Statistically significant improvement in peristomal skin condition due to adhesive breakdown prevention by novel barrier ring with assisted flow

Mary Quigley, Parvathy Unnithan, Noreen Lynch, Helen Purtill, Martin Buckley, Emmet Andrews, Myles Joyce, Tanya Mulcahy, Taylor Duckworth

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The high incidence rate of peristomal skin complications (PSCs) indicates that current ostomy products are not meeting the needs of ostomates. Aims: To assess how switching to a novel barrier ring affects the peristomal skin health of people with an ileostomy and the usability of the novel barrier ring. Methods: Participants (aged ≥18 years) with an ileostomy for 3 months or more wore a novel barrier ring with their typical ostomy appliances for a duration of 4 weeks. The Ostomy Skin Tool (OST) was used by trained nurses to assess skin condition at time T=0 and time T=4 weeks. The participants experience with using the novel barrier ring was also evaluated, using a questionnaire at time T=4 weeks. Findings: Among 19 participants, switching to the novel barrier ring resulted in a statistically significant improvement in peristomal skin health. The average OST score started at 6.21 3.63 (SD) at time T=0 and decreased to 3.63 3.56 at time T=4 weeks (p<0.001; Cohen s D=1.09). Conclusion: The novel barrier ring assessed shows high potential to improve peristomal skin health, even for patients who already use market-standard seals. High scores were received for usability and comfort, and the potential of the novel barrier ring to reduce leaks and increase longevity of ostomy systems was realised.

Original languageEnglish
Pages (from-to)34-42
Number of pages9
JournalGastrointestinal Nursing
Volume20
Issue number8
DOIs
Publication statusPublished - 2 Oct 2022

Keywords

  • Adhesive breakdown
  • Barrier ring
  • Ileostomy
  • Ostomy care
  • Peristomal skin complications

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