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Changes in peristomal skin condition and user experience of a novel ostomy barrier ring with assisted flow: a 6-week feasibility study

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dc.contributor.author Hunt, Rhona
dc.contributor.author Kelleher, Kevin
dc.contributor.author Coffey, Calvin J.
dc.contributor.author Clarke-Moloney, Mary
dc.contributor.author Ahern, Mary
dc.contributor.author Conway, Elaine
dc.contributor.author Hannigan, Ailish
dc.contributor.author Erwin-Toth, Paula
dc.contributor.author O'Sullivan, Leonard
dc.date.accessioned 2018-12-06T15:39:48Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7400
dc.description peer-reviewed en_US
dc.description The full text of this article will not be available in ULIR until the embargo expires on the 31/10/2019
dc.description.abstract PURPOSE: This purpose of this study was to evaluate a novel barrier ring with an assisted flow mechanism by assessing changes in peristomal moisture-associated skin damage (MASD) and perceptions of comfort, security, handling, and discretion in persons with an ileostomy for 6 months or longer. DESIGN: Single-arm, open-labeled feasibility study. SUBJECTS AND SETTINGS: Twenty participants (aged ≥18 years) with an ileostomy for 6 months or more participated in the study and 12 completed data collection. The primary reason for dropouts concerned compatibility issues with the barrier ring when used with certain convex pouching systems. METHODS: Participants used the barrier ring along with their normal ostomy pouching system for a period of 6 weeks. Changes in skin condition were assessed using the Ostomy Skin Tool (OST). Participants' perception of the barrier rings' comfort, security, handling, and discretion were also recorded on a 10-point scale, where participants would offer a low score if their experience was negative and a higher score if their experience was positive. Participants changed pouches and barrier rings at their own discretion. For participants who completed the study, the average skin condition and median ratings of comfort, security, handling, and discretion at 6 weeks were compared to baseline values. RESULTS: Twelve of the 20 participants (60%) completed the study. For those who completed, the mean score on the OST decreased from 6.2 ± 1.90 (mean ± SD) at baseline to 3.4 ±1.73 at 6 weeks, indicating a mean reduction of 2.8 (95% CI, −1.6 to −3.9; P < .001). The peristomal skin condition of 9 participants improved, whereas 3 experienced no change. All participants who completed the study rated comfort, handling, security, and discretion highly (median score 10 at baseline and at 6 weeks). CONCLUSIONS: Study findings indicate the novel ostomy barrier ring may reduce levels of peristomal MASD in persons living with an ileostomy, though a more extensive trial with a control group is recommended en_US
dc.language.iso eng en_US
dc.publisher Lippincott, Williams & Wilkins en_US
dc.relation.ispartofseries Journal of Wound, Ostomy and Continence Nursing;45 (5), pp. 444-448
dc.relation.uri http://dx.doi.org/10.1097/WON.0000000000000463
dc.rights This is the author's version of "Changes in peristomal skin condition and user experience of a novel ostomy barrier ring with assisted flow: a 6-week feasibility study" published in citation © 2015 Lippincott, Williams and Wilkins. The final published version can be found at http://dx.doi.org/10.1097/WON.0000000000000463 en_US
dc.subject skin condition en_US
dc.subject ostomy barrier ring en_US
dc.title Changes in peristomal skin condition and user experience of a novel ostomy barrier ring with assisted flow: a 6-week feasibility study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1097/WON.0000000000000463
dc.contributor.sponsor EI en_US
dc.date.embargoEndDate 2019-10-31
dc.embargo.terms 2019-10-31 en_US
dc.rights.accessrights info:eu-repo/semantics/embargoedAccess en_US


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