Department of Surgery, Førde Central Hospital, Førde, Norway.
Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Nurs Open. 2023 Jun;10(6):3635-3645. doi: 10.1002/nop2.1612. Epub 2023 Jan 24.
To explore the associations between sociodemographic and clinical data, the patient's knowledge and skills, and relationship to healthcare professionals with leakage from an ostomy.
Cross-sectional.
This study included 160 patients with a colostomy, ileostomy, or urostomy. Leakage was the dependent variable and was assessed by self-report. Sociodemographic and clinical data and the Ostomy Adjustment Scale subscores, 'knowledge and skills' and 'health care professionals' were independent variables. Spearman's rho and multivariate partial least squares regression analysis were used to estimate possible factors associated with leakage.
Of the participants, 13.8% had leakage weekly or more often, 16.3% more often than once a month and 37, 5% had leakage more seldom than once a month. The most important risk factors for leakage were (1) having an ostomy placement that does not meet international guidelines, (2) not having an optimal relationship with health professionals, (3) having a diagnosis other than cancer, (4) not having proper knowledge and skills in ostomy care, (5) not having a colostomy, (6) having a convex baseplate, (7) having an oval ostomy, and (8) being dependent on others for ostomy care. The independent variables in the PLS- model explained 31% of the variance in leakage.
We thank the patients in the user panel for their help during the study.
探讨社会人口统计学和临床数据、患者的知识和技能以及与医护人员的关系与造口漏之间的关联。
横断面研究。
本研究纳入了 160 名结肠造口、回肠造口或尿路造口患者。漏便是因变量，通过自我报告进行评估。社会人口统计学和临床数据以及造口调整量表的子量表“知识和技能”和“医护人员”是自变量。采用 Spearman's rho 和多变量偏最小二乘回归分析来评估与漏相关的可能因素。
在参与者中，13.8%的人每周或更频繁地出现漏液，16.3%的人每月漏液超过一次，37.5%的人每月漏液少于一次。漏液的最重要危险因素是：（1）造口位置不符合国际指南；（2）与医护人员关系不理想；（3）诊断不是癌症；（4）造口护理知识和技能不足；（5）没有结肠造口；（6）底盘凸起；（7）造口为椭圆形；（8）依赖他人进行造口护理。PLS 模型中的自变量解释了漏液的 31%的方差。
我们感谢用户小组中的患者在研究过程中提供的帮助。
