• Logo
  • SBMUJournals

Effect of Providing Ostomy Care Education to Mothers of Neonates with Peristomal Skin Complications

Azar Robatmili, sima zohari anboohi, azam shirin abady farahani, Malihe Nasiri
222

Views

PDF

Abstract

Abstract
Introduction: Ostomy is a surgical procedure performed to divert feces and urine
output in cases of anorectal anomalies. Although this procedure is a crucial intervention
with excellent treatment effect, it is associated with complications, such peristomal skin
lesions. This study aimed at evaluating the effect of providing ostomy care education to
mothers of infants with peristomal skin complications.
Methods: Forty mothers of neonates with intestinal stomies were informed about the
aim of this study and invited to participate. The sampling was conducted in accordance
with the quota sampling method. The participants were randomly and equally
allocated to the control and experimental groups. The mothers in the experimental
group attended a three-session educational program, whereas the mothers in the
control group received information about routine care methods used by the study
settings. The peristomal skin conditions of the infants in both groups were examined
before discharge and 30 days after discharge using the Telegram Software or in person,
according to an established checklist. Data were analyzed with the SPSS 21 software to
obtain descriptive and analytical statistics.
Results: Prior to discharge, the majority of the neonates in both groups had healthy
peristomal skin. In the control group, five neonates had acute dermatitis and one had
chronic dermatitis. In the experimental group, four neonates had acute dermatitis and
two had chronic dermatitis. The χ-square test showed that the two groups were not
significantly different (p-value = 0.94). After discharge, most of the neonates in the
experimental group had intact peristomal skin and only four neonates had chronic
dermatitis. In contrast, in the control group, only six neonates had intact peristomal
skin. The results of Fisher’s exact test indicated that the two groups of study were
significantly different (p-value = 0.013). In the experimental group, 16 and 14 neonates
had intact peristomal skin before and after discharge, respectively. In the control group,
14 and 6 neonates had intact peristomal skin before and after discharge, respectively.
The results of McNemar’s test revealed no significant differences in the experimental
group before and after discharge (p-value = 0.69), whereas the control group showed
significant difference in this context (p-value = 0.021).
Conclusions: Providing mothers with education on proper ostomy care significantly
decreased the occurrence of peristomal skin lesions in neonates with intestinal ostomies.

Keywords

ostomy complications; training; infant under ostomy

References

-Sheikh Bahauddin Zadeh A ,Ray V.Nursing In Neonatal Intensive Care Unit, 1th Edition, Tehran ,Boshra. 2010. ( Persian)

-Tatarpur,p .Key Points and Clinical Practice Management in the NICU, 1th Edition, Tehran ,Boshra.2011:193( Persian).

-Gangopadhyay A & Vaibhav P. [ Anorectal Malformations. ].Journal of Indian Association of Pediatric Surgeons.2015 ; 20 (1): 10-15.

-Recalla S, English K, Nazarali R, Mayo S, Miller D& Gray M. [Ostomy Care And Management]. The Wound Ostomy and Continence Nurses Society™ J WOCN . 2013;40(5):489-500.

- Ilhan T& Toruner E. [ Assessment of knowledge and Skills of Neonatal Nurses on Peristomal Skin Care]. Journal of Neonatal Nursing .2015; 21(6): 18-25.

-Stelton S, Zulkowski K&Ayello E A. Practice Implications For Peristomal Skin Assessment And Care From the 2014 World Council of Enterostomal Therapists International Ostomy Guideline. Advances In Skin & Wound Care Journal. 2015; 28(6):275-284.

-Alaey karahrody F, Norian M. Advanced Comprehensive Textbook of Neonatal Care (NICU). 1th Edition,Anateb.2012: 143.( Persian).

-Ricci S S, Kyle T&Carman S. Maternity And Pediatric Nursing.2nd Edittion. 2013:1509.

-Votroubek W,Tabacco A.Pediatric home care for nurses: A family-centered approach.3th Edition.Massachusetts, United States.2010:66.

-Alkhatrawi T, Elsherbini R & Djamal O.Umbilical site for temporary colostomy in anorectal malformations: is it cosmetically preferable? .Annals of Pediatric Surgery. 2013, 9:16–19.

-davari HA,Nazem M,Tavafzadeh A.2010.The frequency of post operation compllications in children with imperforate anuse.journal shool of medicine isafahan, Volume 28, Number 120, 1519-1513.




DOI: https://doi.org/10.22037/anm.v27i3.17205