中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
26期
32-36
,共5页
失禁%皮肤保护剂%预防%危险因素%保护因素
失禁%皮膚保護劑%預防%危險因素%保護因素
실금%피부보호제%예방%위험인소%보호인소
Incontinence%Skin protectant%Prevention%Risk factors%Protective factors
目的 探讨皮肤保护剂在失禁患者中的应用效果,并分析IAD发生的危险因素和保护因素,为临床提供有效的防范依据.方法 将2013年5月至2014年1月入住南通市某三级甲等医院4个监护病区(神经外科ICU、神经内科ICU、急诊ICU、综合ICU)的174例高危失禁患者随机分成3组(A组造口护肤粉,B组鞣酸软膏,C组皮肤保护膜),予以皮肤保护剂预防性地干预,比较IAD的发生率、发生时间,并对可能引起IAD的相关因素进行多因素Logistic回归分析.结果 发生IAD者32例占18.4％.A组、B组和C组IAD发生率依次为30.4％、10.3％和15.0％,B组lAD的发生率最低,其次为C组和A组,经比较,3组间差异有统计学意义.经两两比较发现,A组与B组之间、A组与C组之间,IAD发生率的差异有统计学意义,B组与C组之间差异无统计学意义.IAD平均发生时间为(7.00±3.91)d,3组患者IAD发生时间比较差异无统计学意义.多因素Logistic回归分析显示,大便性状和失禁频率是高危失禁患者发生IAD的危险因素,使用预防效果较好的皮肤保护剂是其发生的保护因素.结论 在失禁护理过程中,应尽早给予清洁肛周皮肤并使用预防效果较好的皮肤保护剂.
目的 探討皮膚保護劑在失禁患者中的應用效果,併分析IAD髮生的危險因素和保護因素,為臨床提供有效的防範依據.方法 將2013年5月至2014年1月入住南通市某三級甲等醫院4箇鑑護病區(神經外科ICU、神經內科ICU、急診ICU、綜閤ICU)的174例高危失禁患者隨機分成3組(A組造口護膚粉,B組鞣痠軟膏,C組皮膚保護膜),予以皮膚保護劑預防性地榦預,比較IAD的髮生率、髮生時間,併對可能引起IAD的相關因素進行多因素Logistic迴歸分析.結果 髮生IAD者32例佔18.4％.A組、B組和C組IAD髮生率依次為30.4％、10.3％和15.0％,B組lAD的髮生率最低,其次為C組和A組,經比較,3組間差異有統計學意義.經兩兩比較髮現,A組與B組之間、A組與C組之間,IAD髮生率的差異有統計學意義,B組與C組之間差異無統計學意義.IAD平均髮生時間為(7.00±3.91)d,3組患者IAD髮生時間比較差異無統計學意義.多因素Logistic迴歸分析顯示,大便性狀和失禁頻率是高危失禁患者髮生IAD的危險因素,使用預防效果較好的皮膚保護劑是其髮生的保護因素.結論 在失禁護理過程中,應儘早給予清潔肛週皮膚併使用預防效果較好的皮膚保護劑.
목적 탐토피부보호제재실금환자중적응용효과,병분석IAD발생적위험인소화보호인소,위림상제공유효적방범의거.방법 장2013년5월지2014년1월입주남통시모삼급갑등의원4개감호병구(신경외과ICU、신경내과ICU、급진ICU、종합ICU)적174례고위실금환자수궤분성3조(A조조구호부분,B조유산연고,C조피부보호막),여이피부보호제예방성지간예,비교IAD적발생솔、발생시간,병대가능인기IAD적상관인소진행다인소Logistic회귀분석.결과 발생IAD자32례점18.4％.A조、B조화C조IAD발생솔의차위30.4％、10.3％화15.0％,B조lAD적발생솔최저,기차위C조화A조,경비교,3조간차이유통계학의의.경량량비교발현,A조여B조지간、A조여C조지간,IAD발생솔적차이유통계학의의,B조여C조지간차이무통계학의의.IAD평균발생시간위(7.00±3.91)d,3조환자IAD발생시간비교차이무통계학의의.다인소Logistic회귀분석현시,대편성상화실금빈솔시고위실금환자발생IAD적위험인소,사용예방효과교호적피부보호제시기발생적보호인소.결론 재실금호리과정중,응진조급여청길항주피부병사용예방효과교호적피부보호제.
Objective The study is to investigate the effects of skin protectant carried out among the patients with incontinence,analyze the risk factors and protective factors of the occurrence of incontinence-associated dermatitis,and provide effective preventive measures for clinic.Methods From May 2013 to January 2014,174 cases of high-risk patients with incontinence from care units of intensive care unit,neurology intensive care unit,neurosurgery intensive care unit,and emergency intensive care unit of a top three hospital of Nantong were divided into three groups and provided with preventive interventions of skin protectant.Group A used ostomy skin care powder,group B used tannic acid ointment,and group C used Comfeel skin protective film.The incidence rate and time to onset of incontinence-associated dermatitis were compared,and then the relevant factors which might cause the occurrence of incontinence-associated dermatitis underwent Logistic regression analysis.Results 32 cases (18.4％) of patients after application of skin protectants occurred incontinence-associated dermatitis.The incidence rate of IAD in the three experiment groups (group A,group B and group C) were 30.4％,10.3％ and 15.0％.The incidence rate of IAD was the lowest in group B,followed by group C and group A.There was a significant difference among the three groups.In the comparison pair match,the differences of incidence rate between group A and group B,group A and group C were statistically significant,but the incidence rate of group B and group C was statistically insignificant.Mean time to onset of incontinence-associated dermatitis was (7.00± 3.91) days.The occurrence time of IAD among the three groups was not statistically significant.Conclusions In the process of incontinence care,it should be given as early as possible to clean the peri-anal skin and apply skin protectant with better preventive effects.
