Prevention and management practice of incontinence dermatitis based on index management
10.3760/cma.j.issn.1672-7088.2019.14.014
- VernacularTitle: 基于指标管控对失禁性皮炎预防管理实践
- Author:
Cuisong ZHAO
1
;
Miaoling CUI
2
;
Yanping YING
2
;
Li YANG
2
;
Qiufang LU
1
Author Information
1. Neurology Department of the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
2. Nursing Department of the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
- Publication Type:Journal Article
- Keywords:
Incontinence-associated dermatitis;
Quality indicator;
Nursing management
- From:
Chinese Journal of Practical Nursing
2019;35(14):1099-1103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the effectiveness of incontinence-associated dermatitis (IAD) prevention and management by establishment skin care quality indicators and controlling the implementation process of incontinence care.
Methods:The implementation rate of nursing measures (the treatment rate of incontinence, the effective collection of fecal implementation rate, and the rate of skin protection implementation) were used as the process indicators, and the incidence of IAD was used as the outcome indicators. 2747 incontinence patients from July to December 2016 before the implementation of the process control were used as the control group, and 3, 069 incontinence patients from July to December 2017 after the implementation of the process control were used as observation groups. Comparing the difference between the two groups of process indicators and outcome indicators.
Results:The control group's implementation rate of incontinence, effective collection of fecal implementation rate, and skin protection implementation rate were 54.2%, 63.8%, and 27.7%, respectively. The observation group was 91.8%, 94.8%, and 92.8%, respectively. The difference between the two groups was statistically significant. (χ2=5.032, P=0.025; χ2=6.574, P=0.010; χ2=20.038, P=0.000;). The incidence of IAD in the control group was 28.9%, and the incidence in the observation group was 11.2%. The difference between the two groups was statistically significant (χ2=288.402, P=0.000).
Conclusion:The establishment of incontinence nursing quality indicators and the implementation of process control will help improve the level of incontinence care and reduce the incidence of IAD.
