摘要
目的探讨不同频次液体敷料喷膜预防老年失禁相关性皮炎(IAD)的效果。方法 90例老年科收治的尿失禁和/或大便失禁患者随机分为A、B、C组,各30例。3组均采用常规皮肤护理方法,A组每24 h喷膜1次,B组每48 h喷膜1次,C组每72 h喷膜1次。观察IAD发生率、发生时间及严重程度。结果 C组IAD发生率最高为23.33%(7/30),B组次之10.00%(3/30),A组最低为6.67%(2/30)。C组IAD发生时间短于A、B组,IAD严重程度评估量表(IADS)评分高于A、B组,差异有统计学意义(P<0.05)。B组IAD发生时间短于A组,差异有统计学意义(P<0.05)。B组IADS评分高于A组,但差异无统计学意义(P>0.05)。C组IAD分度较A、B组严重。结论不同频次的液体敷料喷膜预防老年IAD的效果不同,喷膜的频次越高,预防效果越好,在选择喷膜频次时应根据老年人皮肤的耐受性及经济性选择更优的方案。
Objective To investigate the effects of liquid dressing with different frequency of usage in prevention of senile incontinence-associated dermatitis(IAD).Methods Totally 90 cases of elderly patients with uracratia/fecal incontinence were assigned to the Group A,B and C,with 30 cases in each group.Patients received routine care on skin,and the liquid dressing was applied once per 24 hours in Group A,once per 48 h in group B and once per 72 hours in group C,respectively.The incidence,occurrence time and severity of IAD were compared among three groups.Results The incidence of IADS was 23.33%(7/30)in the group C,which was higher than 10.00%(3/30)of group B and 6.67%(2/30)of group A.The occurrence time of IAD in the group C was shorter than that of group A and group B,and the IAD severity scale was higher than that of group A and group B(P<0.05).The occurrence time of IAD in the group B was shorter than that of group A(P<0.05),and the IAD severity scale was higher than that of group A(P>0.05).Conclusion The higher frequency of usage,the better effect of liquid dressing in prevention of IAD.It is also need to take the treatment tolerance and cost-effectiveness when using liquid dressing.
作者
马铭璐
MA Minglu(Department of Geriatrics,Jiangsu Province Hospital of TCM,Nanjing,Jiangsu,210029)
出处
《中西医结合护理（中英文）》
2018年第2期34-36,共3页
Journal of Clinical Nursing in Practice
关键词
失禁相关性皮炎
液体敷料
老年患者
皮肤
隔离
incontinence-associated dermatitis
liquid dressing
senile patient
skin
isolation
