Campbell Jill L, Coyer Fiona M, Osborne Sonya R
Skin Integrity Service, Royal Brisbane and Women's Hospital, Brisbane, Australia.
School of Nursing, Queensland University of Technology, Brisbane, Australia.
Int Wound J. 2016 Jun;13(3):403-11. doi: 10.1111/iwj.12322. Epub 2014 Jun 26.
The purpose of this cross-sectional study was to identify the prevalence of incontinence and incontinence-associated dermatitis (IAD) in Australian acute care patients and to describe the products worn to manage incontinence, and those provided at the bedside for perineal skin care. Data on 376 inpatients were collected over 2 days at a major Australian teaching hospital. The mean age of the sample group was 62 years and 52% of the patients were male. The prevalence rate of incontinence was 24% (91/376). Urinary incontinence was significantly more prevalent in females (10%) than males (6%) (χ(2) = 4·458, df = 1, P = 0·035). IAD occurred in 10% (38/376) of the sample group, with 42% (38/91) of incontinent patients having IAD. Semi-formed and liquid stool were associated with IAD (χ(2) = 5·520, df = 1, P = 0·027). Clinical indication of fungal infection was present in 32% (12/38) of patients with IAD. Absorbent disposable briefs were the most common incontinence aids used (80%, 70/91), with soap/water and disposable washcloths being the clean-up products most commonly available (60%, 55/91) at the bedside. Further data are needed to validate this high prevalence. Studies that address prevention of IAD and the effectiveness of management strategies are also needed.
这项横断面研究的目的是确定澳大利亚急性护理患者中尿失禁及失禁相关性皮炎（IAD）的患病率，并描述用于管理尿失禁的穿着用品以及床边提供的会阴皮肤护理用品。在澳大利亚一家大型教学医院，于两天内收集了376名住院患者的数据。样本组的平均年龄为62岁，52%的患者为男性。尿失禁的患病率为24%（91/376）。女性尿失禁的患病率（10%）显著高于男性（6%）（χ² = 4.458，自由度 = 1，P = 0.035）。样本组中有10%（38/376）发生了IAD，在失禁患者中有42%（38/91）患有IAD。半成形和液态粪便与IAD相关（χ² = 5.520，自由度 = 1，P = 0.027）。IAD患者中有32%（12/38）存在真菌感染的临床指征。吸收性一次性内裤是最常用的尿失禁辅助用品（80%，70/91），肥皂/水和一次性洗脸巾是床边最常见的清洁用品（60%，55/91）。需要进一步的数据来验证这一高患病率。还需要开展针对IAD预防及管理策略有效性的研究。
