Bosio Giovanna, Pisani Francesco, Lucibello Luigi, Fonti Antonio, Scrocca Assunta, Morandell Christa, Anselmi Laura, Antonini Mario, Militello Gaetano, Mastronicola Diego, Gasperini Stefano
San Giovanni Battista Hospital, Le Molinette, Turin, Italy.
Ostomy Wound Manage. 2007 Sep;53(9):38-43.
The challenges of caring for abdominal ostomy disorders have grown over the years. Because the literature shows no evidence of a tool to classify peristomal skin disorders, a study group comprised of seven enterostomal therapy nurses and four surgeons sought to provide an objective, reproducible, standardized classification instrument. A prospective, observational study was conducted among eight ostomy centers across Italy. The 339 patient participants (272 men, 67 women, average age 63 [25 to 85] years) were divided into two groups according to onset of complications (less than or greater than 1 year); 800 digital photographs were taken to enhance observation and blood samples were drawn for additional data. From the data obtained, a classification scheme was created and subsequently tested using four non-study group experts. The resulting instrument facilitated lesion interpretation and detection, including topography. Thus far, this is the first validated classification attempt not based on assessments of lesions attributable to entirely different etiopathogenetic factors. Further research to refine the tool and to correlate the additional data obtained from blood samples with the classification system is underway.
多年来，护理腹部造口疾病的挑战与日俱增。由于文献中没有关于对造口周围皮肤疾病进行分类的工具的相关证据，一个由七名造口治疗护士和四名外科医生组成的研究小组试图提供一种客观、可重复、标准化的分类工具。在意大利的八个造口中心进行了一项前瞻性观察研究。339名参与患者（272名男性，67名女性，平均年龄63岁[25至85岁]）根据并发症的发病时间（小于或大于1年）分为两组；拍摄了800张数码照片以加强观察，并采集血样以获取更多数据。根据获得的数据创建了一种分类方案，随后由四名非研究小组的专家进行测试。所得工具便于病变的解读和检测，包括病变部位。到目前为止，这是首次不基于对完全不同病因发病因素所致病变评估的有效分类尝试。目前正在进行进一步的研究，以完善该工具，并将从血样中获得的更多数据与分类系统相关联。
