Mitchell Aby, Hill Barry
Senior Lecturer, University of West London.
Director of Employability, Nursing, Midwifery and Health; Programme Leader, Adult Nursing, Northumbria University.
Br J Community Nurs. 2020 Mar 1;25(3):S12-S18. doi: 10.12968/bjcn.2020.25.Sup3.S12.
This educational article introduces an explores moisture-associated skin damage (MASD) and the four forms it manifests as, namely, incontinence-associated dermatitis; intertriginous dermatitis; peristomal moisture-associated dermatitis; and peri-wound moisture-associated dermatitis. The aetiology and predisposing factors of each form are critically discussed, in addition to the treatments and interventions that can be used by nurses to support patient recovery. Nurses and other health professionals working with patients who are at risk of skin damage or who already require wound care, must be knowledgeable about all aspects of MASD. Fortunately, a plethora of evidence-based literature exists to support health professionals in their practice, although validated assessment and recording tools for incontinence-associated dermatitis are limited.
这篇教育性文章介绍并探讨了与水分相关的皮肤损伤（MASD）及其表现出的四种形式，即失禁性皮炎；擦烂性皮炎；造口周围与水分相关的皮炎；以及伤口周围与水分相关的皮炎。除了护士可用于支持患者康复的治疗方法和干预措施外，还对每种形式的病因和诱发因素进行了批判性讨论。与有皮肤损伤风险或已经需要伤口护理的患者打交道的护士和其他卫生专业人员，必须了解MASD的各个方面。幸运的是，有大量基于证据的文献来支持卫生专业人员的实践，尽管用于失禁性皮炎的经过验证的评估和记录工具有限。
