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三种失禁皮肤屏障产品的成本与疗效比较。

A comparison of cost and efficacy of three incontinence skin barrier products.

作者信息

Zehrer Cindy L, Lutz James B, Hedblom Edwin C, Ding Li

机构信息

3M Health Care, 270 4N-01, St. Paul, MN 55144, USA.

出版信息

Ostomy Wound Manage. 2004 Dec;50(12):51-8.

Abstract

Maintaining healthy, intact perineal skin in nursing home residents with incontinence is a challenge. Their condition puts them at risk for developing incontinence dermatitis, possibly predisposing them to develop pressure ulcers. To examine the cost-effectiveness of three perineal skin barriers (a polymer-based barrier film and two petrolatum ointments) used to prevent incontinence dermatitis, a 6-month descriptive study was conducted among residents (N = 250) from four long-term care facilities (nursing homes) in the upper Midwestern US. All residents were incontinent and had intact perineal skin when they enrolled in the study. An economic analysis was performed using time-motion data from a convenience sample of enrolled residents and their caregivers. Residents had an average of 4.1 (+/-2.307) incontinent episodes per day, the occurrence of incontinence dermatitis was 3.3 % and not significantly different between the different protocols of care (P = 0.4448). Results of the economic analysis showed that daily barrier application costs ranged from $0.17 for the barrier film to $0.76 for the ointments evaluated. With labor included in the analysis, costs were also lower for the barrier film that required the least frequent application ($0.26) compared to ointments that required more frequent application ($1.40). Results of this study suggest that the daily or three times weekly barrier film protocols are affordable alternatives to using petrolatum ointments in the prevention of incontinence dermatitis.

摘要

对于养老院中大小便失禁的居民而言,保持会阴皮肤健康完整是一项挑战。他们的状况使他们有患失禁性皮炎的风险,这可能使他们更容易患上压疮。为了检验三种用于预防失禁性皮炎的会阴皮肤屏障(一种基于聚合物的屏障膜和两种凡士林软膏)的成本效益,在美国中西部上游地区的四个长期护理机构(养老院)对250名居民进行了一项为期6个月的描述性研究。所有居民在参加研究时均大小便失禁且会阴皮肤完整。使用来自登记居民及其护理人员的便利样本的时间 - 动作数据进行了经济分析。居民平均每天有4.1(±2.307)次失禁发作,失禁性皮炎的发生率为3.3%,不同护理方案之间无显著差异(P = 0.4448)。经济分析结果表明,每日屏障应用成本从屏障膜的0.17美元到所评估的软膏的0.76美元不等。将劳动力纳入分析后,与需要更频繁应用的软膏(1.40美元)相比,应用频率最低的屏障膜成本也更低(0.26美元)。本研究结果表明,每日或每周三次使用屏障膜方案是预防失禁性皮炎时使用凡士林软膏的经济实惠的替代方案。

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