Objective:To explore the skin health of the aged in pension institutions in Luoyang and analyze its influencing factors, so as to provide a basis for building a monitoring and intervention system for the skin health of the aged.Methods:This study was a cross-sectional study. Totals of 489 elderly people living in 7 pension institutions in Luoyang from November to December 2019 were selected as the research object by stratified random sampling. The investigation was conducted with the self-designed Skin Health Questionnaire for the Aged, Mini-Mental State Examination (MMSE) , General Information and Disease Status Questionnaire. Single factor analysis and binary Logistic regression analysis were used to explore the influencing factors of the top three skin problems.Results:A total of 489 elderly people were surveyed and 163 did not meet the inclusion criteria. A total of 326 questionnaires were actually completed and 321 valid questionnaires were retrieved. Among 321 elderly people in pension institutions, the incidence of skin problems was 89.1% (286/321) . The top three skin problems were skin xerosis (58.3%, 187/321) , pruritus (24.3%, 78/321) and superficial fungal infections (14.3%, 46/321) , and the rest were skin lacerations, pressure injuries, subcutaneous congestion and incontinent dermatitis, with the incidence of 9.3% (30/321) , 6.5% (21/321) , 4.4% (14/321) and 2.2% (7/321) respectively. Logistic regression analysis showed that age, education level, body mass index (BMI) , frequency of skin care were the influencing factors for the occurrence of skin xerosis in the aged in pension institutions ( OR=0.474, 1.904, 0.426, 2.026; P<0.01) ; age, basic diseases, and frequency of skin care were the influencing factors of skin pruritus in the aged in pension institutions ( OR=0.645, 0.575, 1.659; P<0.05) ; age, type of medication, and MMSE score were the influencing factors for the occurrence of superficial fungal infection in the aged in pension institutions ( OR=1.646, 0.248, 4.539; P<0.05) . After the occurrence of various skin problems, most elderly people did not deal with it or deal with it by themselves. Conclusions:The aged in pension institutions in Luoyang have many skin health problems, the factors affecting skin diseases are complex, and related treatment measures are not standardized. Medical staff in pension institutions should pay attention to the assessment and management of skin problems in the aged, improve the level of skin care of caregivers, and strengthen skin care education for the aged.

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.

Objective:To understand the current situation of nurses in 52 hospitals in China on mastery of knowledge about skin injury in the elderly based on the background of mixed-mode homogenization training.Methods:Using the convenient sampling method, a total of 1 067 nurses from 52 hospitals in China were selected as the research objects in January 2021. A self-designed questionnaire on knowledge of skin injury in the elderly was used to investigate the nurses through the questionnaire star and univariate analysis was used to analyze the influencing factors. A total of 1 067 questionnaires were distributed and 1 067 valid questionnaires were recovered, and the effective recovery rate was 100%.Results:The knowledge scores of pressure injury, incontinence-associated dermatitis, skin tear and xerosis cutis among 1067 nurses were (95.66±7.37) , (95.65±9.15) , (91.37±15.45) and (87.67±15.91) , respectively. The results of univariate analysis showed that hospital grade was the influencing factor of nurses' knowledge score of pressure injury, skin tear and incontinence-associated dermatitis ( P<0.05) , educational background was the influencing factor of nurses' knowledge score of skin tear ( P<0.05) , professional title was the influencing factor of nurses' knowledge scores of pressure injury, incontinence-associated dermatitis and xerosis cutis ( P<0.05) . Conclusions:Hospitals at all levels need to strengthen the theoretical and practical knowledge training for nurses on skin xerosis and skin tear in the elderly, especially for nurses with primary titles and lower education in grassroots hospitals.

Objective: To investigate and summarize the effect of narrative nursing on anxiety and depression in patients undergoing coronary artery bypass grafting, and to provide reference for the formulation of clinical nursing plan. Methods: A total of 61 patients underwent coronary artery bypass grafting were selected. 31 cases of narrative nursing were taken as the research group, and routine nursing was used in the other 30 cases as control group. Depression and anxiety were assessed by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) before, 7 days after and 14 days after surgery. Results: Totally 61 patients were successfully operated and no case died during hospitalization. There was no significant difference in SAS and SDS scores between the 2 groups before surgery. The SAS scores in the study group were 57.9±4.2, 50.8±4.9, 47.1±5.0 on the day of admission,7 days after operation and 14 days after operation, respectively, while those in the control group were 58.4±3.7, 57.9±5.2, 55.7±6.2. There were significant differences between the two groups after intervention (t=5.490, 5.973, P<0.01). The SAS score of the study group decreased 7 days after operation and 14 days after operation compared with that of the admission day (t= 6.125, 9.209, P < 0.01). The SDS scores in the study group were 54.3±4.6, 49.4±4.7, 42.7±4.8 on the day of admission,7days after operation and 14 days after operation, respectively, while those in the control group were 54.1±5.1, 52.3±5.6, 51.6±5.2. There were significant differences between the two groups after intervention (t=2.194, 6.949, P<0.01). SDS scores in the study group decreased 7 days after operation and 14 days after operation compared with the day of admission in this group, with significant differences (t=4.148, 9.715, P < 0.01). Conclusions Narrative nursing is helpful to relieve anxiety and depression in patients undergoing coronary artery bypass grafting.