Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy -
Ostomates Clinic, Unit of Emergency Medicine, Sacro Cuore di Gesù-Fatebenefratelli Hospital, Benevento, Italy.
Minerva Surg. 2021 Oct;76(5):423-428. doi: 10.23736/S2724-5691.21.09171-1.
The ostomy patient's quality of life also depends on their peristomal health and thus first and foremost on keeping healthy peristomal skin. This is by no means an easy task, given that the incidence of peristomal skin disorders can be a factor in up to 80% of cases. Over the past 15 years, several tools have been developed to classify peristomal skin lesions to facilitate the management of the problem. These tools, however, meet the needs of healthcare professionals and those of patients. Hence the decision to work on an advanced version of the SACS, currently the most widely used tool, with the setting up of the SACS Evolution Consensus Group.
By applying the simplified Delphi method, the SACS Evolution Consensus Group critically re-read what had been garnered from the literature in the light of their personal clinical experience, identified the key issues to be addressed, and processed and refined the relevant statements. This made it possible to achieve the challenging objective of creating a peristomal health tool to help prevent peristomal skin lesions.
SACS Evolution is, indeed, a promising tool for preventing peristomal lesions. It is structured on two different levels, one for the patient and one for the healthcare professional, each characterized by specific language and based on an innovative concept of healthy peristomal skin, which is essential for those who work on peristomal health.
The SACS Evolution Consensus Group thus aims to validate this peristomal health tool and has already started a validation process so that the tool can be used in clinical practice.
造口患者的生活质量也取决于其造口周围的健康状况，因此首先要保持健康的造口周围皮肤。鉴于造口周围皮肤疾病的发病率可能高达 80%，这绝非易事。在过去的 15 年中，已经开发出了几种工具来对造口周围皮肤损伤进行分类，以帮助解决该问题。然而，这些工具仅满足了医疗保健专业人员和患者的需求。因此，我们决定开发一种更先进的 SACS 版本，目前该工具应用最广泛，并成立了 SACS 进化共识小组。
通过应用简化 Delphi 方法，SACS 进化共识小组根据其个人临床经验对文献中收集到的内容进行批判性重读，确定需要解决的关键问题，并对相关陈述进行处理和完善。这使得创建一种帮助预防造口周围皮肤损伤的造口周围健康工具成为可能，实现了具有挑战性的目标。
SACS Evolution 确实是一种有前途的预防造口周围损伤的工具。它分为两个不同的级别，一个供患者使用，一个供医疗保健专业人员使用，每个级别都有其特定的语言，并基于健康造口周围皮肤的创新概念，这对于从事造口周围健康的人员来说是至关重要的。
因此，SACS 进化共识小组旨在验证这种造口周围健康工具，并已开始验证过程，以便该工具可以在临床实践中使用。
