فهرست نشریات علمی دسترسی آزاد ایران

AbstractIntroduction: Ostomy is a surgical procedure performed to divert feces and urineoutput in cases of anorectal anomalies. Although this procedure is a crucial interventionwith excellent treatment effect, it is associated with complications, such peristomal skinlesions. This study aimed at evaluating the effect of providing ostomy care education tomothers of infants with peristomal skin complications.Methods: Forty mothers of neonates with intestinal stomies were informed about theaim of this study and invited to participate. The sampling was conducted in accordancewith the quota sampling method. The participants were randomly and equallyallocated to the control and experimental groups. The mothers in the experimentalgroup attended a three-session educational program, whereas the mothers in thecontrol group received information about routine care methods used by the studysettings. The peristomal skin conditions of the infants in both groups were examinedbefore 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 toobtain descriptive and analytical statistics.Results: Prior to discharge, the majority of the neonates in both groups had healthyperistomal skin. In the control group, five neonates had acute dermatitis and one hadchronic dermatitis. In the experimental group, four neonates had acute dermatitis andtwo had chronic dermatitis. The χ-square test showed that the two groups were notsignificantly different (p-value = 0.94). After discharge, most of the neonates in theexperimental group had intact peristomal skin and only four neonates had chronicdermatitis. In contrast, in the control group, only six neonates had intact peristomalskin. The results of Fisher’s exact test indicated that the two groups of study weresignificantly different (p-value = 0.013). In the experimental group, 16 and 14 neonateshad 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 experimentalgroup before and after discharge (p-value = 0.69), whereas the control group showedsignificant difference in this context (p-value = 0.021).Conclusions: Providing mothers with education on proper ostomy care significantlydecreased the occurrence of peristomal skin lesions in neonates with intestinal ostomies.