A Methodological Study to Develop A Peristomal Skin Assessment Tool For Patients With Colostomy In Selected Hospital, Ludhiana, Punjab

A Methodological study was conducted to develop a Peristomal skin assessment tool for patients with colostomy in selected hospital, Ludhiana, Punjab. The sub objectives were to select and tool items to assess Peristomal skin for patient with colostomy, to construct a Peristomal skin assessment tool for patients with colostomy, to check the validity of newly devised Peristomal skin assessment tool for patient with colostomy. The tool was developed under three phases. And under each phase some steps had been taken-

During this phase the investigator developed the preliminary Peristomal skin assessment tool for

which the following steps were taken:

Step-1: Review of literature

Step-2: Items selected and pooling

Step-3: Preparation of draft- Selected items which seemed to represent parameters for Peristomal skin assessment was organized.

Step-1: Selection of Panel- There were 10 (ten) experts in all Delphi rounds.

Step-2: Delphi Rounds- The modified Delphi technique was used to validate the draft

Step-3: Modification- As per the expert's opinion the modifications in the tool (PSAT) were made. The final result was formulation of PERISTOMAL SKIN ASSESSMENT TOOL (PSAT).it consisted of 6 parameters such as colour, tissue type, and type of exudate, bleeding, wound edges and hydration. The CVI OF TOOL WAS 0.8.