A new APP for prevention and treatment of complications of intestinal peristomal skin

• Published in: Journal of Coloproctology 2020-04, Vol.40 (2), p.120-128
• Main Authors: Cardoso, Imaculada Aparecida, Salomé, Geraldo Magela, Miranda, Flávio Dutra, Alves, José Ronaldo, Leão, João Paulo Pereira, Leão, Alex Sandro, Mendonça, Adriana Rodrigues dos Anjos
• Format: Article
• Language: English
• Subjects: Algorithms; Algoritmos; Aplicativos móveis; Dermatite; Dermatitis; Estomia; GASTROENTEROLOGY & HEPATOLOGY; Mobile apps; Original Article; Ostomy; SURGERY
• ISSN: 2237-9363; 2317-6423; 2317-6423
• DOI: 10.1016/j.jcol.2019.10.011

To develop an application program for prevention and treatment of complications of intestinal peristomal skin. The framework of the application software development were: Phase 1 – “Design, identification of the needs for the application development”: In this phase, the authors identified during their clinical practice that some professionals and caregivers find it difficult to provide care for at-risk ostomized patients or those with some kind of peristomal skin complication; Phase 2 – “Application prototype development”: this phase included the integrative literature review in the main databases; Phase 3 – “Creating the application”: this phase was intended to generate a decision tree algorithms, structure the database, and develop the software; Phase 4 – “Transition”: performing the application functionality testing. The application “Dermatite Periestoma App” has 36 screens and 21 figures describing the procedures for prevention and treatment of complications of intestinal peristomal skin. It is freely available from the Play Store and has been registered with the Instituto Nacional da Propriedade Industrial Ministério do Desenvolvimento, indústria e Comércio Exterior (Brazilian Ministry of Development, Industry and Foreign Trade, National Institute of Industrial Property). This study made it possible to describe the stages of planning and development of the mobile application “Dermatite Periestoma App”. The steps taken indicate that the “Dermatite Periestoma App” has great potential for clinical practice in the evaluation of patients with stomal complications or at risk for developing peristomal skin complications, preventive measures, therapeutic approaches, and for nursing education through the use of technology. Desenvolver um aplicativo para prevenção e tratamento de complicações da pele periestoma intestinal. As fases de desenvolvimento da estrutura do aplicativo foram: Fase 1 ‒ “Concepção, identificação das necessidades do desenvolvimento do aplicativo”: nessa fase os autores identificaram, durante sua prática clínica, que alguns profissionais e cuidadores têm dificuldade em prestar assistência aos ostomizados com risco ou que adquirirem algum tipo de complicação da pele periestoma; Fase 2 ‒ “Elaboração do protótipo do aplicativo”: essa fase contemplou a revisão integrativa da literatura nas principais bases de dados; Fase 3 ‒ “Construção do aplicativo”: essa fase consistiu na elaboração da árvore de decisão dos algoritmos, estruturação do banco