Application of targeted intervention based on Incontinence-Associated Dermatitis Intervention Tool in critically ill patients with incontinence-associated dermatitis
10.3760/cma.j.cn115682-20190903-03177
- VernacularTitle:基于IADIT的定向干预在重症患者失禁相关性皮炎患者中的应用
- Author:
Hongmei QIAO
1
;
Yujia ZHANG
;
An NIU
;
Mengmeng LYU
;
Wei LI
;
Yongmei LUO
Author Information
1. 北京大学第三医院呼吸与危重症医学科，北京 100191
- Keywords:
Fecal incontinence;
Incontinence-associated dermatitis;
Critically ill patients;
Improved skin cleaning method;
Skin care
- From:
Chinese Journal of Modern Nursing
2020;26(9):1131-1134
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of improved skin cleaning method combined with Incontinence-Associated Dermatitis Intervention Tool (IADIT) in the treatment of incontinence-associated dermatitis in critically ill patients.Methods:By convenience sampling, we selected the patients in Peking University Third Hospital as subjects. A total of 92 critically ill patients with fecal incontinence from March 2017 to February 2018 were set as the control group while 63 critically ill patients with fecal incontinence from March 2018 to February 2019 were set as the experimental group. Patients in the control group received routine care, and those in the experimental group received IADIT care. The incidence, curative effects and healing time of incontinence-associated dermatitis were compared between the two groups.Results:After the intervention, the incidence of incontinence-associated dermatitis in the experimental group was 30.16% (19/63) , which was lower than 44.57% (41/92) in the control group, and the difference between the two groups was statistically significant ( P<0.05) . The effective rate of incontinence-associated dermatitis in the experimental group was 94.74% (18/19) , which was higher than 65.86% (27/41) in the control group, and the difference between the two groups was statistically significant ( P<0.05) . The healing time of incontinence-associated dermatitis in the experimental group was (6.33±3.14) d, which was lower than (11.55±3.41) d in the control group, and the difference between the two groups was statistically significant ( P<0.01) . Conclusions:Compared with traditional empirical nursing methods, targeted interventions based on IADIT for critically ill patients with fecal incontinence can effectively reduce the incidence of incontinence-associated dermatitis, improve the cure rate of incontinence-associated dermatitis and shorten the healing time.
