Martins Lina, Ayello Elizabeth A, Claessens Ineke, Steen Hansen Anne, Hentze Poulsen Lis, Sibbald R Gary, Jemec Gregor B
Enterostomal Therapy Nurse London Health Sciences Centre, Ontario.
Br J Nurs. 2010;19(15):960, 932-4. doi: 10.12968/bjon.2010.19.15.77691.
The Ostomy Skin Tool is a standardized measuring instrument for assessing the extent and severity of peristomal skin change in terms of discolouration (D), erosion (E), and tissue overgrowth (T) (DET). The reliability and validity of this tool has been determined in a previous study. The purpose of this article is to highlight the study's most important findings, and to demonstrate the usefulness of the DET score by evaluating three examples of peristomal skin changes. Additionally, a simplified categorical severity scale (defining 'mild', 'moderate', and 'severe' conditions) is introduced that may improve clinical interpretation of the DET score. It is reasonable to conclude that the DET score may empower the ostomy care nurse with an evidence-based platform to make qualified decisions on evaluation and treatment of peristomal skin disorders.
造口皮肤工具是一种标准化测量工具，用于根据变色（D）、糜烂（E）和组织过度生长（T）（DET）评估造口周围皮肤变化的程度和严重程度。该工具的可靠性和有效性已在先前的一项研究中得到确定。本文的目的是突出该研究的最重要发现，并通过评估三个造口周围皮肤变化的例子来展示DET评分的有用性。此外，还引入了一个简化的分类严重程度量表（定义“轻度”“中度”和“重度”情况），这可能会改善对DET评分的临床解读。可以合理地得出结论，DET评分可能为造口护理护士提供一个循证平台，以便就造口周围皮肤疾病的评估和治疗做出合格的决策。
