Factors Impacting the Quality of Life of People With an Ostomy in North America

Erwin-Toth, Paula; Thompson, Sally; Davis, Janet Stoia

doi:10.1097/won.0b013e318259c441

Cited by 69 publications

(51 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…160-163 a recent study of 743 patients with long-term ostomies revealed that 61% of patients had objective evidence of peristomal skin problems, 28% were experiencing frequent leakage, and 87% were using various accessories to facilitate pouching their ostomy. 160 after care by an ostomy nurse, leakage, skin problems, and the use of accessories decreased significantly, and quality-of-life scores improved. 160 this study was limited by the fact that all patients were changed to a new pouching system, so the care of the ostomy nurse was not the only intervention.…”

Section: Evidence For the Value Of An Ostomy Nursementioning

confidence: 98%

See 1 more Smart Citation

Clinical Practice Guidelines for Ostomy Surgery

Hendren

Hammond

Glasgow

et al. 2015

Diseases of the Colon &Amp; Rectum

144

166

View full text Add to dashboard Cite

Section: Evidence For the Value Of An Ostomy Nursementioning

confidence: 98%

“…160 after care by an ostomy nurse, leakage, skin problems, and the use of accessories decreased significantly, and quality-of-life scores improved. 160 this study was limited by the fact that all patients were changed to a new pouching system, so the care of the ostomy nurse was not the only intervention.…”

Section: Evidence For the Value Of An Ostomy Nursementioning

confidence: 98%

Clinical Practice Guidelines for Ostomy Surgery

Hendren

Hammond

Glasgow

et al. 2015

Diseases of the Colon &Amp; Rectum

144

166

View full text Add to dashboard Cite

“…The use of regular wound ostomy care nursing has been shown to be an effective strategy to help manage peristomal dermatitis and improve quality of life. In a study by Erwin-Toth et al, the use of regular wound ostomy care nursing visits significantly increased the patient's quality of life and reduced the rate of ostomy appliance leakage [50]. Unfortunately, only 13% of patients in that same study had regular consultation with a wound ostomy care nurse prior to enrollment in the study, indicating a need for better patient access to care and increased resource utilization.…”

Section: Medical Managementmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

View full text Add to dashboard Cite

Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias. i 2014 S. Karger AG, Basel

show abstract

“…Cowin and Redmond's (2012) study showed that leakage for those with PSH occurs across day and night time with similar frequency. Erwin-Toth, Thompson and Davis (2012) demonstrated that for all ostomists, leakage had the most impact on QOL scores. Experts think that the physical burden and awkwardness of the peristomal bulging exacerbates fatigue,…”

Section: Physical Costmentioning

confidence: 99%

Nurse activity to prevent and support patients with a parastomal hernia

Bland

Young²

2015

Gastrointestinal Nursing

View full text Add to dashboard Cite

Parastomal hernia (PSH) is a common stoma complication amongst people with a stoma and represents considerable challenge. This paper reviews research evidence to establish how nurses might help to prevent PSH and improve understanding. However, evidence was lacking in this area and found to be of low quality. Studies focused on adults with a stoma who developed a PSH identified that:  An ostomist's waist circumference > 100cm can be a major contributing factor in developing a PSH. The incidence of PSH can be reduced by a non-invasive, nurse-led prevention programme  Pre-operative stoma-siting and education may play a part in preventing PSH.  PSH presents significant physical, psychological and social morbidities for the ostomist, and as a result, many adopt coping strategies rather than seeking professional help.Further research is needed to strengthen the evidence base for care of those with parastomal hernia and elucidate professional opinion.

show abstract

Factors Impacting the Quality of Life of People With an Ostomy in North America

Abstract: The combination of a regular contact with a WOC nurse and the use of a double-layer adhesive appliance led to a significant reduction in leakage and accessory use, improved skin condition, and significant improvement in health-related quality of life.

Cited by 69 publications

References 11 publications

Clinical Practice Guidelines for Ostomy Surgery

Clinical Practice Guidelines for Ostomy Surgery

Parastomal Hernia: A Growing Problem with New Solutions

Nurse activity to prevent and support patients with a parastomal hernia

Contact Info

Product

Resources

About