老年护理院居民间擦疹的患病率及相关因素：一项多中心横断面患病率研究。
Prevalence and associated factors of intertrigo in aged nursing home residents: a multi-center cross-sectional prevalence study.
机构信息
Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
出版信息
BMC Geriatr. 2019 Apr 15;19(1):105. doi: 10.1186/s12877-019-1100-8.
BACKGROUND
In geriatric and long-term care settings, intertrigo seems to be common, but generalizable epidemiological estimates are lacking. Aim of this study was to measure the prevalence of intertrigo in aged nursing home residents and to identify possible relationships with demographic and health characteristics.
METHODS
A cross-sectional prevalence study was conducted between September 2014 and May 2015 in a random sample of ten institutional long-term care facilities in Berlin, Germany. In total 223, aged long-term care residents were included. Mean age was 83.6 (SD 8.0) years and mean Barthel score was 45.1 (SD 23.8). Board certified dermatologists and study assistants performed skin assessments and measurements according to standard operating procedures. Mean differences and odds ratios between residents with and without intertrigo were calculated.
RESULTS
The prevalence of intertrigo was 16.1% (95% CI 11.6 to 21.2%). The submammary fold was most often affected (9.9%), followed by the inguinal region (9.4%), axilla (0.5%) and abdominal region (0.5%). Increased age was statistically significantly associated with the presence of intertrigo (OR 1.05; 95% CI 1.00 to 1.10). Care dependency in bathing activities was associated with intertrigo. Obesity, sex and skin functional parameters were not associated with intertrigo.
CONCLUSIONS
Every sixth nursing home resident was affected by intertrigo indicating the high load of this skin condition in this population. Older age seems to be associated with intertrigo. Care dependency in bathing activities was likely to be associated with intertrigo. Structured skin care regimens are needed to prevent and treat intertrigo in this population.
TRIAL REGISTRATION
This study is registered at https://clinicaltrials.gov/ct2/show/NCT02216526 . Registration date: 8th November 2014.
背景
在老年和长期护理机构中，间擦疹似乎很常见，但缺乏可推广的流行病学估计。本研究的目的是测量老年养老院居民间擦疹的患病率，并确定与人口统计学和健康特征的可能关系。
方法
2014 年 9 月至 2015 年 5 月，在德国柏林的 10 家机构长期护理设施中进行了一项横断面患病率研究。共纳入 223 名年龄较大的长期护理居民。平均年龄为 83.6（8.0）岁，平均巴氏量表评分为 45.1（23.8）分。经过认证的皮肤科医生和研究助理按照标准操作程序进行皮肤评估和测量。计算了有间擦疹和无间擦疹居民之间的平均差异和优势比。
结果
间擦疹的患病率为 16.1%（95%可信区间 11.6 至 21.2%）。最常受累的部位是乳房下褶皱（9.9%），其次是腹股沟（9.4%）、腋窝（0.5%）和腹部（0.5%）。年龄增长与间擦疹的发生呈统计学显著相关（优势比 1.05；95%可信区间 1.00 至 1.10）。洗澡活动的护理依赖与间擦疹有关。肥胖、性别和皮肤功能参数与间擦疹无关。
结论
每 6 名养老院居民中就有 1 人患有间擦疹，表明该人群中这种皮肤状况的负担很高。年龄较大似乎与间擦疹有关。洗澡活动的护理依赖可能与间擦疹有关。需要制定结构化的皮肤护理方案来预防和治疗该人群的间擦疹。
试验注册
本研究在 https://clinicaltrials.gov/ct2/show/NCT02216526 注册。注册日期：2014 年 11 月 8 日。
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