol; leaks; DET score; peristomal skin

Versión en Español

Título:

Usos y actitudes de los pacientes ostomizados en España (Estudio U&A en Ostomía)

Artículo completo no disponible en este idioma / Full article is not available in this language

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