Yonezawa Kaori, Haruna Megumi, Kojima Reiji
Department of Midwifery and Women's Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan.
Department of Health Sciences, School of Medicine, University of Yamanashi, Japan.
Asian Pac Isl Nurs J. 2020;4(4):128-134. doi: 10.31372/20190404.1071.
Parents had better to assess their infant's skin daily to prevent the development of any skin problems. However, there are no standard methods for assessing infant skin at home. This study aimed to validate the assessment of infant face skin conditions by parents as compared to using skin barrier function clinical tests. In addition, we evaluated the degree of agreement between parents and physicians/midwives when assessing an infant's skin. A cross-sectional study involving 184 infants aged 3 months was conducted. To evaluate the parents' infant skin assessment, we used the Neonatal Skin Condition Score (NSCS). On the same day, we evaluated the skin barrier function on the infant's forehead and cheek, including transepidermal water loss (TEWL), stratum corneum hydration, skin pH, and sebum secretion. Skin barrier function values were correlated with infant skin condition assessed by parents, especially in cases of TEWL of the cheek, for which a moderate positive correlation was found between parental assessment score (ρ = 0.448). In addition, infant with skin problems based on parental assessment had a significantly higher TEWL, lower SCH, and higher skin pH. However, there was weak agreement between parental and physician/midwife assessment. Thus, there was a relationship between parental assessment and skin barrier function; thus, parents can use at-home assessment to assist with infant skin care. In the future, research focused on developing methods of examining infant skin conditions should consider incorporate parental daily skin assessment.
家长最好每天对婴儿的皮肤进行评估，以预防任何皮肤问题的出现。然而，在家中评估婴儿皮肤并没有标准方法。本研究旨在验证家长对婴儿面部皮肤状况的评估与使用皮肤屏障功能临床测试相比的情况。此外，我们评估了家长与医生/助产士在评估婴儿皮肤时的一致性程度。进行了一项涉及184名3个月大婴儿的横断面研究。为了评估家长对婴儿皮肤的评估，我们使用了新生儿皮肤状况评分（NSCS）。在同一天，我们评估了婴儿前额和脸颊的皮肤屏障功能，包括经表皮水分流失（TEWL）、角质层水合作用、皮肤pH值和皮脂分泌。皮肤屏障功能值与家长评估的婴儿皮肤状况相关，尤其是在脸颊的TEWL情况中，家长评估得分之间发现了中度正相关（ρ = 0.448）。此外，根据家长评估有皮肤问题的婴儿TEWL显著更高，SCH更低，皮肤pH值更高。然而，家长与医生/助产士的评估之间一致性较弱。因此，家长评估与皮肤屏障功能之间存在关系；因此，家长可以使用家庭评估来辅助婴儿皮肤护理。未来，专注于开发检查婴儿皮肤状况方法的研究应考虑纳入家长的日常皮肤评估。
