Li Qingcui, Zhu Dejuan, Liu Yong, Qin Lianying, Long Xue, Yu Xuan
Department of Gastrointestinal Surgery, Fengdu People's Hospital Chongqing 408200, China.
Department of Stomatology, Fengdu People's Hospital Chongqing 408200, China.
Am J Transl Res. 2023 Feb 15;15(2):1326-1333. eCollection 2023.
To analyze the value of modified isolation in preventing the occurrence of incontinence associated dermatitis (IAD) in patients with incontinence, and to provide high value skin care intervention for the patients.
Clinical data of 204 patients were collected for retrospective analysis. The patients were divided into a conventional group (conventional skin care protocol, n=102) and a modified group (modified isolation care protocol, n=102) according to the different treatment regimens. The differences in the incidence of IAD, time to IAD, required weekly care, cost of nursing supplies, perineal skin status and nursing satisfaction were compared between the two groups.
Compared with the conventional group, the modified group had a greatly lower incidence of IAD (42.16% vs. 2.94%), longer time to IAD occurrence (5.75±1.25 vs. 12.50±1.50), less required weekly care (43.05±8.41 vs. 13.54±2.57), lower cost of nursing supplies (330.16±98.44 vs. 115.53±32.58), and a better correlation between perineal skin status and nursing satisfaction (all <0.05).
Modified isolation can greatly reduce the incidence of IAD in incontinent patients, improve their status of the perineal skin, increase patient satisfaction with care, and reduce the cost of required nursing supplies. So, modified isolation may serve as the preferred care protocol for incontinent patients.
分析改良隔离措施在预防失禁患者发生失禁相关性皮炎（IAD）中的价值，为患者提供高价值的皮肤护理干预。
收集204例患者的临床资料进行回顾性分析。根据不同治疗方案将患者分为常规组（采用常规皮肤护理方案，n = 102）和改良组（采用改良隔离护理方案，n = 102）。比较两组患者IAD发生率、发生IAD的时间、每周所需护理次数、护理用品费用、会阴皮肤状况及护理满意度的差异。
与常规组相比，改良组IAD发生率显著降低（42.16%对2.94%），发生IAD的时间更长（5.75±1.25对12.50±1.50），每周所需护理次数更少（43.05±8.41对13.54±2.57），护理用品费用更低（330.16±98.44对115.53±32.58），会阴皮肤状况与护理满意度的相关性更好（均P<0.05）。
改良隔离可显著降低失禁患者IAD的发生率，改善其会阴皮肤状况，提高患者对护理的满意度，并降低所需护理用品的费用。因此，改良隔离可作为失禁患者的首选护理方案。
