Abstract: Incidence and Risk Factors for Early Stoma Complications (2016 WOCN Society & CAET Joint Conference)

Hsiao Hui Hsu, Buddhist Tzu Chi General Hospital, Department of Nursing, Hualien City, Taiwan, Mei-Yu Hsu, Buddhist Tzu Chi General Hospital, Department of Nursing Buddhist Tzu Chi General Hospital, Hualien, Taiwan and Shu-Shang Chang, Buddhist Tzu Chi General Hospital & Associate Professor, Department of Nursing, Tzu Chi University, Department of Nursing, Hualien City, Taiwan

Purpose: The purpose of this study was to determine the incidence and risk factors of early stoma complications in the postoperative period.

Methods:This was a prospective study conducted at medical center, between January 2014 and September 2015. The data collected including patient demographics, stoma characteristics, and relevant risk factors. The stomal and peristomal complications were assessed each day during and up to 1 month after surgery by wound ostomy and continence nurses.

Results: A total of 146 participants were enrolled, most were men (68.5%). The mean age of participants was 63.5 years (SD±14.7). The incidence of early stoma complications was 53.4% , and 39% occurred within one month postopration. Peristomal skin problems was the most common complication. The risk factors for early stoma complication showed statistical significance included laparoscopic surgery (P< .016),cancer (P< .031), emergemcy operation (P= .00) and stoma site (P= .00). The analysis of logistic regression proved that emergemcy operation(OR=4.93；P= .00) and stoma site (OR=3.24；P=.39) were effective in predicting the incidence of early stoma complication.

Conclusion: The research demonstrated that the postoperative stoma complication promptly occur in the highest rate . The stoma complication is also related to the surgery factors.

RS16-024 Incidence and Risk Factors for Early Stoma Complications