Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan.
Department of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan.
Geriatr Nurs. 2021 Nov-Dec;42(6):1379-1387. doi: 10.1016/j.gerinurse.2021.09.008. Epub 2021 Sep 25.
This study evaluated the effectiveness of weak wiping pressure on skin barrier function and patient satisfaction in comparison to ordinary pressure in hospitalized older adults. Forty-seven participants in a general hospital were blindly and randomly assigned a sequence of two bed baths: wiping three times with weak pressure (12-14 mmHg) and ordinary pressure (23-25 mmHg). Transepidermal water loss and stratum corneum hydration were measured before and after the intervention, and patient satisfaction was assessed using a Likert scale. Ordinary pressure significantly decreased skin barrier function compared to weak pressure; however, neither of the pressures caused discomfort. Weak pressure was more effective than ordinary pressure in preventing skin disorders and providing satisfaction. Subgroup cluster analysis showed that ordinary pressure was likely to impair the skin barrier function in older adults with diabetes/dyslipidemia and renal dysfunction. The application of weak pressure during bed baths, especially for these patients, is recommended.
本研究评估了在住院老年人中，与普通压力相比，弱擦拭压力对皮肤屏障功能和患者满意度的影响。共有 47 名综合医院的参与者被盲目随机分配进行两种床上擦浴：弱压力（12-14mmHg）擦拭三次和普通压力（23-25mmHg）擦拭三次。干预前后测量经皮水分丢失和角质层含水量，并使用李克特量表评估患者满意度。与弱压力相比，普通压力显著降低皮肤屏障功能；然而，两种压力都没有引起不适。弱压力在预防皮肤疾病和提供满意度方面比普通压力更有效。亚组聚类分析表明，普通压力可能会损害患有糖尿病/血脂异常和肾功能障碍的老年人的皮肤屏障功能。建议在进行床上擦浴时应用弱压力，特别是对这些患者。
