重症病人失禁性皮膚炎盛行率及預測因子之調查

Prevalence and Predicting Factors of Incontinence-Associated Dermatitis Among Intensive Care Patients

徐筱茹(Shiau‐Ru Shiu) ； 許美玉(Mei‐Yu Hsu) ； 章淑娟(Shu‐Chuan Chang) ； 鍾惠君(Hui‐Chun Chung) ； 徐小惠(Hsiao‐Hui Hsu)

《護理暨健康照護研究》 9卷3期 (2013/09) Pp. 210-217

https://doi.org/10.6225/JNHR.09.3.210

摘要

Background: Incontinence‐associated dermatitis (IAD) is a prevalent cause of skin damage in clinical settings, with incident rates as high as 36% in critical settings. Damage to the skin may cause cauterization, pruritus and pain, and IAD is an increasingly prominent cause of secondary infections, which prolong hospitalization times and increase healthcare costs.Purpose: The aim of this study was to investigate the prevalence and predicting factors of incontinenceassociated dermatitis among intensive care unit (ICU) patients.Methods: This was a cross‐sectional observational study that used the Braden scale, Barthel scale, and perineal assessment tool (PAT) to collect data via direct observation of participants' skin in critical settings.Results: A total of 171 patients were surveyed. IAD prevalence was 26.32%, with 91.11% of IAD incidences occurring during hospitalization. The anus was the most prevalent IAD site. The statistically significant risk factors for IAD included cardiovascular disease, antibiotics usage, urinary and/or fecal incontinence, type of stool passage, hypoalbuminemia, lower Braden scale score, and higher perineal assessment tool (PAT) score. Logistic regression supported that lower Braden scale scores and higher PAT scores were effective predictors of IAD prevalence.Conclusion / Implications for Practice: This study provides guidelines for the future formulation of preventive measures for IAD, especially for critical‐care patients.

關鍵字

重症病人 ； 失禁性皮膚炎 ； 盛行率 ； 預測因子

並列摘要

Background: Incontinence‐associated dermatitis (IAD) is a prevalent cause of skin damage in clinical settings, with incident rates as high as 36% in critical settings. Damage to the skin may cause cauterization, pruritus and pain, and IAD is an increasingly prominent cause of secondary infections, which prolong hospitalization times and increase healthcare costs.Purpose: The aim of this study was to investigate the prevalence and predicting factors of incontinenceassociated dermatitis among intensive care unit (ICU) patients.Methods: This was a cross‐sectional observational study that used the Braden scale, Barthel scale, and perineal assessment tool (PAT) to collect data via direct observation of participants' skin in critical settings.Results: A total of 171 patients were surveyed. IAD prevalence was 26.32%, with 91.11% of IAD incidences occurring during hospitalization. The anus was the most prevalent IAD site. The statistically significant risk factors for IAD included cardiovascular disease, antibiotics usage, urinary and/or fecal incontinence, type of stool passage, hypoalbuminemia, lower Braden scale score, and higher perineal assessment tool (PAT) score. Logistic regression supported that lower Braden scale scores and higher PAT scores were effective predictors of IAD prevalence.Conclusion / Implications for Practice: This study provides guidelines for the future formulation of preventive measures for IAD, especially for critical‐care patients.

並列關鍵字

intensive care unit patients ； incontinence‐associated dermatitis ； prevalence ； predicting factor

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