Application of two different nursing schemes in cancer patients with moderate and severe incontinence dermatitis
10.3760/cma.j.issn.1672-7088.2019.09.013
- VernacularTitle: 两种不同护理方案在中重度失禁性皮炎肿瘤患者中的应用研究
- Author:
Yuhua LIU
1
;
Ting GU
;
Jing LIU
;
Jingying ZHANG
;
Wei ZHANG
Author Information
1. Department of Nursing, Fudan University Shanghai Cancer Center; Deparment of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
Bandages, hydrocolloid;
Nursing care;
Skin care powder;
Skin protection film;
Incontinence-associated dermatitis
- From:
Chinese Journal of Practical Nursing
2019;35(9):695-699
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of two intervention methods, hydroglue dressing and skin powder combined with skin protective film, in severe tumor patients with moderate and severe incontinence dermatitis.
Methods:A total of 68 patients with moderate and severe incontinence dermatitis were selected from ICU in Shanghai Oncology Hospital, and randomly divided into 2 groups by random digit table, each group included 34 cases, on the basis of the consistency of skin care, the experimental group used water adhesive dressing protection, every 1-3 days replacement, the control group used skin care powder joint skin protective film, three times a day, two groups of intervention for 10 days in a row. The healing effect, healing time, nursing time and nursing cost of IAD were observed.
Results:Of the 68 patients, 2 were transferred to the local hospital for treatment and 1 died. Finally, 65 patients were completed, 32 in the control group and 33 in the experimental group. In the average nursing time, the difference was statistically significant in the experimental group (1.83 ± 0.78) min and the control group (4.45 ± 0.52) min (t= 15.908, P<0.01). The experimental group took less time to care for IAD than the control group, which were (45.78 ± 25.45)min and (110.97 ± 27.22) min. The difference was statistically significant (t= 9.967, P <0.01). The cost of care in the experimental group was lower than that in the control group, which was (164.06 ± 60.32)yuan and (280 ± 0.00)yuan. The difference was statistically significant (t= 11.041, P <0.01).
Conclusions:The water glue dressing can be used for the nursing of moderate and severe incontinence dermatitis, and it can effectively reduce the nursing time of nursing staff and reduce the economic cost.
