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DOI: 10.1055/s-0041-1735460
Elaboration and Validation of Flowchart for the Prevention and Treatment of Intestinal Peristomal Skin Complications
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Abstract
Objective To build and validate a flowchart for the prevention and treatment of intestinal peristomal skin complications.
Method For the construction of the algorithms, a systematic review was carried out in health sciences databases comprising the last 10 years. The evaluation of the algorithms was carried out by 38 nurses. For the validation of the algorithms, the Delphi technique was used. The statistical analysis used was the content validity index and the Cronbach alpha coefficient. The questionnaire was sent by e-mail and in person after approval by the Ethics and Research Committee.
Results In the first evaluation of the algorithms, there was no agreement among the experts. However, after making the corrections suggested by the evaluators, the algorithms were resent, with a 100% consensus among the evaluators. The questions used to validate the algorithms contributed favourably to the internal consistency and content validation of the instrument, since the respective Cronbach alpha was 0.9062 and the global content validity index (g-CVI) was 0.91 in the first validation and 1.0 in the second validation.
Conclusion After an integrative literature review, the flowcharts were built and validated by a professional with experience in the area, showing 100% agreement among the experts in the second evaluation.
Publication History
Received: 25 August 2020
Accepted: 15 January 2021
Article published online:
20 September 2021
© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Lenza NFB, Sonobe HM, Buetto LS, Santos MG, Lima MS. O ensino do autocuidado aos pacientes estomizados e seus familiares: uma revisão integrativa. Rev Bras Promoç Saúde 2013; 26 (01) 139-145
- 2 Santos AC, Dutra RAA, Salomé GM, Ferreira LM. Construction and internal reliability of an algorithm for choice cleaning and topical therapy on wounds. J Nurs UFPE online 2018; 12 (05) 680-85
- 3 Instituto Brasileiro de Geografia e Estatística. https://www.ibge.gov.br/calendario-de-divulgacoes-novoportal.html 2010 . [cited June 9 th , 2019].
- 4 Soares CS, Santos I, Berardinelli LMM. Obesity as a social problem: identifying guidance needs of nursing for self-care. Rev Enferm UFPE on line 2010; 4 (01) 18-27 DOI: 10.5205/reuol.520-5592-3-LE.0401201003.
- 5 Salome GM, Almeida SA. Association of sociodemographic and clinical factors with the self-image and self-esteem of individuals with intestinal stoma. J Coloproctol 2014; 4 (03) 159-66
- 6 Salomé GM, Almeida SA, Mendes B, Carvalho MRF. Massahud. Assessment of subjective well-being and quality of life in patients with intestinal stoma. J Coloproctol 2015; 35 (03) 168-174 DOI: 10.1016/j.jcol.2015.03.002.
- 7 Lima JA, Muniz KC, Salomé GM, Ferreira LM. Association of sociodemographic and clinical factors with self-image, self-esteem and locus of health control in patients with an intestinal stoma. J Coloproctol 2018; 38 (01) 56-64 DOI: 10.1016/j.jcol.2017.11.003 .
- 8 Moreira CNO, Marques CB, Salomé GM, Cunha DR, Pinheiro FAM. Health locus of control, spirituality and hope for healing in individuals with intestinal stoma. J Coloproct 2016; 36 (04) 208-215 DOI: 10.1016/j.jcol.2016.04.013 .
- 9 Perissotto S, Breder JSC, Zulian LR, de Oliveira VX, da Silveira NI, Alexandre NMC. Ações de enfermagem para prevenção e tratamento de complicações em estomias intestinais: revisão integrativa. Estima, Braz. J Enterostomal Ther 2019; 17: e0519 DOI: 10.30886/estima.v17.638_PT.
- 10 Russell S. Exercise after ostomy surgery and peristomal hernia: a view from here. J Wound Ostomy Continence Nurs 2019; 46 (03) 215-218 DOI: 10.1097/WON.0000000000000521.
- 11 Nunes MLG, Santos VLCG. Instrumentos de avaliação das complicações da pele periestoma: revisão integrativa. Aquichan 2018; 18 (02) 477-491 DOI: 10.5294/aqui.2018.18.4.9.
- 12 Somayaji R. Delving into skin soft tissue infections (SSTI) part I: an overview of infection. WCET Journal 2016; 36 (02) 29-34 DOI: 10.3316/informit.095716017578970.
- 13 Antonini M, Militello G, Manfredda S, Arena R, Veraldi S. A revised version of the SACS Scale for peristomal skin disorders classification. WCET Journal. 2016; 36 (03) 22-29 DOI: 10.3316/INFORMIT.361794847146066.
- 14 Salomé GM, Carvalho MRF, Massahud Junior MR, Mendes B. Profile of ostomy patients residing in Pouso Alegre city. J Coloproctol 2015; 35 (02) 106-112 DOI: 10.1016/j.jcol.2015.02.002.
- 15 Salomé GM, de Almeida SA, de Jesus Pereira MT. et al. The Impact of Venous Leg Ulcers on Body Image and Self-esteem. Adv Skin Wound Care 2016; 29 (07) 316-321
- 16 Salomé GM, Santos LF, Cabeceira HS, Panza AMM, Paula MAB. Knowledge of undergraduate nursing course teachers on the prevention and care of peristomal skin. J Coloproctol 2014; 34 (04) 224-230 DOI: 10.1016/j.jcol.2014.05.008.
- 17 Carvalho MRF, Salomé GM, Ferreira LM. Construção e validação de algoritmo para tratamento da lesão por pressão. Rev Enferm UFPE on line 2017; 11 (Suppl. 10) 2533-2540
- 18 Cunha DRD, Salomé GM, Massahud MR, Mendes B, Ferreira LM. Development and validation of an algorithm for laser application in wound treatment. Rev Lat Am Enfermagem 2017; 25: e2955
- 19 Cunha JB, Dutra RAA, Salomé GM. Elaboration of an algorithm for wound evaluation and treatment. Estima, Braz J Enterostomal Ther 2018 16: e2018 DOI: 10.30886/estima.v16524.
- 20 van Rijswijk L, Beitz JM. Pressure ulcer prevention algorithm content validation: a mixed-methods, quantitative study. Ostomy Wound Manage 2015; 61 (04) 48-57
- 21 Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins; 2005
- 22 Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health 1997; 20 (03) 269-274
- 23 Cassiani SH, Rodrigues LP. A técnica de Delphi e a técnica de grupo nominal como estratégias de coleta de dados das pesquisas em enfermagem. Acta Paul Enferm 1996; 9 (03) 76-83
- 24 Brandão ES, Santos I, Lanzillotti RS. Validação de um instrumento para avaliação do cliente com afecções cutâneas. Acta Paul Enferm 2013; 26 (05) 460-466 DOI: 10.1590/S0103-21002013000500009.
- 25 Wynd CA, Schmidt B, Schaefer MA. Two quantitative approaches for estimating content validity. West J Nurs Res 2003; 25 (05) 508-518
- 26 Catunda HLO, Bernardo EBR, Vasconcellos CTM, Moura ERF, Pinheiro AKB, Aquino OS. Methodological approach in nursing research for constructing and validating protocols. Texto Contexto Enferm 2017; 26 (02) e00650016 DOI: 10.1590/0104-07072017000650016.
- 27 Pott FS, Ribas JD, Silva OBM. et al. Algoritmo de prevenção e tratamento de úlcera por pressão. Cogitare Enferm. 2013; 18 (02) 23844 DOI: 10.5380/ce.v18i2.26085.
- 28 Galvão EC F, Puschel VA, Galvão ECF, Puschel VAA. A Multimidia application in mobile platform for teaching the measurement of central venous pressure. Rev Esc Enferm USP 2012; 46 (n.spe): 107-15 DOI: 10.1590/s0080-62342012000700016.
- 29 Gonçalves MB, Rabeb SAN, Nogueira PC. Revisão - Terapia tópica para ferida crônica: recomendações para prática baseada em evidências. Estima [Internet] 2015; 12 (01) 42-49 . Available from: https://www.revistaestima.com.br/estima/article/view/337
- 30 Johnson JJ, Paustrian C. Guideline for management of wounds in patients with lower-extremity venous disease [Internet]. Glenview: Wound Ostomy and Continence Nurses Society-WOCN; 2005. . [cited jun 09, 2019]. Available from: http://www.wocn.org/news/67120/Guideline-for-Management-of-Wounds-in-Patients-withLower-Extremity-Venous-Disease—Available-Now.htm
- 31 Mendes B, Salomé GM, Pinheiro FAM, Massahud Júnior MR, da Cunha DM, Ferreira LM. Prevention and treatment of the trench foot: validation of a teaching manual for military personnel. J Wound Care 2018; 27 (Sup10): S33-S38
- 32 Salomé GM, Cunho AL, Pereira AP, Miranda FD, Alves JR. Educational handbook for healthcare professionals: Preventing complications and treating peristomal skin. J Coloproctol 2019; 39 (04) 332-338 DOI: 10.1016/j.jcol.2019.07.005 .