关键词: 肠造口；造口周围皮肤并发症；患者自我报告结局；影响因素

Abstract: Objective: To understand the peristomal skin conditions after enterostomy and analyze its influencing factors, so as to provide a basis for medical staff to formulate intervention strategies. Methods: By using the convenience sampling method, 263 patients who underwent enterostomy in 4 tertiary grade A hospitals in Qingdao from January to June 2025 were recruited as the survey participants. The survey was conducted using the general information questionnaire, The Ostomy Skin Tool 2.0, the Ostomy Adjustment Scale, and the questionnaire on the execution intention of self-care behaviors of enterostomy patients. Multivariate ordinal Logistic regression analysis were used to analyze the influencing factors of Peristomal Skin Complications (PSCs). Results: Among 263 patients, there were 112 cases (42.59%) in the no treatment group, 64 cases (24.33%) in the mild PSCs group, 64 cases (24.33%) in the moderate PSCs group, and 23 cases (8.75%) in the severe PSCs group. The results of multivariate ordinal Logistic regression analysis showed that age, BMI, stoma type, stoma replacement frequency, perioperative adjuvant therapy, psychological adaptation level, and execution intention of self-care were the influencing factors of peristomal skin complications (P<0.05). Conclusion: The incidence of peristomal skin complications is high and influenced by multiple factors. Clinically, individualized nursing strategies should be integrated to optimize stoma management. By dynamically assessing the patient's skin condition, risk factors should be identified at an early stage, and precise skin protection plans should be formulated.

Key words: enterostomy; Peristomal Skin Complications; patient-reported outcome; influencing factor