Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis

This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a lo...

Full description

Saved in:

Bibliographic Details
Published in:	Healthcare (Basel) Vol. 12; no. 18; p. 1805
Main Authors:	Denti, Francesco Carlo, Guerra, Eliana, Caroppo, Francesca, Abruzzese, Pietro, Alessi, Fabrizio, Barone, Filippo, Bernardino, Pasqualina, Bergamini, Massimiliano, Bernardo, Cristina, Bosio, Gloria, Carp, Paula, Cecconello, Manuela, Cerchier, Annalinda, Croci, Francesca, Detti, Rita, Di Pasquale, Cristina, D'Ippolito, Maria Rosaria, Ditta, Simona, Ducci, Erica, Belloni Fortina, Anna, Frascarelli, Stefano, Galante, Marianna, Guarino, Rita, Leggio, Nicola, Livio, Elisabetta, Marchetti, Alessandra, Marelli, Francesca, Mastropaolo, Rita, Melis, Viviana, Palmiero, Nicola, Panarelli, Arianna, Pascali, Anna Lea, Pizzarelli, Francesco, Precisi, Laura, Rastello, Cinzia, Regaglia, Silvia, Rinaldi, Rossana Elvira, Rumbolo, Nadia, Sansone, Claudio, Santelli, Angela, Sarritzu, Giovanni, Sfondrini, Stefano, Stanzani, Sara, Stella, Mattia, Walterova, Margherita, Caruso, Rosario
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 10-09-2024 MDPI
Subjects:	Abdomen Care and treatment Clinical outcomes Complications and side effects Dermatitis educational intervention Infections multiple correspondence analysis Ostomy ostomy care Ostomy patients Patient education patient stratification Patients peristomal skin complications Poisson regression Prevention Prognosis Psoriasis Quality of life Radiation therapy Risk factors Self-care, Health Skin diseases Study and teaching Italy educational intervention multiple correspondence analysis ostomy care specialized nurses patient stratification peristomal skin complications Poisson regression
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications. The red path corresponds to high risk, requiring stringent monitoring and immediate access to healthcare support. The study aims to reduce PSCs and improve patient outcomes. Methods include the stratification of 226 patients, with significant differences in gender distribution, BMI categories, and stoma types across the paths. Results show an occurrence rate of PSCs of 5.9% in all risk paths (5.7% green path, 4.7% yellow path, and 7.9% red path, = 0.685), significantly lower than the median rate of 35% reported in the literature. Multiple correspondence analysis validated the stratification, with distinct clusters for each path. Poisson regression models in the exploratory framework of an interim analysis identified male gender as the only significant predictor of PSCs, indicating the need for gender-specific interventions. The findings suggest that the Dermamecum protocol effectively reduces early PSCs, providing a foundation for further research.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2227-9032 2227-9032
DOI:	10.3390/healthcare12181805