Qiao Guojin, Banharak Samoraphop
Nursing Department, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.
Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.
J Multidiscip Healthc. 2023 Nov 6;16:3299-3308. doi: 10.2147/JMDH.S434275. eCollection 2023.
Incontinence-Associated Dermatitis is a serious skin injury causing suffering, secondary infection, and inducing almost six times more pressure sore than normal skin patients. This moisture and chemical skin irritation is a concern, especially for intensive care unit nurses. This study aimed to review the effective nursing strategy for preventing and caring for incontinence-associated dermatitis in older intensive care unit patients and pilot its feasibility.
The five databases, including PubMed, Google Scholar, CINAHL Complete, WanFang, and CNKI, were searched, and articles were screened and extracted. The strategies and details of prevention and care for incontinence-associated dermatitis were reviewed and summarized. Finally, selected strategies were applied to five intensive care unit patients with various health conditions and levels of Incontinence-Associated Dermatitis severity.
The literature review found that there is a standardized nursing process for incontinence-associated dermatitis. The prevention and care strategies for incontinence-associated dermatitis include assessment, risk factor management, skin cleaning, skin protection, and health education and training. In actual clinical application, personalized nursing measures can positively impact patients. Five case studies from our pilot confirmed this finding.
Personalized nursing measures can positively impact patients in actual clinical applications. Our five case studies implementing the strategies from the review confirmed this finding. In clinical work, it is recommended to develop personalized nursing programs for specific risk factors of older intensive care unit patients.
TCTR20230808004.
失禁相关性皮炎是一种严重的皮肤损伤，会给患者带来痛苦、引发继发感染，且与正常皮肤患者相比，发生压疮的几率几乎高出六倍。这种皮肤受水分和化学物质刺激的情况令人担忧，尤其是对重症监护病房的护士而言。本研究旨在回顾针对老年重症监护病房患者预防和护理失禁相关性皮炎的有效护理策略，并试点其可行性。
检索了包括PubMed、谷歌学术、CINAHL Complete、万方和知网在内的五个数据库，并对文章进行筛选和提取。对失禁相关性皮炎的预防和护理策略及细节进行了回顾和总结。最后，将选定的策略应用于五名患有不同健康状况和失禁相关性皮炎严重程度的重症监护病房患者。
文献综述发现，对于失禁相关性皮炎存在标准化的护理流程。失禁相关性皮炎的预防和护理策略包括评估、危险因素管理、皮肤清洁、皮肤保护以及健康教育与培训。在实际临床应用中，个性化护理措施可对患者产生积极影响。我们试点的五个案例研究证实了这一发现。
在实际临床应用中，个性化护理措施可对患者产生积极影响。我们实施综述中策略的五个案例研究证实了这一发现。在临床工作中，建议针对老年重症监护病房患者的特定危险因素制定个性化护理方案。
TCTR20230808004
