Case series study of incontinence-associated dermatitis for 8 patients with Guidelines recommend measures method
10.3760/cma.j.issn.1674-2907.2016.01.006
- VernacularTitle:应用指南建议的方法护理失禁相关性皮炎8例研究报告
- Author:
Qixia JIANG
1
;
Yanping LIU
;
Qing PENG
;
Xiaoqin HAN
Author Information
1. 210002,南京军区南京总医院门诊部伤口护理中心
- Keywords:
Incontinence-association dermatitis;
Nursing;
Cost-effectiveness;
Guideline
- From:
Chinese Journal of Modern Nursing
2016;22(1):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of guideline on directing nursing different severity of incontinence-association dermatitis ( IAD) , and to provide evidence for clinical nursing care. Methods Eight patients with incontinence caused IAD were assessed for the incontinence etiology, classification and severity. The individual nursing protocols were designed and implemented according to guidelines combined with assessment results. The continuous nursing care included maintaining urinary drainage tube for continues urinary incontinence patients, maintaining fecal drainage tube for continues fecal incontinence patients, and absorbent pads for intermittent incontinence patients. Local skin was given daily cleansing, protecting, moisturizing and smoothing. The length of time and costs for each time of nursing were recorded until IAD healed, the healing time were recorded as well. Results Three cases of moderate IAD and five cases of serious IAD were all healed. The average healing time was (10. 75 ± 3. 29) days, the nursing time was (144. 75 ± 92. 54) minutes and the costs were around (1 532. 63 ± 585. 52) RMB. Serious IAD patients took more nursing time, healing time and costs than those of moderate IAD patients, but with no significant differences (P>0. 05). Conclusions The guideline suggestions are effective in treating IAD. However, The individual nursing protocols can gain the better health outcomes and be more cost-effective, which needs more multicenter researches in future.
