At the Medical University of Graz, Institute of Nursing Science, in Styria, Austria, Manuela Hoedl, MD, and Doris Eglseer, MD, are Nurse Researchers. The authors have disclosed no financial relationships related to this article. Submitted January 13, 2020; accepted in revised form February 19, 2020; published ahead of print December 4, 2020.
Adv Skin Wound Care. 2021 Feb 1;34(2):103-108. doi: 10.1097/01.ASW.0000722752.86631.af.
To investigate which characteristics of fecal incontinence (FI) are predictors for incontinence-associated dermatitis (IAD) using the Classification and Regression Tree method.
Data collected from 2014 to 2016 during the Austrian Nursing Quality Measurement 2.0, an annually conducted, cross-sectional, multicenter prevalence study, were merged and analyzed.
The duration, frequency, and amount of FI were used as predictors for IAD. Nurses were asked if the participants suffered from IAD based on their clinical judgment (yes/no).
In total, 1,513 participants with FI were included in this analysis. More than 75% of the participants with FI were to a great extent or completely care dependent. Of all FI participants, nearly 6% suffered from IAD, and more than 70% received special skin care for IAD prevention. Participants with FI had the highest risk of developing IAD if they experienced FI every day, had FI for less than 3 months, and had developed the FI in their current institution.
Nurses face many challenges while helping patients with FI maintain healthy skin. Knowledge of the results of this study and accumulated knowledge about the specific characteristics of FI that are associated with the development of IAD can help healthcare personnel prevent IAD. Based on these results, improving patient education for persons with newly diagnosed FI to prevent IAD is recommended. Research studies should use the definition of FI established by the International Continence Society.
使用分类回归树方法研究粪便失禁（FI）的哪些特征是失禁相关性皮炎（IAD）的预测因子。
合并并分析了 2014 年至 2016 年期间奥地利护理质量测量 2.0 期间收集的数据，该研究是一项每年进行的、横断面的、多中心患病率研究。
FI 的持续时间、频率和量被用作 IAD 的预测因子。护士根据临床判断询问参与者是否患有 IAD（是/否）。
共有 1513 名患有 FI 的参与者纳入本分析。超过 75%的 FI 参与者在很大程度上或完全依赖护理。在所有患有 FI 的参与者中，近 6%患有 IAD，超过 70%的人接受了特殊的皮肤护理以预防 IAD。如果 FI 参与者每天都有 FI，FI 持续时间少于 3 个月，并且在当前机构中出现 FI，则发生 IAD 的风险最高。
护士在帮助 FI 患者保持皮肤健康方面面临许多挑战。了解本研究的结果以及与 IAD 发展相关的 FI 的特定特征的相关知识，可以帮助医务人员预防 IAD。基于这些结果，建议改善对新诊断为 FI 的患者的教育，以预防 IAD。研究应使用国际尿控协会制定的 FI 定义。
