Baxter Carla M, Matthews Carol L, Zamarripa Cecilia, Johnston Jessica R, Lane Robin, Chung Ashley, Palladino Katie, Kip Paula L, Zapf Rachel L, Wagester Suzanne, Snyder Graham M
Quality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.
Wound Care, UPMC Presbyterian/Shadyside, Pittsburgh, Pennsylvania, USA.
J Clin Nurs. 2025 Jan;34(1):299-307. doi: 10.1111/jocn.17356. Epub 2024 Jul 9.
AIM(S): To evaluate the incidence of skin-related complications attributable to incontinence-associated dermatitis (IAD) using an external female urinary catheter device strategy for urinary incontinent (UI) patients in acute care.
Multicenter quality improvement study.
Randomized allocation of two commercially available external female urinary catheter devices was used in hospitalized UI female patients. Daily nursing skin assessments were documented in the electronic health record before, during and after external catheter device application. Methods and results were reported following SQUIRE guidelines.
Three hundred and eighty-one patients from 57 inpatient care units were included in the analysis. Both catheter devices were associated with an overall low risk (5 %) of new or worsening skin breakdown.
The overall benefit of external catheters is most persuasive for skin integrity, rather than infection prevention.
Significant negative outcomes are associated with UI patients. External female urinary catheters are a non-invasive alternative strategy to reduce exposure of regional skin to urine contamination and IAD-related skin complications. Use of external female urinary catheters in hospitalized UI female patients offers low risk (5%) of new or worsening overall skin breakdown.
Hospitalized UI female patients were screened for external catheter device eligibility by the bedside nurse. The quality improvement review committee waved consent because the intervention was considered standard care.
采用外置女性导尿管装置策略，评估急性护理中尿失禁（UI）患者因失禁相关性皮炎（IAD）导致的皮肤相关并发症的发生率。
多中心质量改进研究。
对住院的UI女性患者随机分配两种市售的外置女性导尿管装置。在应用外置导尿管装置之前、期间和之后，每日护理皮肤评估记录在电子健康记录中。按照SQUIRE指南报告方法和结果。
来自57个住院护理单元的381名患者纳入分析。两种导尿管装置均与新的或恶化的皮肤破损总体低风险（5%）相关。
外置导尿管对皮肤完整性的总体益处比预防感染更具说服力。
UI患者存在显著的负面结果。外置女性导尿管是一种非侵入性替代策略，可减少局部皮肤暴露于尿液污染和IAD相关皮肤并发症。在住院的UI女性患者中使用外置女性导尿管，新的或恶化的总体皮肤破损风险较低（5%）。
床边护士对住院的UI女性患者进行外置导尿管装置适用性筛查。质量改进审查委员会免去了同意程序，因为该干预措施被视为标准护理。
