Volume 19 Issue 5
May  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(5): 883-886
XU Jie, SHEN Jian-ping, SUN Xiu-fang, SHENG Jian-ping, XIA Bing-jiang. Effect of graded nursing model on the incidence of incontinence-associated dermatitis in patients with fecal incontinence in orthopedics department[J]. Chinese Journal of General Practice, 2021, 19(5): 883-886. doi: 10.16766/j.cnki.issn.1674-4152.001941
Citation: XU Jie, SHEN Jian-ping, SUN Xiu-fang, SHENG Jian-ping, XIA Bing-jiang. Effect of graded nursing model on the incidence of incontinence-associated dermatitis in patients with fecal incontinence in orthopedics department[J]. Chinese Journal of General Practice, 2021, 19(5): 883-886. doi: 10.16766/j.cnki.issn.1674-4152.001941
shu

Effect of graded nursing model on the incidence of incontinence-associated dermatitis in patients with fecal incontinence in orthopedics department

doi: 10.16766/j.cnki.issn.1674-4152.001941
  • 1.

    Department of Orthopedics, Keqiao District Hospital of Traditional Chinese Medicine, Shaoxing, Zhejiang 312000, China

Funds:

 2017ZB091

  • Received Date: 2020-12-01
    Available Online: 2022-02-16
    Abstract
  •   Objective   The aim of this paper was to prevent and reduce the occurrence of incontinence-associated dermatitis (IADS) in orthopedic patients with fecal incontinence, the graded nursing mode was applied to the nursing of clinical orthopedic patients with fecal incontinence, and observe effects of the graded nursing mode on the occurrence of incontinent dermatitis, the quality of life of the patients and their self-care ability.   Methods   A total of 150 patients with fecal incontinence who were hospitalized in the Department of Orthopedics, Keqiao District Traditional Chinese Medicine Hospital, Shaoxing City, Zhejiang Province from January 2019 to January 2020 were selected and divided into a control group and an intervention group according to a random number table, with 75 cases in each group. Patients in the control group were given routine nursing care, and the intervention group applied a graded nursing model on the basis of the control group. The incidence of IADS, the severity of IADS, the quality of life (by health survey short form SF-36) and self-care ability (self-care ability scale, SCAS) were compared between the two groups.   Results   After intervention, the incidence of IADS was 4.00% in the intervention group and 21.33% in the control group, which the difference was statistically significantly between the two groups (P < 0.05). After intervention, the severity score of IADS in the intervention group was (8.4±1.5) points, which was significantly lower than that in the control group (15.1±1.7) points, P < 0.05; Before intervention, there was no statistical significance in SF-36 score and self-care ability score between the two groups (P>0.05). After intervention, SF-36 score and ESCA score in the intervention group were (86.75±6.12) points and (126.75±11.22) points respectively, which were significantly higher than (76.37±6.75) points and (76.37±10.71) points in the control group (all P < 0.05).   Conclusion   The hierarchical nursing model can effectively reduce the incidence of IADS in orthopedic patients with fecal incontinence, relieve its severity, and improve the quality of life and self-care ability of patients.

     

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