Hunter Susan, Anderson Julie, Hanson Darlene, Thompson Patricia, Langemo Diane, Klug Marilyn G
University of North Dakota, College of Nursing, School of Medicine, Grand Forks 58202-9025, USA.
J Wound Ostomy Continence Nurs. 2003 Sep;30(5):250-8. doi: 10.1067/mjw.2003.149.
Our objective was to assess the effectiveness of skin care protocols, including a body wash and skin protectant, on skin breakdown in 2 nursing homes.
This was a quasi-experimental pretest/posttest design study. Setting and subjects Adult residents (n = 136) of 2 skilled nursing homes consented to participate in this study. Seventy percent were women; the sample average age of 82 years.
A researcher-designed data recording form documented resident demographics, incidence and type of skin breakdown or pressure ulcer, presence of urinary or fecal incontinence, and assessment of the effectiveness of body wash and skin protectant.
Baseline data on prevalence of pressure ulcers and skin protocol were collected weekly for a 3-month period followed by a week-long educational program by the researchers about skin care and the body wash and skin protectant. During the 3-month trial with the body wash and skin protectant incorporated into routine care, research assistants recorded resident data weekly and researchers again assessed prevalence and incidence of pressure ulcers and skin breakdown weekly.
Incorporation of a body wash and skin protectant into a skin care prevention and early intervention protocol in 2 nursing homes documented a decrease in skin breakdowns from 68 pre-intervention to 40 postintervention; the decrease in agency B was statistically significant. There was a statistically significant decrease in stage I and II pressure ulcer incidence overall (pre-intervention = 19.9%, postintervention = 8.1%). Nurses evaluated the body wash and skin protectant as effective for 98% of the time used.
Implementation of a protocol for skin care along with staff education, including the prophylactic use of a body wash and skin protectant, reduced the incidence of skin breakdown, including pressure ulcers and perineal dermatitis, in 2 long-term care facilities.
我们的目的是评估包括沐浴露和皮肤保护剂在内的皮肤护理方案对两家疗养院中皮肤破损情况的有效性。
这是一项准实验性的前测/后测设计研究。地点和研究对象 两家专业疗养院的成年居民（n = 136）同意参与本研究。其中70%为女性；样本平均年龄为82岁。
一份由研究人员设计的数据记录表格记录了居民的人口统计学信息、皮肤破损或压疮的发生率和类型、大小便失禁情况以及对沐浴露和皮肤保护剂有效性的评估。
在为期3个月的时间里，每周收集压疮患病率和皮肤护理方案的基线数据，随后研究人员开展了为期一周的关于皮肤护理以及沐浴露和皮肤保护剂的教育项目。在将沐浴露和皮肤保护剂纳入日常护理的3个月试验期间，研究助理每周记录居民数据，研究人员再次每周评估压疮和皮肤破损的患病率和发生率。
在两家疗养院将沐浴露和皮肤保护剂纳入皮肤护理预防和早期干预方案后，记录显示皮肤破损情况从干预前的68例减少至干预后的40例；机构B的减少具有统计学意义。I期和II期压疮的总体发生率有统计学意义的下降（干预前 = 19.9%，干预后 = 8.1%）。护士评估沐浴露和皮肤保护剂在98%的使用时间里是有效的。
在两家长期护理机构中实施皮肤护理方案并对工作人员进行教育，包括预防性使用沐浴露和皮肤保护剂，降低了皮肤破损的发生率，包括压疮和会阴皮炎。
