Sommana Chakkarin, Banharak Samoraphop, Sim-Im Supin, Ransinyo Khanisorn
Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.
Nursing Department, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.
J Multidiscip Healthc. 2024 Jul 25;17:3619-3636. doi: 10.2147/JMDH.S469276. eCollection 2024.
Incontinence-associated dermatitis is a common health problem among older clinical patients, causing related severe skin damage such as pressure ulcers, secondary infection, and long length of hospital stay. This pilot study aimed to develop and examine the effects of nursing programs in preventing incontinence-associated dermatitis (IAD) among older patients. Ten older patients at high risk of incontinence-associated dermatitis were included in this study: five patients received a nursing program combined with mixed products, and another five received a nursing program combined with separate use of products. The program was evaluated using a perianal assessment tool (PAT-T) for risk assessment, the incontinence-associated dermatitis invention tool (IADIT-T) for severity assessment, the skin surface pH, and skin surface moisture. The results revealed that the nursing program and skin products are usable and acceptable, provide step-by-step details, and are simple and easy to follow. The nursing program combined with using zinc oxide products followed by petroleum jelly can prevent and decrease the severity of incontinence-associated dermatitis in older patients. Moreover, it can also improve the skin surface pH to a mild acidity appropriate for the skin condition and increase the skin's moisture better the nursing program with mixed skin products. This pilot study confirmed that the developed program can be applied in practice. Moreover, the program could be used to decrease the incidence of IAD and skin surface pH but increase skin moisture. However, future study with a larger sample size and applying a more substantial research design for more accuracy and generalization is needed.
OSF https://osf.io/8gj3d.
失禁相关性皮炎是老年临床患者中常见的健康问题，会导致诸如压疮、继发感染和住院时间延长等相关严重皮肤损伤。这项试点研究旨在开发并检验护理方案对预防老年患者失禁相关性皮炎（IAD）的效果。本研究纳入了10名有失禁相关性皮炎高风险的老年患者：5名患者接受了结合混合产品的护理方案，另外5名接受了结合产品单独使用的护理方案。使用肛周评估工具（PAT-T）进行风险评估、失禁相关性皮炎发明工具（IADIT-T）进行严重程度评估、皮肤表面pH值和皮肤表面湿度对该方案进行评估。结果显示，护理方案和皮肤产品是可用且可接受的，提供了逐步的细节，简单且易于遵循。结合使用氧化锌产品随后涂抹凡士林的护理方案可以预防并降低老年患者失禁相关性皮炎的严重程度。此外，它还可以将皮肤表面pH值改善至适合皮肤状况的轻度酸性，并比混合皮肤产品的护理方案更好地增加皮肤的水分。这项试点研究证实，所开发的方案可应用于实践。此外，该方案可用于降低IAD的发生率和皮肤表面pH值，但增加皮肤水分。然而，未来需要进行更大样本量的研究，并采用更严谨的研究设计以提高准确性和普遍性。
OSF https://osf.io/8gj3d 。
