Validity and Reliability of Peristomal Skin Assessment Instruments: Integrative Review

Authors

  • Alimuddin Ali Universitas Hasanuddin
  • Syahrul Syahrul Universitas Hasanuddin
  • Yuliana Syam Universitas Hasanuddin
  • Sintawati Majid Universitas Megarezky
  • Syaiful Syaiful Universitas Megarezky

Keywords:

peristomal skin, reliability, instrument, validity

Abstract

The incidence of early complications such as skin irritation, erosion, and peristomal ulceration is reported to be quite high. It is important to assess the peristomal skin in order to prevent complications. Valid and reliable instruments are needed to collect assessment data. This integrative review aims to summarize and identify the current literature related to valid and reliable peristomal assessment instruments. An integrative review was carried out using published literature during the search period March 9, 2007-9 March 2022. Database using PubMed, Science Direct, EBSCO, ProQuest, Cochrane Library, and Wiley Online Library. Study selection (both on title/abstract screening and full-text screening) was carried out by two independently experienced reviewers. disagreements were resolved by the decision of the third reviewer. A total of 7 peristomal skin assessment instruments were found from 10 articles passed as the main study. Among the peristomal skin assessment instruments that have good value and process validation and reliability are Ostomi Skin Tools  dan Studio Alterazioni Cutanee Stomali. Peristomal skin assessment as an effort to prevent early stoma complications can be carried out by conducting an assessment using a valid and reliable measuring instrument, and practically easy to introduce.

References

Ahmad, Z., Sharma, A., Saxena, P., Choudhary, A., & Ahmed, M. (2013). A clinical study of intestinal stomas: its indications and complications. International Journal of Research in Medical Sciences, 1(4), 536. https://doi.org/10.5455/2320-6012.ijrms20131140

Ahmed, I., & Ishtiaq, S. (2021). Reliability and validity: Importance in Medical Research. Journal of the Pakistan Medical Association, 71(10), 2401–2406. https://doi.org/10.47391/JPMA.06-861

Ambe, P. C., Kurz, N. R., Nitschke, C., Odeh, S. F., Mslein, G., & Zirngibl, H. (2018). Intestinal Ostomy Classification, Indications, Ostomy Care and Complication Management. Deutsches Arzteblatt International, 115(11), 182–187.https://doi.org/10.3238/arztebl.2018.0182

Andersen, N. K., Trøjgaard, P., Herschend, N. O., & Størling, Z. M. (2020). Automated Assessment of Peristomal Skin Discoloration and Leakage Area Using Artificial Intelligence. Frontiers in Artificial Intelligence, 3(September), 1–8. https://doi.org/10.3389/frai.2020.00072

Antonini, M., Militello, G., Manfredda, S., Arena, R., Veraldi, S., & Gasperini, S. (2016). A revised version of the original SACS scale for peristomal skin disorders classification. World Council of Enterostomal Therapists Journal, 36(3), 22.

Aromataris E; Munn Z. (2020). JBI Manual for Evidence Synthesis. In JBI Manual for Evidence Synthesis (Issue July). https://doi.org/10.46658/jbimes-20-01

Ay, A., & Bulut, H. (2015). Assessing the Validity and Reliability of the Peristomal Skin Lesion Assessment Instrument Adapted for Use in Turkey. Ostomy Wound Management, 61(8), 26–34.PMID : 26291898

Ayre, C., & Scally, A. J. (2014). Critical values for Lawshe’s content validity ratio: Revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development, 47(1), 79–86. https://doi.org/10.1177/0748175613513808

Baranoski, S., & Ayello, E. A. (2016). Wound Care Essentials Practice Principles (Fourth Edi). Wolters Kluwer Health/Lippincott Williams & Wilkins.

Beitz, J., Gerlach, M., Ginsburg, P., Ho, M., McCann, E., Schafer, V., Scott, V., Stallings, B., & Turnbull, G. (2010). Content validation of a standardized algorithm for ostomy care. Ostomy Wound Management, 56(10), 22–38. PMID: 21030726

Beitz, J. M., & Colwell, J. C. (2014). Stomal and peristomal complications: Prioritizing management approaches in adults. Journal of Wound, Ostomy and Continence Nursing, 41(5), 444–454. https://doi.org/10.1097/WON.0000000000000052

Bosio, G., Giov, Pisani, F., Lucibello, L., Fonti, A., Scrocca, A., Morandell, C., Anselmi, L., Militello, G., Mastronica, D., & Gasperini, S. (2007). Proposal for Classifying Peristomal Skin Disorders : Results of a Multicenter. Ostomy Wound Management, 53(9), 38–43. PMID: 17893429.

Brennan, P., & Stead, W. (2004). Assessing data quality. J Am Med Inform Assoc, 106–108.

Burch, J. (2010). Caring for peristomal skin: What every nurse should know. British Journal of Nursing, 19(3), 166–172. https://doi.org/10.12968/bjon.2010.19.3.46538

Colwell, J. C., Bain, K. A., Hansen, A. S., Droste, W., Vendelbo, G., & James-Reid, S. (2019). International Consensus Results: Development of Practice Guidelines for Assessment of Peristomal Body and Stoma Profiles, Patient Engagement, and Patient Follow-up. Journal of Wound, Ostomy and Continence Nursing, 46(6), 497–504. https://doi.org/10.1097/WON.0000000000000599

Fellows, J., Voegeli, D., Håkan-Bloch, J., Herschend, N. O., & Størling, Z. (2021). Multinational survey on living with an ostomy: Prevalence and impact of peristomal skin complications. British Journal of Nursing, 30(16), S22–S30. https://doi.org/10.12968/bjon.2021.30.16.S22

Harputlu, D., & Özsoy, S. A. (2018). A Prospective, Experimental Study to Assess the Effectiveness of Home Care Nursing on the Healing of Peristomal Skin Complications and Quality of Life. Ostomy Wound Management, 64(10), 18–30. https://doi.org/10.25270/owm.2018.10.1830

Harputlu, D., Ph, D., Özsoy, S. A., & Ph, D. (2017). Turkish Reliability and Validity of The Ostomy Skin Tool. Journal of Nursing & Healthcare, 2(4), 1–5. https://doi.org/10.33140/jnh/02/04/00004

Haugen, V., & Ratliff, C. R. (2013). Tools for assessing peristomal skin complications. Journal of Wound, Ostomy and Continence Nursing, 40(2), 131–134. https://doi.org/10.1097/WON.0b013e31828001a7

Hellman, J., & Lago, C. P. (1990). Dermatologic Complications in Colostomy and Ileostomy Patients. International Journal of Dermatology, 29(2), 129–133. https://doi.org/10.1111/j.1365-4362.1990.tb04085.x

Hopia, H., Latvala, E., & Liimatainen, L. (2016). Reviewing the methodology of an integrative review. In Scandinavian Journal of Caring Sciences (Vol. 30, Issue 4, pp. 662–669). https://doi.org/10.1111/scs.12327

Iizaka, S., Asada, M., Koyanagi, H., Sasaki, S., Naito, A., Konya, C., & Sanada, H. (2014). The reliability and validity of color indicators using digital image analysis of peristomal skin photographs: Results of a preliminary prospective clinical study. Ostomy Wound Management, 60(3), 12–29. PMID: 24610557.

Invernizzi Silveira, N., & Boghossiam Lanza, L. (2019). Cross-cultural adaptation, content validity index, and interobserver reliability of The SACSTM Instrument: Assessing and classifying peristomal skin lesion. ESTIMA, Brazilian Journal of Enterostomal Therapy, 1–8. https://doi.org/10.30886/estima.v17.768_in

Jemec, G. B., Martins, L., Claessens, I., Ayello, E. A., Hansen, A. S., Poulsen, L. H., & Sibbald, R. G. (2011). Assessing peristomal skin changes in ostomy patients: Validation of the Ostomy Skin Tool. British Journal of Dermatology, 164(2), 330–335. https://doi.org/10.1111/j.1365-2133.2010.10093.x

Jones, M. L. (2016). Fundamentals of peristomal skin care. Wound Essentials, 11(1), 51–54.

Jordan Rosalyn, Marci Christian, B., & A. (2013). Understanding peristomal skin complications. Wound Care Advisor, 2(3), 36–41. www.WoundCareAdvisor.com

Kelly, S. (2019). Peristomal skin damage: assessment, prevention and treatment. British Journal of Nursing, 28(5), 412–469. https://doi.org/10.1093/acprof:oso/9780199981199.003.0009

List, B. S., Bork, M., Duran, D. M., & Salvadalena, G. D. (2016). Convex pouching systems: Best practice for clinicians. In Wound, Ostomy and Continence Nurses Society.

Malik, T. A. M., Lee, M. J., & Harikrishnan, A. B. (2018). The incidence of stoma related morbidity - A systematic review of randomised controlled trials. Annals of the Royal College of Surgeons of England, 100(7), 501–508. https://doi.org/10.1308/rcsann.2018.0126

Martins, L., Ayello, E. A., Claessens, I., Hansen, A. S., Poulsen, H., Sibbald, R. G., & Jemec, G. B. (2010). The Ostomy Skin Tool: tracking Peristomal Skin Changes. British Journal of Nursing, 19(15), 111–114. https://doi.org/https://doi.org/10.12968/bjon.2010.19.15.77691

Martins, L., Ayello, E. A., Claessens, I., Steen, A., Poulsen, L. H., Sibbald, R. G., & Jemec, G. B. (2010). The Ostomy Skin Tool: Tracking peristomal skin changes. British Journal of Nursing, 19(15), 960–964. https://doi.org/10.12968/bjon.2010.19.15.77691

Martins, L., Down, G., Andersen, B. D., Nielsen, L. F., Hansen, A. S., Herschend, N. O., & Størling, Z. (2022a). The Ostomy Skin Tool 2.0: a new instrument for assessing peristomal skin changes. 31(8). https://doi.org/https://doi.org/10.12968/bjon.2022.31.8.442

Martins, L., Down, G., Andersen, B. D., Nielsen, L. F., Hansen, A. S., Herschend, N. O., & Størling, Z. (2022b). The Ostomy Skin Tool 2.0: A new instrument for assessing peristomal skin changes. British Journal of Nursing, 31(8), 442–450. https://doi.org/10.12968/bjon.2022.31.8.442

Menin, G., Roveron, G., Barbierato, M., Peghetti, A., & Zanotti, R. (2019). Design and validation of a “Peristomal Lesion Scale” for peristomal skin assessment. International Wound Journal, 16(2), 433–441. https://doi.org/10.1111/iwj.13052

Nunes, M. L. G., & Santos, V. L. C. de G. (2018). Tools for peristomal skin complications assessment: Integrative review. Aquichan, 18(4), 477–491. https://doi.org/10.5294/aqui.2018.18.4.9

O’Flynn, S. K. (2016). Protecting peristomal skin: a guide to conditions and treatments. Gastrointestinal Nursing, 14(7), 14–19. https://doi.org/10.12968/ bjcn.2018.23.8.382

Salvadalena, G., McNichol, L., Droste, W., & Gray, M. (2016). Use of Convexity in Ostomy Care : Results of an International Consensus Use of Convexity in Ostomy Care Results of an International Consensus Meeting. January 2018. https://doi.org/10.1097/WON.0000000000000291

Shabbir, J., & Britton, D. C. (2010). Stoma complications: a literature overview. Colorectal Disease, 12(10), 958–964. https://doi.org/10.1111/j.1463-1318.2009.02006.x

Shiraishi, T., Nishizawa, Y., Nakajima, M., Kado, R., Ikeda, K., Tsukada, Y., Sasaki, T., & Ito, M. (2020). Risk factors for the incidence and severity of peristomal skin disorders defined using two scoring systems. Surgery Today, 50(3), 284–291. https://doi.org/10.1007/s00595-019-01876-9

Soares, C. B., Hoga, L. A. K., Peduzzi, M., Sangaleti, C., Yonekura, T., & Silva, D. R. A. D. (2014). Integrative review: Concepts and methods used in nursing. Revista Da Escola de Enfermagem, 48(2), 335–345. https://doi.org/10.1590/S0080-6234201400002000020

Souza, A. C. de, Alexandre, N. M. C., & Guirardello, E. de B. (2017). Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiologia e Servicos de Saude : Revista Do Sistema Unico de Saude Do Brasil, 26(3), 649–659. https://doi.org/10.5123/S1679-49742017000300022

Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/s1679-45082010rw1134

Taherdoost, H. (2016). Validity and Reliability of the Research Instrument ; How to Test the Validation of a Questionnaire / Survey in a Research Hamed Taherdoost To cite this version : HAL Id : hal-02546799 Validity and Reliability of the Research Instrument ; How to Test the. International Journal of Academic Research in Management, 5(3), 28–36.

Torraco, R. J. (2016). Writing Integrative Reviews of the Literature. International Journal of Adult Vocational Education and Technology, 7(3), 62–70. https://doi.org/10.4018/ijavet.2016070106

Uzun Arslantaş, A., Karahan, E., & Büyükuysal, M. Ç. (2020). Validity and Reliability of the Turkish Version of Pittman Ostomy Complication Severity Index. Turkish Journal of Colorectal Disease, 30(1), 27–36. https://doi.org/10.4274/tjcd.galenos.2019.2019-9-5

Whittemore, R., & Kathleen Knaf. (2005). The integrative review: updated methodology. Journal OfAdvanced Nursing, 52(2), 546–553. https://doi.org/10.1016/j.pmn.2007.11.006

Wise, W. (2019). Stoma and Peristomal Skin Care : A Clinical Review. AJN, 119(6).

Wound Ostomy and Continence Nurses Society. (2014). Stoma Complications: Best Practice for Clinicians. Mt. Laurel: NJ. Author.

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Published

12/10/2022

How to Cite

Ali, A., Syahrul, S., Syam, Y., Majid, S., & Syaiful, S. (2022). Validity and Reliability of Peristomal Skin Assessment Instruments: Integrative Review. Jurnal Keperawatan, 14(4), 965–974. Retrieved from https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/601