Clinical study of three kinds of nursing interventions for prevention of incontinence associated der-matitis in critically ill patients
10.3760/cma.j.issn.1672-7088.2016.10.002
- VernacularTitle:三种护理干预方法预防危重患者失禁相关性皮炎的临床研究
- Author:
Ruiping CHEN
;
Xiaojun LI
;
Shuxia WANG
;
Yuli WANG
;
Wenchao FENG
;
Huajun WU
;
Aixu WU
- Publication Type:Journal Article
- Keywords:
Nursing care,critically-ill patients;
Incontinence associated dermatitis;
Skin protective membrane;
Semi-transparent dressing
- From:
Chinese Journal of Practical Nursing
2016;32(10):725-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of skin protective membrane, semi-transparent dressing and combination of the two in critically ill patients with incontinence associated dermatitis (IAD) skin protection. Methods A total of 114 patients who were admitted into ICU and NICU of Hebei Xingtai People′s Hospital from December 2013 to November 2014 were selected. These subjects were divided into 3 groups randomly. All three groups received routine skin care, on this basis, skin protective membrane group (34 cases) used skin protective membrane for skin protection, semi-transparent dressing group (40 cases) adopted semi-permeable dressing for skin protection, while the combination group (40 cases) used skin protective membrane combined with semi-transparent dressing for skin protection. The incidence, occurrence and severity of IAD in the three groups were compared. Results The incidence rate of IAD in the combination group was 20.0%(8/40), 20.6%(7/34) in the skin protective membrane group, and significantly lower than 47.5% (19/40) in the semi-transparent dressing group, the difference was significant ( χ2=9.201, P<0.05). The occurrence time of IAD in the combination group was (4.75±0.46) days, which was significantly longer than those of the skin protective membrane group [(3.86±1.35) days] and the semi-transparent dressing group [(2.74±0.73) days], the difference was significant (F=17.120, P < 0.05). The IAD severity of the combination group scored 3.63 ±0.92, which was significantly lower than those of the skin protective membrane group (5.29±1.11) and the semi-transparent dressing group (6.74±1.79), the difference was significant (F=12.240, P<0.05). Conclusions Skin protective membrane combined with semi-transparent dressing have priority in decreasing IAD incidence rate, and delaying the occurrence time of IAD, and relieving the severity of IAD, which is better than either of the two.
