Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/16740 |
Resumo: | Introduction: Despite advances in surgical techniques for making and caring for people with stomas, peristomal dermatitis of intestinal stomata is frequent. In this context, nursing plays a fundamental role in preventing these complications. Objective: To carry out a systematic review to identify nursing interventions used as preventive measures for peristomal dermatitis in intestinal ostomies. Method: A systematic review was carried out in the Scopus, PubMed (MEDLINE), Cochrane Library, Web of Science and CINAHL databases. Randomized controlled trials investigating the effectiveness of nursing interventions in preventing peristomal dermatitis, published in English, Portuguese and Spanish until December 2020, were selected. Results: Initially, 2,976 studies were identified, however only three of these were included in the final sample, which were published between 2011 and 2017. Prevention actions found in clinical trials were about educational measures, use of moldable skin barrier and standardization of cleaning technique and use of hydrocolloid powder as prevention. Conclusion: Evidence on nursing interventions in the preventive care of peristomal injuries is still scarce and with considerable risk of bias. Thus, the scientific community is encouraged to carry out primary studies of high methodological rigor, in order to support the practice of stomatherapy and promote quality care based on the best scientific evidence. |
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Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic reviewIntervenciones de enfermería para la prevención de la dermatitis peristómica en estomas intestinales: Revisión sistemáticaIntervenções de enfermagem para prevenção de dermatite periestoma em estomas intestinais: Revisão sistemáticaNursing careDermatitisStomaPreventionSystematic review.Atención de enfermeríaDermatitisEstomaPrevenciónRevisión sistemática.Cuidados de enfermagemDermatiteEstomaPrevençãoRevisão sistemática.Introduction: Despite advances in surgical techniques for making and caring for people with stomas, peristomal dermatitis of intestinal stomata is frequent. In this context, nursing plays a fundamental role in preventing these complications. Objective: To carry out a systematic review to identify nursing interventions used as preventive measures for peristomal dermatitis in intestinal ostomies. Method: A systematic review was carried out in the Scopus, PubMed (MEDLINE), Cochrane Library, Web of Science and CINAHL databases. Randomized controlled trials investigating the effectiveness of nursing interventions in preventing peristomal dermatitis, published in English, Portuguese and Spanish until December 2020, were selected. Results: Initially, 2,976 studies were identified, however only three of these were included in the final sample, which were published between 2011 and 2017. Prevention actions found in clinical trials were about educational measures, use of moldable skin barrier and standardization of cleaning technique and use of hydrocolloid powder as prevention. Conclusion: Evidence on nursing interventions in the preventive care of peristomal injuries is still scarce and with considerable risk of bias. Thus, the scientific community is encouraged to carry out primary studies of high methodological rigor, in order to support the practice of stomatherapy and promote quality care based on the best scientific evidence.Introducción: A pesar de los avances en las técnicas quirúrgicas para la confección y el cuidado de personas con estomas, la dermatitis periestomal de los estomas intestinales es frecuente. En este contexto, la enfermería juega un papel fundamental en la prevención de estas complicaciones. Objetivo: Realizar una revisión sistemática para identificar las intervenciones de enfermeira utilizadas como medidas preventivas de la dermatitis periestomal en las ostomías intestinales. Método: Se realizó una revisión sistemática en las bases de datos Scopus, PubMed (MEDLINE), Cochrane Library, Web of Science y CINAHL. Se seleccionaron ensayos controlados aleatorizados que investigan la efectividad de las intervenciones de enfermería en la prevención de la dermatitis periestomal, publicados en inglés, portugués y español hasta diciembre de 2020. Resultados: Inicialmente, se identificaron 2.975 estudios, sin embargo, solo tres de estos se incluyeron en la muestra final, que se publicaron entre 2011 y 2017. Las acciones de prevención encontradas en los ensayos clínicos fueron sobre medidas educativas, uso de barrera cutánea moldeable y estandarización de la técnica de limpieza y uso de hidrocoloide en polvo como prevención. Conclusión: La evidencia sobre las intervenciones de enfermería en la atención preventiva de las lesiones periestomales es aún escasa y con considerable riesgo de sesgo. Así, se incentiva a la comunidad científica a realizar estudios primarios de alto rigor metodológico, con el fin de apoyar la práctica de la estomaterapia y promover una atención de calidad basada en la mejor evidencia científica.Introdução: Apesar dos avanços nas técnicas cirúrgicas de confecção e nos cuidados às pessoas com estomas, as dermatites periestomas de estomas intestinais são frequentes. Nesse contexto, a enfermagem assume papel fundamental para a prevenção dessas complicações. Objetivo: Realizar uma revisão sistemática para identificar intervenções de enfermagem utilizadas como medidas de prevenção de dermatite periestoma em estomias intestinais. Método: Realizou-se uma revisão sistemática nas bases de dados Scopus, PubMed (MEDLINE), Cochrane Library, Web of Science e CINAHL. Foram selecionados ensaios controlados randomizados que investigassem a eficácia das intervenções de enfermagem na prevenção de dermatite periestoma, publicados nos idiomas inglês, português e espanhol, até dezembro de 2020. Resultados: Inicialmente, 2.976 estudos foram identificados, no entanto apenas três desses foram incluídos na amostra final, os quais foram publicados entre 2011 e 2017. As ações de prevenção encontradas nos ensaios clínicos versaram sobre medidas educativas, uso de barreira cutânea moldável e padronização da técnica de limpeza e uso de pó de hidrocoloide como prevenção. Conclusão: As evidências sobre as intervenções de enfermagem no cuidado preventivo de lesões periestomas ainda são escassas e com riscos de viés consideráveis. Dessa maneira, encoraja-se a comunidade científica a realizar estudos primários de alto rigor metodológico, a fim de subsidiar a prática da estomaterapia e promover uma assistência de qualidade e baseada nas melhores evidências científicas.Research, Society and Development2021-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1674010.33448/rsd-v10i7.16740Research, Society and Development; Vol. 10 No. 7; e48110716740Research, Society and Development; Vol. 10 Núm. 7; e48110716740Research, Society and Development; v. 10 n. 7; e481107167402525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/16740/15609Copyright (c) 2021 Sindy Lamônie do Espírito Santo Barbosa; Fernanda Oliveira de Carvalho; Isla Evellen Santos Souza; Lidiane Souza Lima; Neylor Rodrigo Oliveira Aragão; Caique Jordan Nunes Ribeiro; Vera Lúcia Conceição de Gouveia Santos; Ana Cristina Freire Abudhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBarbosa, Sindy Lamônie do Espírito SantoCarvalho, Fernanda Oliveira deSouza, Isla Evellen SantosLima, Lidiane Souza Aragão, Neylor Rodrigo OliveiraRibeiro, Caique Jordan NunesSantos, Vera Lúcia Conceição de Gouveia Abud, Ana Cristina Freire 2021-07-18T21:07:03Zoai:ojs.pkp.sfu.ca:article/16740Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:13.142202Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review Intervenciones de enfermería para la prevención de la dermatitis peristómica en estomas intestinales: Revisión sistemática Intervenções de enfermagem para prevenção de dermatite periestoma em estomas intestinais: Revisão sistemática |
title |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
spellingShingle |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review Barbosa, Sindy Lamônie do Espírito Santo Nursing care Dermatitis Stoma Prevention Systematic review. Atención de enfermería Dermatitis Estoma Prevención Revisión sistemática. Cuidados de enfermagem Dermatite Estoma Prevenção Revisão sistemática. |
title_short |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
title_full |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
title_fullStr |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
title_full_unstemmed |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
title_sort |
Nursing interventions for the prevention of peristomal dermatitis in intestinal stomas: A systematic review |
author |
Barbosa, Sindy Lamônie do Espírito Santo |
author_facet |
Barbosa, Sindy Lamônie do Espírito Santo Carvalho, Fernanda Oliveira de Souza, Isla Evellen Santos Lima, Lidiane Souza Aragão, Neylor Rodrigo Oliveira Ribeiro, Caique Jordan Nunes Santos, Vera Lúcia Conceição de Gouveia Abud, Ana Cristina Freire |
author_role |
author |
author2 |
Carvalho, Fernanda Oliveira de Souza, Isla Evellen Santos Lima, Lidiane Souza Aragão, Neylor Rodrigo Oliveira Ribeiro, Caique Jordan Nunes Santos, Vera Lúcia Conceição de Gouveia Abud, Ana Cristina Freire |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Barbosa, Sindy Lamônie do Espírito Santo Carvalho, Fernanda Oliveira de Souza, Isla Evellen Santos Lima, Lidiane Souza Aragão, Neylor Rodrigo Oliveira Ribeiro, Caique Jordan Nunes Santos, Vera Lúcia Conceição de Gouveia Abud, Ana Cristina Freire |
dc.subject.por.fl_str_mv |
Nursing care Dermatitis Stoma Prevention Systematic review. Atención de enfermería Dermatitis Estoma Prevención Revisión sistemática. Cuidados de enfermagem Dermatite Estoma Prevenção Revisão sistemática. |
topic |
Nursing care Dermatitis Stoma Prevention Systematic review. Atención de enfermería Dermatitis Estoma Prevención Revisión sistemática. Cuidados de enfermagem Dermatite Estoma Prevenção Revisão sistemática. |
description |
Introduction: Despite advances in surgical techniques for making and caring for people with stomas, peristomal dermatitis of intestinal stomata is frequent. In this context, nursing plays a fundamental role in preventing these complications. Objective: To carry out a systematic review to identify nursing interventions used as preventive measures for peristomal dermatitis in intestinal ostomies. Method: A systematic review was carried out in the Scopus, PubMed (MEDLINE), Cochrane Library, Web of Science and CINAHL databases. Randomized controlled trials investigating the effectiveness of nursing interventions in preventing peristomal dermatitis, published in English, Portuguese and Spanish until December 2020, were selected. Results: Initially, 2,976 studies were identified, however only three of these were included in the final sample, which were published between 2011 and 2017. Prevention actions found in clinical trials were about educational measures, use of moldable skin barrier and standardization of cleaning technique and use of hydrocolloid powder as prevention. Conclusion: Evidence on nursing interventions in the preventive care of peristomal injuries is still scarce and with considerable risk of bias. Thus, the scientific community is encouraged to carry out primary studies of high methodological rigor, in order to support the practice of stomatherapy and promote quality care based on the best scientific evidence. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16740 10.33448/rsd-v10i7.16740 |
url |
https://rsdjournal.org/index.php/rsd/article/view/16740 |
identifier_str_mv |
10.33448/rsd-v10i7.16740 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16740/15609 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 7; e48110716740 Research, Society and Development; Vol. 10 Núm. 7; e48110716740 Research, Society and Development; v. 10 n. 7; e48110716740 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052833115144192 |