Status and influencing factors of incontinence-associated dermatitis among elderly inpatients in 52 hospitals nationwide
10.3760/cma.j.cn115682-20211001-04477
- VernacularTitle:全国52所医院老年住院患者失禁相关性皮炎发生现况及影响因素分析
- Author:
Qixia JIANG
1
;
Dan KUANG
;
Jing WANG
;
Jingping HAO
;
Gailin HAO
;
Yajuan WENG
;
Yumei LI
;
Haiyan LIU
;
Shiming HUANG
;
Bo LI
;
Yunxia LUO
;
Suling SHI
;
Haihua GUO
;
Yuxuan BAI
Author Information
1. 东部战区总医院烧伤整形科，南京 210002
- Keywords:
Aged;
Xerosis cutis;
Incontinence associated dermatitis;
Risk factors;
Nursing
- From:
Chinese Journal of Modern Nursing
2022;28(21):2843-2849
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status and influencing factors of incontinence-associated dermatitis among elderly inpatients in 52 hospitals nationwide, and to analyze the nursing of elderly inpatients with incontinence, so as to provide a reference for clinical intervention.Methods:On March 31, 2021, convenience sampling was used to select 14 675 elderly inpatients from 52 hospitals across the country as the research object. The self-designed Incontinence-associated Dermatitis Questionnaire for Elderly Inpatients was used to collect general demographic data, health status, incontinence, and skin nursing. Binomial Logistic regression was used to investigate the influencing factors of incontinence-associated dermatitis in elderly inpatients.Results:Among 14 675 elderly inpatients, the prevalence rates of xerosis cutis, incontinence and incontinence-associated dermatitis were 38.78% (5 691/14 675) , 11.06% (1 623/14 675) and 1.91% (280/14 675) , respectively. The prevalence of mild, moderate and severe incontinence-associated dermatitis were 1.27% (186/14 675) , 0.55% (81/14 675) , and 0.09% (13/14 675) , respectively. Among the nursing of 1 623 elderly inpatients with incontinence, the items with low implementation rate were the use neutral lotion to clean skin (14.17%, 230/1 623) , use of skin protectant after moisturizing (17.68%, 287/1 623) , moisturizing after cleansing the skin (28.90%, 469/1 623) . The results of binomial Logistic regression analysis showed that xeroderma, fecal incontinence, urinary and fecal incontinence, ≥2 kinds of combined medication, and hospital stay >30 days were risk factors for incontinence-associated dermatitis in elderly inpatients.Conclusions:The risk factors of incontinence-associated dermatitis in elderly inpatients mainly include xerosis cutis, type of incontinence, ≥2 kinds of combined medication, and hospital stay >30 days.
