Clinical and Sociodemographic Factors Associated With Peristomal Skin Complications in Patients With Ostomies: A Cross‐Sectional Study
8 affiliations
- 1University of Jaén Jaén Spain
- 2Department of Nursing University of Jaén Jaén Spain
- 3Department of Nursing University of Granada Granada Spain
- 4Regional University Hospital Málaga Spain
- 5Virgen de las Nieves University Hospital Granada Spain
- 6San Cecilio University Hospital Granada Spain
- 7Jaén University Hospital Jaén Spain
- 8Reina Sofía University Hospital Córdoba Spain
Abstract
Aim: To analyse the prevalence of peristomal skin complications and identify clinical and sociodemographic factors associated with their occurrence in patients with ostomies.
Design: Descriptive cross‐sectional study conducted in 17 Spanish hospitals. Data were collected by 24 stoma care nurse specialists using a questionnaire based on Functional Health Patterns and the Ostomy Skin Tool. Bivariate and multivariate analyses were performed.
Results: Among 312 adult patients, 52.2% had non‐intact peristomal skin. Skin condition was associated with ostomy type, stool consistency, stoma characteristics, appliance characteristics, protective barriers, symptoms, autonomy in stoma care, and frequency of appliance changes. Ileostomy was associated with greater peristomal skin impairment. In the multivariate binary logistic regression analysis (n = 262), the overall model was statistically significant (χ 2(7) = 43.748, p < 0.001) and explained 20.5% of the variance in intact peristomal skin (Nagelkerke R 2 = 0.205). Stoma characteristics (OR = 1.673, 95% CI [1.154, 2.425], p = 0.007) and ostomy type (OR = 2.199, 95% CI [1.065, 4.537], p = 0.033) were independently associated with intact peristomal skin.
Conclusion: Peristomal skin complications were common and were associated with multiple clinical and self‐management factors. Structured assessment integrating functional status, symptoms, skin condition, and appliance management may help nurses identify patients requiring individualized support and follow‐up.
Implications for the Profession and/or Patient Care: Nursing assessment should integrate peristomal skin monitoring with education, self‐care support, appliance fitting and management, leakage prevention, and individualized skin care. Particular attention is warranted for patients with ileostomies, reduced autonomy, flush or retracted stomas, and frequent appliance changes.
Impact: The study addressed the frequent occurrence of peristomal skin complications. Findings identify patient‐ and care‐related characteristics that can inform nursing assessment and individualized education. The research may support risk‐stratified follow‐up and continuity of ostomy care by specialist nurses.
Reporting Method: The study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology guidelines.
Patient or Public Contribution: Patients contributed data to this study but were not involved in its design, analysis, or reporting.
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BibTeX
@article{cuevassanchez2026clinical,
title = {{Clinical and Sociodemographic Factors Associated With Peristomal Skin Complications in Patients With Ostomies: A Cross‐Sectional Study}},
author = {Claudia Cuevas‐Sánchez and Carmen Álvarez‐Nieto and César Hueso‐Montoro and Francisco Pedro García‐Fernández and Concepción Capilla‐Díaz and Ana Carmen Montesinos‐Gálvez and Noelia Moya‐Muñoz and María José Sánchez‐Juárez and María López‐Nogues‐Gutiérrez and Isabel Jiménez‐López and María Carmen Rivas‐Molina and Isabel María López‐Medina},
journal = {Nursing Open},
year = {2026},
month = oct,
doi = {10.1002/nop2.70986},
url = {https://doi.org/10.1002/nop2.70986},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Clinical and Sociodemographic Factors Associated With Peristomal Skin Complications in Patients With Ostomies: A Cross‐Sectional Study
AU - Claudia Cuevas‐Sánchez
AU - Carmen Álvarez‐Nieto
AU - César Hueso‐Montoro
AU - Francisco Pedro García‐Fernández
AU - Concepción Capilla‐Díaz
AU - Ana Carmen Montesinos‐Gálvez
AU - Noelia Moya‐Muñoz
AU - María José Sánchez‐Juárez
AU - María López‐Nogues‐Gutiérrez
AU - Isabel Jiménez‐López
AU - María Carmen Rivas‐Molina
AU - Isabel María López‐Medina
PY - 2026
DA - 2026/10/26
JO - Nursing Open
DO - 10.1002/nop2.70986
UR - https://doi.org/10.1002/nop2.70986
AB - Aim: To analyse the prevalence of peristomal skin complications and identify clinical and sociodemographic factors associated with their occurrence in patients with ostomies. Design: Descriptive cross‐sectional study conducted in 17 Spanish hospitals. Data were collected by 24 stoma care nurse specialists using a questionnaire based on Functional Health Patterns and the Ostomy Skin Tool. Bivariate and multivariate analyses were performed. Results: Among 312 adult patients, 52.2% had non‐intact peristomal skin. Skin condition was associated with ostomy type, stool consistency, stoma characteristics, appliance characteristics, protective barriers, symptoms, autonomy in stoma care, and frequency of appliance changes. Ileostomy was associated with greater peristomal skin impairment. In the multivariate binary logistic regression analysis (n = 262), the overall model was statistically significant (χ 2(7) = 43.748, p < 0.001) and explained 20.5% of the variance in intact peristomal skin (Nagelkerke R 2 = 0.205). Stoma characteristics (OR = 1.673, 95% CI [1.154, 2.425], p = 0.007) and ostomy type (OR = 2.199, 95% CI [1.065, 4.537], p = 0.033) were independently associated with intact peristomal skin. Conclusion: Peristomal skin complications were common and were associated with multiple clinical and self‐management factors. Structured assessment integrating functional status, symptoms, skin condition, and appliance management may help nurses identify patients requiring individualized support and follow‐up. Implications for the Profession and/or Patient Care: Nursing assessment should integrate peristomal skin monitoring with education, self‐care support, appliance fitting and management, leakage prevention, and individualized skin care. Particular attention is warranted for patients with ileostomies, reduced autonomy, flush or retracted stomas, and frequent appliance changes. Impact: The study addressed the frequent occurrence of peristomal skin complications. Findings identify patient‐ and care‐related characteristics that can inform nursing assessment and individualized education. The research may support risk‐stratified follow‐up and continuity of ostomy care by specialist nurses. Reporting Method: The study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Patient or Public Contribution: Patients contributed data to this study but were not involved in its design, analysis, or reporting.
SN - 2054-1058
ER -