Effect of liquid dressing combined with transparent dressing in
prevention and treatment of incontinence-associated dermatitis in severe adult
patients

doi:10.3760/cma.j.issn.1007-1245.2022.17.028

Abstract

Abstract: Objective　To investigate the effect of liquid dressing combined with transparent dressing in the prevention and treatment of incontinence associated dermatitis in adult severe patients. Methods　This study was an experimental study. One hundred and fifty adult severe patients hospitalized in Department of Critical Care Medicine, Nanjing Jiangbei Hospital from January 2020 to December 2021 were randomly divided into an experimental group and a control group, with 75 cases in each group. In the control group, there 39 males and 36 females, they were (68.32±17.23) years old, and their APACHE Ⅱ score was (24.68±7.12). In the experimental group, there were 43 males and 32 females, they were (69.04±16.39) years old, and their APACHEⅡ score was (23.73±6.34). The control group were treated with liquid dressing after skin cleaning, and the experimental group with liquid dressing and transparent dressing. The cured rates of IAD, the incidences of pressure injury, the scores of perineal skin, the healing times, and the treatment costs were compared between these two groups. t test was used for measurement data, and Chi-square test for count data. Results　The cured rate of IAD, perineal skin score after nursing, dermatitis healing time, and treatment related cost were 98.67% (74/75), (4.55±1.35), (4.69±1.95) days, and (70.19±28.28) yuan in the experimental group, and were 86.67% (65/75), (5.12±1.21), (5.78±2.11) d, and (168.48±68.29) yuan in the control group, with statistical differences between the two groups (all P<0.05). The incidence of pressure injury was 1.33% (1/75) in the experimental group, and was 5.33% (4/75) in the control group, with no statistical difference between the two groups (P>0.05). Conclusion　The effect of liquid dressing combined with transparent dressing in the prevention and treatment of grade 0-1 IAD in severe adult patients is reliable and worthy of clinical application.

Key words: Liquid dressing, Transparent dressing, Incontinence-associated dermatitis, Adult severe patients

摘要： 目的　探讨液体敷料联合透明敷料在防治成人重症患者失禁相关性皮炎（IAD）中的应用效果。方法　本研究为试验研究，选择2020年1月至2021年12月在南通大学附属南京江北医院重症医学科住院的成人重症患者150例，采用随机数字法分为试验组（75例）与对照组（75例），对照组男39例、女36例，年龄（68.32±17.23）岁，急性生理学和慢性健康状况评价（APACHE）Ⅱ评分（24.68±7.12）分；试验组男43例、女32例，年龄（69.04±16.39）岁，APACHE II评分（23.73±6.34）分。对照组皮肤清洁后应用液体敷料，试验组在此基础上应用透明敷料，比较两组患者IAD治愈率、压力性损伤发生率、会阴皮肤评分、愈合时间和皮炎治疗费用。计量资料采用t检验，计数资料采用卡方检验。结果　试验组IAD治愈率为98.67%（74/75），护理后会阴皮肤评分（4.55±1.35）分，皮炎愈合时间（4.69±1.95）d，治疗相关费用（70.19±28.28）元，对照组IAD治愈率为86.67%（65/75），护理后会阴皮肤评分（5.12±1.21）分，皮炎愈合时间（5.78±2.11） d，治疗相关费用（168.48±68.29）元，两组比较差异均有统计学意义（均P<0.05）。试验组压力性损伤发生率1.33%（1/75），对照组压力性损伤发生率5.33%（4/75），两组比较差异无统计学意义（P>0.05）。结论　液体敷料联合透明敷料在防治成人重症患者0～1级IAD效果可靠，值得临床推广应用。

关键词: 液体敷料, 透明敷料, 失禁相关性皮炎, 成人重症患者

Sun Hongxia, Liu Xinping, Shang Qingzhu, Zhong Qin, Yu Wenxia. Effect of liquid dressing combined with transparent dressing in prevention and treatment of incontinence-associated dermatitis in severe adult patients[J]. International Medicine and Health Guidance News, 2022, 28(17): 2492-2495.

孙红霞刘新平商庆竹仲琴余文霞. 液体敷料联合透明敷料在防治成人重症患者失禁相关性皮炎中的效果观察[J]. 国际医药卫生导报, 2022, 28(17): 2492-2495.

References

[1] Beele H, Smet S, Van Damme N, et al. Incontinence-associated dermatitis: pathogenesis, contributing factors, prevention and management options[J].Drugs Aging,2018,35(1):1-10.DOI:10.1007/s40266-017-0507-1.
[2] Bliss DZ, Savik K, Thorson MA, et al. Incontinence-associated dermatitis in critically ill adults: time to development, severity, and risk factors[J].J Wound Ostomy Continence Nurs,2011,38(4):433-45.DOI:10.1097/WON.0b013e318220b703.
[3] Rao SS, American College of Gastroenterology Practice Parameters Committee. Diagnosis and management of fecal incontinence. American College of Gastroenterology Practice Parameters Committee[J].Am J Gastroenterol,2004,99(8):1585-604.DOI:10.1111/j.1572-0241.2004.40105.x.
[4] Nambiar AK, Bosch R, Cruz F, et al. EAU guidelines on assessment and nonsurgical management of urinary Incontinence[J].Eur Urol,2018,73(4):596-609.DOI:10.1016/j.eururo.2017.12.031.
[5] 徐元元,史广玲,张燕红,等. 预防ICU患者大便失禁性皮炎的循证实践[J].中华护理杂志,2021,56(6):811-817. DOI:10.3761/j.issn.0254-1769.2021.06.002.
[6] 北京护理学会.输液治疗政策与流程[C].北京:北京护理学会,2016:114.
[7] 赵巧英.改良结构化皮肤护理方案在预防ICU成人失禁相关性皮炎中的应用[J].国际医药卫生导报,2019,25(19):3309-3311.DOI:10.3760/cma.j.issn.1007-1245.2019.19.040.
[8] 王泠,郑小伟,马蕊,等.国内外失禁相关性皮炎护理实践专家共识解读[J].中国护理管理,2018,18(1):3-6. DOI:10.3969/j.issn.1672-1756.2018.01.002.
[9] 周佳佳,封秀琴,蔡凌云,等.成人住院患者失禁相关性皮炎预防与管理的最佳证据总结[J].中国实用护理杂志,2021,37(12):955-961.DOI:10.3760/cma.j.cn211501-20200601-02567.
[10] 王玲玲,麻春英,张秀敏.改良失禁皮肤护理方案在神经外科失禁患者失禁性皮炎防护中的应用[J]. 护理学报,2020,27(3):66-69.DOI:10.16460/j.issn1008-9969.2020.03.066.
[11] 孙英,朱广美,田路.HP贴膜联合皮肤保护膜在预防脑卒中患者排便失禁性皮炎中的应用[J].实用临床医药杂志,2015,19(12):126-127. DOI:10.7619/jcmp.201512043.
[12] 张瑜,朱红,董志引,等.3M干洗洁肤液联合3M液体敷料应用于失禁性皮炎的效果观察[J/CD].实用临床护理学电子杂志,2017,2(34):4,8.DOI:10.3969/j.issn.2096-2479. 2017.34.004.
[13] 周晓飞,何平,俞萍.结构化皮肤干预方案对ICU大便失禁患者IAD发生率及医疗费用的影响[J].国际医药卫生导报,2019,25(16):2672-2673,2786.DOI:10.3760/cma.j.issn.1007-1245.2019.16.015.
[14] 宋娟,蒋琪霞,王雪妹.不同护理措施预防重症患者失禁相关性皮炎的对比研究[J].中华护理杂志,2016,51(1):62-65. DOI:10376/j.issn.0254-1796.2016.01.013.
[15] 林雅军,李三梅.两种干预方法在肿瘤重症中重度失禁性皮炎患者的应用[J].中外医学研究,2020,18(21):183-185.DOI:10.14033/j.cnki.cfmr.2020.21.075.

Effect of liquid dressing combined with transparent dressing in prevention and treatment of incontinence-associated dermatitis in severe adult patients

液体敷料联合透明敷料在防治成人重症患者失禁相关性皮炎中的效果观察

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