Tülü Burcu, Üzen Cura Şengül
Çanakkale Onsekiz Mart University School of Graduate Studies, Department of Nursing, Çanakkale, Türkiye.
Canakkale Onsekiz Mart University, Faculty of Health Sciences, Department of Fundamental Nursing, Canakkale, Türkiye.
J Tissue Viability. 2024 Aug;33(3):357-361. doi: 10.1016/j.jtv.2024.03.014. Epub 2024 Apr 11.
This research was conducted to determine the factors affecting the development of incontinence-associated dermatitis in intensive care patients.
The sample of the study consisted of 114 intensive care patients who developed incontinence-associated dermatitis. Patients were followed for a minimum of 8 days. The 'Patient Information Form' and the 'Incontinence-Associated Dermatitis and Severity Instrument (IADSI)' were used for data collection. The data were collected between February and May 2022. Ethics committee approval was obtained for the research. In the evaluation of the data, SPSS for Windows (Version 24.0, Statistical Package for Social Sciences) program was used.
It was determined that there was a statistically significant difference in the mean IADSI score between day 1 (17.79 ± 6.06) and day 8 (27.35 ± 9.55). Statistically significant differences were found between mean IADSI score and gender, status of smoking and alcohol use, chronic disease status, regular medication use, type and level of nutrition, defecation characteristics and number, presence of infection, presence of urinary and fecal incontinence, mobility and sweating status, body and defecation hygiene, age and BMI (p < 0.05).
The day 8 IADSI scores are considered to be evidence of the rapid progress of IAD after its development. It is important to know the risk factors associated with IAD in order to recognize the risk factors before IAD develops and to take possible precautions for these risk factors.
本研究旨在确定影响重症监护患者失禁相关性皮炎发生发展的因素。
该研究样本包括114例发生失禁相关性皮炎的重症监护患者。对患者进行了至少8天的随访。使用“患者信息表”和“失禁相关性皮炎及严重程度评估工具(IADSI)”进行数据收集。数据收集于2022年2月至5月期间。该研究获得了伦理委员会的批准。在数据评估中,使用了Windows版SPSS(版本24.0,社会科学统计软件包)程序。
确定第1天(17.79±6.06)和第8天(27.35±9.55)的IADSI平均得分存在统计学显著差异。在IADSI平均得分与性别、吸烟和饮酒状况、慢性病状况、常规用药情况、营养类型和水平、排便特征和次数、感染情况、大小便失禁情况、活动能力和出汗状况、身体及排便卫生状况、年龄和BMI之间发现了统计学显著差异(p<0.05)。
第8天的IADSI得分被认为是IAD发生后快速进展的证据。了解与IAD相关的危险因素,以便在IAD发生前识别危险因素并针对这些危险因素采取可能的预防措施非常重要。