Perkütan Endoskopik Gastrostomi Tüpü Olan Çocuklarda Üç Farklı Bakım Yönteminin Peristomal Cilt Bütünlüğüne Etkisi
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Pars, H. The Effect of Three Different Care Methods on Peristomal Skin Integrity of the Children with Percutaneous Endoscopic Gastrostomy Tube. Hacettepe University Health Sciences Institute, Pediatric Nursing Program, Doctoral Thesis Dissertation, Ankara, 2016. The purpose of this randomized-controlled study is to assess and compare the effects of three different care methods (hydrogel, soap and water, normal saline) on peristomal skin integrity of the children with PEG tube. The participants were 60 patients with PEG tube in three university hospitals located in Ankara. Throughout one month, the patients were monitored for five times, once in hospital and four times at home. The visits were performed with the help of the gastrostomy care guide which was formed with three different methods. The data were collected using Patient Information Form, Patient Inspection Form, and Peristomal Skin Integrity Observation Form. Results showed that 33,3% of the patients had leakage, 33,3% had rash, 21,7% had granulation tissue, 18,3% had bleeding, and 11,6% had peristomal skin infection. Among these complications observed, a significant relationship was found between leakage, bleeding, hypergranulation tissue, increase in temperature and PEG tube thickness, the hospital where PEG was applied, and the environment where PEG was applied (p<0.05). Moisture in the patients’ stoma area were normal in the normal saline group, moist in the hydrogel group, and dry in the soap and water group (p<0,05). The complications that might affect peristomal skin integrity in the stoma area (rash, leakage, bleeding, hyper granulation tissue) were found at highest rates in the soap and water group and at lowest rates in the hydrogel group. However, these complications indicated no significant differences between the groups (p>0,05). No hydrogel-related side effects developed in the hydrojel group. Acording to the results, glycerin-based hydrogel is recommended for use in the stoma care process with a view to enhancing the peristomal skin integrity.