Corcoran Eleanor, Woodward Sue
Florence Nightingale School of Nursing and Midwifery, King's College, London, UK.
Br J Nurs. 2013;22(8):450, 452, 454-7. doi: 10.12968/bjon.2013.22.8.450.
Incontinence-associated dermatitis (IAD) is a common problem in older people. However, it is frequently misdiagnosed and poorly treated. There is often uncertainty about which product to use to prevent and treat IAD; the different types, brands and how to apply them. This literature review looks specifically at the use of barrier products in the prevention and treatment of IAD. A systematic search found six primary research papers that analysed the effectiveness of various barrier products; they will be compared and contrasted in this review. There is a lack of evidence to recommend any one barrier product over another for use in a standardised skin care protocol such as the regimen suggested by Gray et al (2012). More research needs to be conducted to establish the most effective barrier products on the market. More research is also needed on the efficacy of barrier products in the prevention and treatment solely of IAD rather than combined studies looking at IAD with pressure ulcers.
失禁相关性皮炎（IAD）是老年人中的常见问题。然而，它常常被误诊且治疗不当。对于使用何种产品预防和治疗IAD，包括不同类型、品牌以及如何使用，常常存在不确定性。本综述专门探讨屏障产品在IAD预防和治疗中的应用。系统检索发现了六篇分析各种屏障产品有效性的主要研究论文；本综述将对它们进行比较和对比。缺乏证据支持在标准化皮肤护理方案（如Gray等人（2012年）建议的方案）中推荐使用某一种屏障产品而非另一种。需要开展更多研究以确定市场上最有效的屏障产品。还需要更多关于屏障产品单独预防和治疗IAD的疗效研究，而非将IAD与压疮合并研究。
