Volume 20 Issue 4
Apr.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(4): 704-707
RAO Qiao-ying, HE Shan, LI Hong, XIA Jun-li. Prevention of incontinence-associated dermatitis by standardised nursing based on the guidelines for prevention and control[J]. Chinese Journal of General Practice, 2022, 20(4): 704-707. doi: 10.16766/j.cnki.issn.1674-4152.002435
Citation: RAO Qiao-ying, HE Shan, LI Hong, XIA Jun-li. Prevention of incontinence-associated dermatitis by standardised nursing based on the guidelines for prevention and control[J]. Chinese Journal of General Practice, 2022, 20(4): 704-707. doi: 10.16766/j.cnki.issn.1674-4152.002435
shu

Prevention of incontinence-associated dermatitis by standardised nursing based on the guidelines for prevention and control

doi: 10.16766/j.cnki.issn.1674-4152.002435
  • 1.

    Department of Critical Care Medicine, Lishui Central Hospital, Lishui, Zhejiang 323000, China

Funds:

 2021ZH066

  • Received Date: 2021-04-23
    Available Online: 2022-08-20
    Abstract
  •   Objective  To explore the preventive effect of standardised nursing based on the clinical guideline for prevention and treatment of incontinence-associated dermatitis (IAD) in the ICU.  Methods  Between October 2019 and September 2020, 155 patients with urinary and faecal incontinence admitted to the ICU of Lishui Central Hospital were selected. Using the random number table method, they were divided into two groups: study group (79 cases) and control group (76 cases). The control group received routine nursing intervention, whereas the study group received standardised nursing intervention based on the clinical guideline for prevention and treatment of IAD. The occurrence of IAD, prognosis, complications and nursing satisfaction of the two groups were compared.  Results  The total incidence of IAD in the study group was 15.19%, significantly lower than 34.21% in the control group (P < 0.05). The skin lesion recovery time, length of ICU stay and total length of hospital stay of the study group were (2.78±0.56) days, (4.98±0.47) days and (7.52±1.32) days, significantly shorter than those of the control group [(6.45±1.12) days, (8.46±1.55) days and (9.82±1.97) days, respectively, t=25.950, 19.067, 8.569, all P < 0.01]. The nursing satisfaction of the study group (96.20%) was significantly higher than that of the control group (67.11%, P < 0.05).  Conclusion  Standardised nursing based on the clinical guideline for prevention and treatment of IAD can effectively prevent and control the occurrence of IAD and its related complications, and speed up the recovery of patients whilst improving nursing satisfaction.

     

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    • References(16)
  • [1]
    陈月红, 霍蕊, 徐鑫星, 等. 品管圈对降低胃肠外科患者失禁性皮炎发生率的影响[J]. 中华全科医学, 2016, 14(12): 2132-2135. doi: 10.16766/j.cnki.issn.1674-4152.2016.12.050

    CHEN Y H, HUO R, XU X X, et al. Role of quality control circles in reducing the incidence of incontinent dermatitis in patients with gastrointestinal surgery[J]. Chinese Journal of General Practice, 2016, 14(12): 2132-2135. doi: 10.16766/j.cnki.issn.1674-4152.2016.12.050
    [2]
    VOEGELI D. Prevention and management of incontinence-associated dermatitis[J]. Br J Nurs, 2017, 26(20): 1128-1132. doi: 10.12968/bjon.2017.26.20.1128
    [3]
    张宇, 张晓雪, 赵晓维, 等. 危重症患者失禁性皮炎的发生现况及其影响因素[J]. 解放军护理杂志, 2018, 35(16): 16-21, 26. doi: 10.3969/j.issn.1008-9993.2018.16.003

    ZHANG Y, ZHANG X X, ZHAO X W, et al. Incidence and Influencing Factors of Incontinence-Associated Dermatitis among Intensive Care Unit Patients[J]. Nursing Journal of Chinese People's Liberation Army, 2018, 35(16): 16-21, 26. doi: 10.3969/j.issn.1008-9993.2018.16.003
    [4]
    BEECKMAN D. A decade of research on Incontinence-Associated Dermatitis (IAD): Evidence, knowledge gaps and next steps[J]. J Tissue Viability, 2017, 6(1): 47-56.
    [5]
    COYER F, CAMPBELL J. Incontinence-associated dermatitis in the critically ill patient: An intensive care perspective[J]. Nurs Crit Care, 2018, 23(4): 198-206. doi: 10.1111/nicc.12331
    [6]
    赵翠松, 崔妙龄, 应燕萍, 等. 基于指标管控对失禁性皮炎预防管理实践[J]. 中国实用护理杂志, 2019, 35(14): 1099-1103. doi: 10.3760/cma.j.issn.1672-7088.2019.14.014

    ZHAO C S, CUI M L, YING Y P, et al. Prevention and management practice of incontinence dermatitis based on index management[J]. Chinese Journal of Practical Nursing, 2019, 35(14): 1099-1103. doi: 10.3760/cma.j.issn.1672-7088.2019.14.014
    [7]
    黄琼蕾, 金瑛. 失禁相关性皮炎患者中西医护理研究进展[J]. 中华现代护理杂志, 2020, 26(9): 1121-1126. doi: 10.3760/cma.j.cn115682-20190626-02265

    HUANG Q L, JIN Y. Research progress of traditional Chinese and western medicine nursing for patients with incontinence-associated dermatitis[J]. Chinese Journal of Modern Nursing, 2020, 26(9): 1121-1126. doi: 10.3760/cma.j.cn115682-20190626-02265
    [8]
    陈立萍, 朱文, 裴小芹, 等. 失禁相关性皮炎干预工具的汉化及信效度检验[J]. 中华现代护理杂志, 2020, 26(9): 1127-1130. doi: 10.3760/cma.j.cn115682-20191028-03888

    CHEN L P, ZHU W, PEI X Q, et al. Reliability and validity of the Chinese version of the Incontinence-Associated Dermatitis Intervention Tool[J]. Chinese Journal of Modern Nursing, 2020, 26(9): 1127-1130. doi: 10.3760/cma.j.cn115682-20191028-03888
    [9]
    童莉, 张颖洁, 焦永倩, 等. 全面流程管理在老年患者失禁相关性皮炎防治中的应用[J]. 中国护理管理, 2019, 19(5): 765-768. doi: 10.3969/j.issn.1672-1756.2019.05.026

    TONG L, ZHANG Y J, JIAO Y Q, et al. The application of comprehensive process management in the prevention and control of incontinence associated dermatitis[J]. Chinese Nursing Management, 2019, 19(5): 765-768. doi: 10.3969/j.issn.1672-1756.2019.05.026
    [10]
    田丽. 专科护士主导的多学科系统化管理模式在成人失禁相关性皮炎护理实践中的应用[J]. 中国护理管理, 2019, 19(S1): 174-176. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL2019S1069.htm

    TIAN L. The application of multidisciplinary systematic management mode led by specialized nurses in the nursing practice of adult incontinence-related dermatitis[J]. Chinese Nursing Management, 2019, 19(S1): 174-176. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL2019S1069.htm
    [11]
    张丽. 失禁性皮炎标准化护理流程在神经内科失禁患者中的应用[J]. 中国药物与临床, 2019, 19(1): 181-182. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201901096.htm

    ZHANG L, et al. Application of standardized nursing process of incontinence dermatitis in incontinence patients in neurology department[J]. Chinese Remedies & Clinics, 2019, 19(1): 181-182. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201901096.htm
    [12]
    麦志晖, 陈满波, 夏懿, 等. 规范化皮肤护理在降低ICU患者失禁性皮炎发生率中的应用效果[J]. 中华现代护理杂志, 2018, 24(16): 1927-1928. doi: 10.3760/cma.j.issn.1674-2907.2018.16.017

    MAI Z H, CHEN M B, XIA Y, et al. Preventive effect of standardized skin care on reducing the incidence of incontinence-associated dermatitis in ICU patients[J]. Chinese Journal of Modern Nursing, 2018, 24(16): 1927-1928. doi: 10.3760/cma.j.issn.1674-2907.2018.16.017
    [13]
    张晓雪, 王欣然. ICU护士失禁性皮炎知信行及知识来源与需求调查[J]. 中国护理管理, 2017, 17(8): 1119-1122. doi: 10.3969/j.issn.1672-1756.2017.08.026

    ZHANG X X, WANG X R. Incontinence-Associated Dermatitis: knowledge, attitude and practice of ICU nurses in China[J]. Chinese Nursing Management, 2017, 17(8): 1119-1122. doi: 10.3969/j.issn.1672-1756.2017.08.026
    [14]
    吕巧萍, 贾勤, 孙香爱, 等. 信息化管理在老年患者失禁性皮炎护理中的应用及效果观察[J]. 中华现代护理杂志, 2020, 26(23): 3166-3169. doi: 10.3760/cma.j.cn115682-20191203-04418

    LYU Q P, JIA Q, SUN A X, et al. Application and effect of information management in nursing of incontinence associated dermatitis among elderly patients[J]. Chinese Journal of Modern Nursing, 2020, 26(23): 3166-3169. doi: 10.3760/cma.j.cn115682-20191203-04418
    [15]
    林根芳, 贾勤, 杜丽萍, 等. 课题达成型品管圈在失禁相关性皮炎防护体系构建中的应用效果[J]. 护士进修杂志, 2020, 35(9): 803-806. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202009010.htm

    LIN G F, JIA Q, DU L P, et al. To explore the application effect of quality control circle in the construction of protection system for incontinence-associated dermatitis[J]. Journal of Nurses Training, 2020, 35(9): 803-806. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202009010.htm
    [16]
    康宙清, 杨颖, 季蕊, 等. 失禁相关性皮炎标准化预防及护理指引在老年失禁患者中的应用[J]. 安徽医药, 2018, 22(6): 1199-1203. doi: 10.3969/j.issn.1009-6469.2018.06.052

    KANG Z Q, YANG Y, JI R, et al. Application of incontinence-associated dermatitis standardized prevention and nursing guidance for elderly patients with incontinence[J]. Anhui Medical and Pharmaceutical Journal, 2018, 22(6): 1199-1203. doi: 10.3969/j.issn.1009-6469.2018.06.052
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