Incidence of Moisture-Associated Skin Damage (MASD) Around Enterostomy, Risk Factors, and Preventive Measures

doi:10.3969/j.issn.1674-3245.2025.01.039

Abstract：Objective To investigate the incidence of moisture-associated skin damage (MASD) around enterostomy in patients with intestinal stoma, analyze related risk factors, and implement targeted preventive measures based on these risk factors. Methods A retrospective study was conducted on 269 patients who underwent intestinal stoma surgery at Chongming Hospital, Shanghai University of Health Sciences, from March 2020 to March 2023. Patients were divided into MASD group (97 cases) and non-MASD group (172 cases) according to whether they developed MASD. Medical records of all patients were collected, and logistic regression analysis was used to identify risk factors for MASD in patients with intestinal stoma. Results Among the 269 patients with intestinal stoma, 97 developed MASD, with an incidence rate of 36.06%. Univariate analysis showed statistically significant differences between the MASD group and the non-MASD group in terms of stoma type, stoma height, stoma location in the rectus abdominis muscle, integrity of the stoma base during removal, surgical wound at the stoma site, skin folds around the stoma, change of caregivers, stoma bag replacement cycle, and other stoma complications (χ²=4.724, 14.630, 8.679, 28.709, 6.521, 19.049, 21.798, 19.677, 6.454, P<0.05). Multivariate logistic regression analysis indicated that stoma type (ileostomy), stoma height <1 cm or >2 cm, change of caregivers, stoma bag replacement cycle <3 days or >4 days, and coexistence of other stoma complications were independent risk factors for MASD in patients with intestinal stoma (P<0.05). Conclusion The incidence of MASD around the stoma in patients with intestinal stoma is relatively high. Stoma type (ileostomy), stoma height <1 cm or >2 cm, change of caregivers, stoma bag replacement cycle <3 days or >4 days, and coexistence of other stoma complications are independent risk factors for MASD in patients with intestinal stoma. Clinical attention should be paid to the stoma care of patients with these risk factors.