Does the stoma site marking affect stoma quality?

Authors : Salim İlksen Başçeken, Şeref Dokcu, Mehmet Ali Caparlar, Fatih Aslan, Salim Demirci

Pages : 119-124

Doi:10.17343/sdutfd.1312882

View : 99 | Download : 113

Publication Date : 2024-06-29

Article Type : Research

Abstract :Objective: Ostomy structure is an indispensable part of colorectal surgical procedures. With stoma, surgeons hope to get rid of the morbidity of the anastomosis they made. Ostomies are the source of morbidity both during construction and closure. Problem-free ostomies both reduce healthcare costs and support patients\' quality of life. In this study, we aimed to reveal the relationship between the marking performed by the wound, ostomy and continence nurse (WOC nurse) before surgery and the quality of the stoma. Material and Method: 150 patients who underwent surgery for malignant diagnosis in our oncology clinic and needed stoma construction were included in the study. The medical records and database of the patients kept by the WOC nurse were retrospectively reviewed. Demographic and clinicopathological data were recorded and grouped. Patients who underwent both emergency and elective procedures were included in the study. Statistical analyzes were performed within the 95% confidence interval. A p-value of less than 0.05 was considered statistically significant. Results: A significant relationship was observed between the marking the stoma site and BMI with the complications (p=0.03, p=0,01). Patients with ileostomy were associated with significantly more peristomal skin complications (PSC) than patients with a colostomy (p=0.02). Again, in the different analyses performed, a significant difference was observed between stoma marking status and stoma diameters; large stoma diameters were associated with patients who were not consulted by the WOC nurse (p=0.001). Conclusion: The findings showed that WOC nurse preoperative consultation was associated with fewer complications affecting stoma quality.
Keywords : stoma, WOC hemşiresi, komplikasyon, stoma kalitesi