Lian Yaping
Cambridge University Hospitals NHS Foundation Trust, Cambridge, England.
Nurs Stand. 2016 Jul 20;30(47):59-69. doi: 10.7748/ns.2016.e10298.
This article reviews contemporary primary research studies to establish the evidence supporting the use of barrier products and evaluate practice regarding their use in the acute hospital setting. Six primary research studies investigating the use of barrier products for preventing and managing incontinence-associated dermatitis were reviewed. The aim was to identify the most effective treatments for incontinence-associated dermatitis to enhance the quality of life of patients. The studies identified that there is no significant difference in efficacy between petrolatum, zinc oxide oil and a polymer-based barrier film, and that a polymer-based barrier film is more cost-effective than petrolatum or zinc oxide. However, further robust research studies are required to inform practice. The efficacy and cost-effectiveness of barrier products can be enhanced by providing education in clinical practice on consistent skin care regimens and effective use of barrier products.
本文回顾当代的主要研究，以确立支持使用屏障产品的证据，并评估其在急性医院环境中的使用情况。回顾了六项关于使用屏障产品预防和管理失禁相关性皮炎的主要研究。目的是确定治疗失禁相关性皮炎的最有效方法，以提高患者的生活质量。研究发现，凡士林、氧化锌油和聚合物基屏障膜在疗效上没有显著差异，且聚合物基屏障膜比凡士林或氧化锌更具成本效益。然而，需要进一步开展有力的研究为实践提供依据。通过在临床实践中提供关于一致的皮肤护理方案和屏障产品有效使用的教育，可以提高屏障产品的疗效和成本效益。
