一种新型仪器测量造口患者受损皮肤周围状况的可用性研究。
Usability of a Novel Instrument to Measure Damaged Peristomal Skin in Patients with an Ostomy.
机构信息
At the Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China, Hui Yang, MM, RN, WT, is Head Nurse, Lecturer, and Wound Therapist, Gastrointestinal Surgery Center; Xinyue Zhao, RN, WOCN, is Wound Ostomy and Continence Nurse, Gastrointestinal Surgery Center; Qing Yang, PhD, is Deputy Director, Nursing Department; and Qinghua Jiang, RN, is Director, Nursing Department. Acknowledgments: This research was supported by Sichuan Province Science and Technology Support Program (no. 2019YFS0387) and Health and Family Planning Commission of Sichuan Province (no. 19PJ141). The authors have disclosed no other financial relationships related to this article. Submitted July 8, 2020; accepted in revised form October 22, 2020.
出版信息
Adv Skin Wound Care. 2021 Jun 1;34(6):309-312. doi: 10.1097/01.ASW.0000744336.73981.8f.
OBJECTIVE
To evaluate the usability of a novel instrument (stoma ruler) to measure damaged peristomal skin in patients with an ostomy.
METHODS
A wound ostomy and continence nurse used both the stoma ruler and a linear ruler to assess DET (discoloration, erosion, tissue overgrowth) scores and the height of protrusion above the skin of 10 patients with ileostomies and took photographs. The photographs were presented to five ostomy care nurses for reliability testing. The difference between the two methods was determined using paired Wilcoxon signed ranks test.
PRIMARY OUTCOME MEASURE
Interrater reliability of the linear versus stoma ruler.
RESULTS
The interrater reliabilities of the stoma ruler versus the linear ruler for the domain-area DET score were 0.95 (95% confidence interval, 0.89-0.99) and 0.68 (95% confidence interval, 0.42-0.89), respectively. Only nurse 5 reported a significant difference between the two rulers (z = -2.24, P = .03).
CONCLUSIONS
In busy clinical settings, the stoma ruler is easy for ostomy care nurses to use to obtain accurate DET scores and the height of stoma protrusion above the skin. Observing the position of damaged skin using the clock marks on the stoma ruler enhance clinical description and reduce assessment variation among professionals.
目的
评估一种新工具（造口尺）测量造口周围皮肤损伤的可用性。
方法
一名伤口造口和失禁护士使用造口尺和线性尺评估 10 例回肠造口患者的 DET（变色、侵蚀、组织过度生长）评分和突出皮肤的高度，并拍摄照片。将照片呈现给五名造口护理护士进行可靠性测试。使用配对 Wilcoxon 符号秩检验确定两种方法之间的差异。
主要结局测量
线性尺与造口尺的组内一致性。
结果
造口尺与线性尺在 DET 评分领域的组内一致性分别为 0.95（95%置信区间，0.89-0.99）和 0.68（95%置信区间，0.42-0.89）。只有护士 5 报告了两个尺子之间存在显著差异（z = -2.24，P =.03）。
结论
在繁忙的临床环境中，造口尺易于造口护理护士使用，可获得准确的 DET 评分和造口突出皮肤的高度。使用造口尺上的时钟标记观察受损皮肤的位置可增强临床描述并减少专业人员之间的评估差异。
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