摘要
失禁相关性皮炎(IAD)是失禁患者常见的皮肤问题。IAD的发生虽然不会直接导致患者死亡,但会延长其住院天数,增加照护人员的负担,导致不必要的医疗支出,且患者的生活质量和心理状态也会受到严重影响。笔者通过查阅国内外文献,从患者的会阴部环境、皮肤功能、自身疾病、年龄以及性别差异等方面总结IAD的影响因素,分析目前国际常用IAD评估工具的构成内容与优缺点,归纳总结临床防治IAD的有效措施,并进行了简要综述,以期为预防和治疗IAD提供有效依据和参考。
Incontinence associated dermatitis(IAD)is a common skin problem in patients with incontinence.Although the occurrence of IAD will not directly lead to the death of patients,it will prolong the length of hospital stay,increase the burden of caregivers,lead to unnecessary medical expenditure,and seriously affect the quality of life and psychological state of patients.By referring to domestic and foreign literature,the author summarized the influencing factors of IAD from the aspects of patients’perineal environment,skin function,disease,age and gender difference,analyzed the composition,advantages and disadvantages of the current commonly used international IAD evaluation tools,summarized the effective measures for clinical prevention and treatment of IAD,and made a brief review.In order to provide effective basis and re ference for prevention and treatment of IAD.
作者
沈洁
周红丽
SHEN Jie;ZHOU Hongli(Longhua Community Health Service Center,Xuhui District,Shanghai 200232)
关键词
失禁相关性皮炎
影响因素
评估工具
防治措施
incontinence-related dermatitis
Influencing factors
Evaluat ion tools
Prevention and control measures
