A retrospective analysis of factors associated with achievement of early postoperative stoma care

• Published in: Journal of Japanese Society of Stoma and Continence Rehabilitation Vol. 37; no. 3; pp. 85 - 97
• Main Authors: Oshima, Mitsuko, Fukano, Rieko, Rikiyama, Toshiki, Tsujinaka, Shingo
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Stoma and Continence Rehabilitation 2021; 日本ストーマ・排泄リハビリテーション学会
• Subjects: achievement of stoma care; stoma; stoma care; ストーマ; ストーマケア; ストーマケア確立
• ISSN: 1882-0115; 2434-3056
• DOI: 10.32158/jsscr.37.3_85

Purpose:The purpose of this study was to evaluate factors associated with achievement of stoma care (ASC) during the early postoperative period.Methods:The subjects were patients who underwent intestinal stoma surgery followed by postoperative sessions of stoma care practice between 2018 and 2019. Data collected from medical charts were retrospectively analyzed. The patients were divided into those with and without ASC at discharge. The patients with ASC were also divided into those with early and delayed ASC. The factors associated with ASC were compared between the groups.Results:Eighty-nine patients (median age:70 years, male:49) were included in the analysis. Non-achievement of stoma care was significantly associated with emergency surgery, postoperative pain, delayed mobilization, lack of stoma site marking, stoma-related complications, peri-stomal skin deformity, and discharge to other institutions. Higher age, non-round stoma, and complex stoma care were also significantly associated with delayed ASC.Conclusions:When an intestinal stoma is created for elderly patients and/or in an emergency setting, ASC may be difficult or delayed. Preoperative stoma site marking, postoperative pain control, accelerated mobilization, assisting stoma acceptance, easily manageable stoma appliance with appropriate technique, and early support for discharge are important for effective postoperative stoma care.