At Curtin University, Perth, Australia, Keryln Carville, PhD, RN, STN(Cred), is Associate Professor and Emily Haesler, PhD, is Professor. Tania Norman, RN, STN, BCN, is Stomal Therapy Nurse, St John of God Hospital, Murdoch, WA, Australia; Pat Walls, RN, STN, Cert Wound Mt, is Stomal Therapy Nurse at St Vincent's Private Hospital, Brisbane, Queensland, Australia. Leanne Monterosso, PhD, RN, is Professor and Chair of Nursing (Clinical Nursing) at the University of Notre Dame Australia, Fremantle. Acknowledgment: The authors gratefully acknowledge the research grant awarded by the Australian Association of Stomal Therapy Nurses that enabled this study; the stomal therapy nurses and colorectal surgeons who participated in the Delphi process and willingly gave of their time and expertise; and Paul Haesler, who designed and managed the project-specific online consensus voting platform. The authors have disclosed no financial relationships related to this article. Submitted to the World Council of Enterostomal Therapists Journal April 19, 2022; accepted May 2, 2022. Copyright Advances in Skin & Wound Care and the World Council of Enterostomal Therapists.
Adv Skin Wound Care. 2022 Aug 1;35(8):435-441. doi: 10.1097/01.ASW.0000833620.47017.80. Epub 2022 Jul 4.
To establish a consensus on terminology used to define stomal, parastomal, and peristomal complications in Australia.
A list of stomal, parastomal, and peristomal complications was generated through group dialogue, which was informed by clinical and academic knowledge of the researchers. An extensive literature review was undertaken to identify any additional terms and to create a database of definitions/descriptions. A library of images related to the identified conditions was generated. An online Delphi process was conducted among a representative, purposive sample of Australia expert wound, ostomy, and continence nurses and colorectal surgeons. Ten terms were presented to the panel with descriptive photographs of each complication. Up to three Delphi rounds and, if necessary, a priority voting round were conducted.
Seven of the 10 terms reached agreement in the first round. One term ( allergic dermatitis ) was refined ( allergic contact dermatitis ) and reached agreement in the second round. Two terms ( mucocutaneous granuloma and mucosal granuloma ) were considered by the panel to be the same condition in different anatomical locations and were combined as one term ( granuloma ). Two terms ( skin stripping and tension blisters ) were combined as one term ( medical adhesive-related skin injury ) and reached agreement in round 2.
A consensus in terminology used to describe stomal or parastomal/peristomal complications will enhance communication among patients and health professionals and advance opportunities for education and benchmarking of stomal, parastomal, and peristomal complications nationally.
在澳大利亚就用于定义造口、造口旁和造口周围并发症的术语达成共识。
通过小组对话生成了一份造口、造口旁和造口周围并发症清单，该对话得到了研究人员的临床和学术知识的支持。进行了广泛的文献回顾，以确定任何其他术语，并创建一个定义/描述数据库。生成了与已确定条件相关的图像库。在澳大利亚有代表性的、有目的的伤口、造口和结肠直肠外科专家和失禁护理专家样本中进行了在线 Delphi 流程。向小组提交了 10 个术语，并附有每个并发症的描述性照片。进行了多达三轮 Delphi 投票，如果有必要，还进行了优先投票。
在第一轮投票中，有 7 个术语达成了一致。有一个术语（过敏性皮炎）经过改进（过敏性接触性皮炎），并在第二轮投票中达成了一致。小组认为有两个术语（黏膜肉芽肿和黏膜肉芽肿）是同一疾病在不同解剖位置的表现，将其合并为一个术语（肉芽肿）。有两个术语（皮肤剥离和张力水疱）合并为一个术语（与医用粘合剂相关的皮肤损伤），并在第二轮投票中达成了一致。
用于描述造口或造口旁和造口周围并发症的术语达成共识将增强患者和卫生专业人员之间的沟通，并为全国范围内的造口、造口旁和造口周围并发症的教育和基准测试提供机会。
