关键词: 预防性回肠造口；造口周围潮湿相关性皮肤损伤；影响因素；护理

Abstract: Objective: To analyze the current situation and influencing factors of Peristomal Moisture-Associated Skin Damage (PMASD) around preventive ileostomy, in order to prevent the occurrence and development of PMASD in the early stage, and provide guidance for adopting predictive and targeted nursing measures. Methods: A total of 388 patients who underwent preventive ileostomy in 2 hospitals in Hangzhou from March 2022 to December 2022 were selected by convenience sampling method as research objects. The researchers conducted face-to-face, telephone and cloud platform investigation and follow-up, and the ostomy specialist nurses combined the inquiry results and uploaded photos to diagnose whether PMASD occurred. Finally, univariate analysis and Logistic regression were used to analyze the influencing factors of PMASD around preventive ileostomy. Results: The incidence of PMASD in patients with preventive ileostomy was 36.3%. Logistic regression analysis results showed that age, BMI, surgical wound at the ileostomy, skin folds around the ileostomy, caregiver change, type of stoma bag, and stoma bag replacement period were influencing factors of PMASD around preventive ileostomy. Conclusion: The incidence of preventive ileostomy PMASD is high. Nurses should provide personalized nursing intervention guidance to patients regarding stoma wound and skin folds and stoma products, and actively encourage patients to improve stoma self-care ability and prevent PMASD from occurring.

Key words: preventive ileostomy; Peristomal Moisture-Associated Skin Damage; influencing factor; nursing