Nichols Thomas, Goldstine Jimena, Inglese Gary
Research Fellow: Biostatistics and Health Economics (Retired), Global Market Access, Hollister Incorporated, Libertyville, Illinois, USA.
Director Value and Evidence Strategy, Global Market Access, Hollister Incorporated, Libertyville, Illinois, USA.
Br J Nurs. 2019 Mar 14;28(5):S14-S19. doi: 10.12968/bjon.2019.28.5.S14.
: irritation to peristomal skin remains one of the most prevalent ostomy-related complications influencing an individual's health status and quality of life.
: to assess the impact of damaged peristomal skin on the health utility and quality-adjusted life days (QALD) in an international adult ostomy population.
: a cross-sectional survey incorporating the SF-6D preference-based health utility index was developed to assess a random selection of post-surgical patients.
: health utility decreased with increasing skin irritation among the three geographic groups. The total mean health utility of normal peristomal skin for the three groups dropped incrementally for mild, moderate, and severe irritation. There were no differences in health utility or QALDs between the three country groups.
: improvement of peristomal skin health is associated with improvements to QALDs. Clinicians, caregivers and patients have the responsibility to address a critical unmet need in skin health through interventions and products designed to support healthy peristomal skin.
造口周围皮肤刺激仍然是影响个人健康状况和生活质量的最常见的造口相关并发症之一。
评估国际成年造口人群中受损的造口周围皮肤对健康效用和质量调整生命天数（QALD）的影响。
开展一项纳入基于SF-6D偏好的健康效用指数的横断面调查，以评估随机选取的术后患者。
在三个地理区域组中，健康效用随着皮肤刺激加剧而降低。三组造口周围皮肤正常时的总平均健康效用，在轻度、中度和重度刺激时逐渐下降。三个国家组之间在健康效用或QALD方面没有差异。
造口周围皮肤健康的改善与QALD的改善相关。临床医生、护理人员和患者有责任通过旨在支持健康造口周围皮肤的干预措施和产品，满足皮肤健康方面一项关键的未被满足的需求。
