Sibbald R Gary, Campbell Karen, Coutts Patricia, Queen Douglas
Department of Medicine, University of Toronto.
Ostomy Wound Manage. 2003 Jun;49(6):27-8, 30, 33 passim, contd.
Maintaining skin integrity can be challenging but it is vital to overall health, particularly in elderly patients. In this population, skin integrity is frequently compromised as a result of under- or over-hydration, which may cause serious complications. Plans of care must include preventive efforts such as the use of barriers and protectants including zinc oxide preparations, petrolatum- and silicone-based ointments and creams, liquid-forming products, adhesive dressings, fluid managers, skin cleansers, and moisturizers. A team approach that includes the patient, caregivers, and healthcare professionals is needed to address patient concerns regarding independence/dependence, utilization of support systems and services, pain, and control of body fluids. The healthcare provider's role in this team should emphasize continuity of care, patient satisfaction, and product selection - all vital to protecting skin integrity.
保持皮肤完整性具有挑战性，但对整体健康至关重要，尤其是在老年患者中。在这一人群中，皮肤完整性经常因水分摄入不足或过多而受损，这可能会导致严重并发症。护理计划必须包括预防措施，如使用屏障和保护剂，包括氧化锌制剂、凡士林和硅酮基软膏及乳膏、液体成型产品、粘性敷料、液体管理产品、皮肤清洁剂和保湿剂。需要一种包括患者、护理人员和医疗保健专业人员的团队方法来解决患者在独立/依赖、支持系统和服务的利用、疼痛以及体液控制方面的问题。医疗保健提供者在这个团队中的作用应强调护理的连续性、患者满意度和产品选择——所有这些对保护皮肤完整性都至关重要。
