2026-06-08T00:03:56Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/727102024-10-01T14:35:28Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author García Manzanares, María Elena author Lancharro Bermúdez, Margarita author Fernandez Lasquetty Blanc, Blanca author Hernández Martínez, Antonio author Rodríguez Almagro, Julián author Caparros Sanz, Maria Rosario 2023-06-22T12:30:23Z 2023-06-22T12:30:23Z 2022-11-17 0309-2402 10.1111/jan.15497 https://hdl.handle.net/20.500.14352/72710 https://doi.org/10.1111/jan.15497 https://onlinelibrary.wiley.com/doi/10.1111/jan.15497 Background: Prevention and treatment of peristomal skin problems should be a priority for nurses caring for ostomates, even when the assessment of lesions must be done remotely. Objective: To measure the level of agreement on assessment, diagnosis and care indications for peristomal skin lesions using remote imaging among nurses in Spain. Design: Prospective observational multicentre study to assess the diagnostic validity and inter- and intraobserver agreement between nurses in peristomal skin lesions. Data were collected between March and October 2019. Settings and Participants: The research sample consisted of a group of 39 nurses with expertise in the care of ostomates. Methods: A panel of experts established a list of 24 common signs/findings, 15 diagnostic options and 35 treatment approaches for peristomal skin lesions. Three expert stoma therapy nurses compiled the clinical cases, which they described thoroughly and documented with photographs. The 39 participating nurses evaluated the cases in two rounds to measure inter and intraobserver agreement. Results: A high or very high level of agreement (κ > 0.61) was observed for the following signs: encrustation, nodules, mucocutaneous separation and varicose veins; for the following diagnoses: mucocutaneous dehiscence, allergic contact dermatitis, encrustation and varicose veins (caput medusae); for the following treatments: recommending a diet rich in vitamin C/blueberries, applying acetic acid dressings, applying cold and topical tacrolimus treatment. Conclusions: The most easily identifiable lesions were those most prevalent and with visible signs. There was a lower level of agreement in identifying lesions for which photographs required additional information (laboratory data, description of signs and symptoms, type of diet and level of self-care). It is important to train nurses caring for ostomates to correctly describe ostomy-related lesions, which is important for nursing records, continuity of care and telehealth care. eng Atribución-NoComercial-SinDerivadas 3.0 España Assessment, diagnosis and treatment of peristomal skin lesions by remote imaging: An expert validation study journal article URL https://docta.ucm.es/bitstreams/6c9cff93-a317-4d34-a3d9-44124153fb25/download File MD5 3c6ba45a5a58c9f0f45ada982ef2bd89 492752 application/pdf Journal of Advanced Nursing - 2022 - Garc a‐Manzanares - Assessment diagnosis and treatment of peristomal skin lesions by.pdf URL https://docta.ucm.es/bitstreams/7722195b-f3ed-4487-88eb-5ab35e6acee1/download File MD5 e63bdb73729029901ab58473c375afd9 57711 text/plain Journal of Advanced Nursing - 2022 - Garc a‐Manzanares - Assessment diagnosis and treatment of peristomal skin lesions by.pdf.txt