Application of light convexity and moldable rings to prevent leaks during the early post-surgical stage in patients with digestive system ostomy: the

Section: Trabajos del Sector

How to quote

Fabeiro Mouriño MJ, Romero Moreno J, Coca López M, Diarte Abenia C, Pardo Roda MP, García Blázquez E. Aplicación de convexidad ligera y anillos moldeables en ostomía para evitar fugas en el postoperatorio precoz del paciente con ostomía digestiva: estudio CONAN. Metas Enferm sep 2022; 25(7):14-22. Doi: https://doi.org/10.35667/MetasEnf.2022.25.1003081976

Authors

María José Fabeiro Mouriño1, Julia Romero Moreno2, Mercedes Coca López3, Carmen Diarte Abenia4, María Pilar Pardo Roda5, Eduardo García Blázquez6

Position

1Enfermera estomaterapeuta. Hospital Álvaro Cunqueiro. Vigo (España)2Enfermera especializada en coloproctología y estomaterapia. Psicóloga. Hospital Universitario La Fe. Valencia (España)3Enfermera experta en práctica avanzada en ostomías. Hospital Universitario Nuestra Señora de Valme. Sevilla (España)4Enfermera estomaterapeuta. Hospital Clínico Universitario Lozano Blesa. Zaragoza (España)5Enfermera estomaterapeuta. Hospital Lucus Augusti. Lugo (España)6Market Manager Ostomy Care. Coloplast. Madrid (España)

Contact address

Eduardo García Blázquez. Market Manager Ostomy Care. Coloplast Productos Médicos. Madrid (España).

Contact email: esegb@coloplast.com

Abstract

Objective: to assess the safety and efficacy of the CONAN cure, taking into account the reduction in the number of leaks, the status of peristomal skin, and the quality of life perceived by the patient.

Method: a prospective non-randomized study at national level, conducted in 54 Stomal Therapy Units, in order to evaluate the efficacy and safety of the CONAN cure, consisting in the use of the Easiflex® Confort Convex Light device and Brava® moldable rings during the early post-surgical stage in patients with digestive system ostomy with effluent leaks. The study intended to evaluate the effect of this strategy on leak reduction, to prevent peristomal skin deterioration, and to increase the wellbeing of patients at discharge. Statistical differences were compared between these variables, using the t-test, Squared-chi, McNemar and Bowker tests.

Results: there was an evaluation of 257 patients, and 244 completed the study. With the CONAN cure, the number of leaks was reduced in 56% of patients, and the mean number of leaks moved from 3.4 ± 5.2 (V1) to 1.3 ± 2.3 (V2) (p< 0.0001); skin problems disappeared in 62% of patients who presented them, and the improvement in skin condition was highly evident. There was a change in the mean DET score from 3.3 ± 3.3 (V1) to 1.6 ± 2.3 (V2) (p< 0.0001). The mean satisfaction perceived by the patient increased from 5.1 ± 2 (V1) to 7.2 ± 1.7 (V2) (p< 0.0001). The proportion of patients with protruding stoma increased from 32.9% to 40% (p= 0.025). The majority of patients resumed their daily habits: 67% going for walks, 75% going out of their house, and 55% resting at night; 92% of participants wanted to continue using the Easiflex® Convex Light device.

Conclusions: patients with digestive system ostomy and effluent leak during their early post-surgical period could clearly benefit of using the soft convex device (Easiflex® Confort Convex Light) with moldable ring (Brava®). The safety and efficacy of this approach was confirmed. There was a very high level of patient satisfaction with this treatment strategy, and a return to their daily habits was also confirmed.

Keywords:

ostomy; early postoperative period; Easiflex® Convex Light; Brava® Mouldable ring; effluent leakage; peristomal skin; self-perceived satisfaction

Versión en Español

Título:

Aplicación de convexidad ligera y anillos moldeables en ostomía para evitar fugas en el postoperatorio precoz del paciente con ostomía digestiva: estudio CONAN