降低胃腸科病患尿布性皮膚炎發生改善方案

The Project Report of Reducing Diaper Dermatitis in Gastrointestinal Ward

黃嘉玲(C.L. Huang) ； 趙莉芬(L.F. Chao) ； 陳麗貞(L.J. Chen) ； 李金桂(C.K. Lee)

《長庚護理》 11卷3期 (2000/09) Pp. 25-33

https://doi.org/10.6386/CGN.200009_11(3).0003

摘要

The skin integrity is a major issue for nurses because it implied the quality of nursing care. Patients who are admitted to the gastrointestinal unit often suffer from inflammation or bleeding of gastrointestinal tract and receive laxative treatment. As a result, this survey was conducted from November 1998 to March 1999 to explore the incidence of diaper dermatitis. Of 51 patients who used diaper, 19 (37.2%) had diaper dermatitis. According to the literature and clinical experience, a nursing intervention protocol and nursing care checklist were developed to evaluate the incidence of diaper dermatitis. The content validity index of the nursing standard is 0.9. During April 1999 to September, 48 patients who used diaper were recruited and received the designed protocol and checklist. Of these two groups (51; 48), there is no difference on age, diagnosis, mobility, diarrhea and incontinence between the control and treatment group (P＞0.05). After applying the designed nursing care checklist, the frequency of changing diaper is significantly increased (P＜0.05). Of 48 treated patients, only seven (14.6%) had diaper dermatitis. The incidence is significantly reduced from 37.2% in control group (N=51) to 14.6% (N=48) in treated group (P＜0.05).

關鍵字

尿布性皮膚炎

並列摘要

The skin integrity is a major issue for nurses because it implied the quality of nursing care. Patients who are admitted to the gastrointestinal unit often suffer from inflammation or bleeding of gastrointestinal tract and receive laxative treatment. As a result, this survey was conducted from November 1998 to March 1999 to explore the incidence of diaper dermatitis. Of 51 patients who used diaper, 19 (37.2%) had diaper dermatitis. According to the literature and clinical experience, a nursing intervention protocol and nursing care checklist were developed to evaluate the incidence of diaper dermatitis. The content validity index of the nursing standard is 0.9. During April 1999 to September, 48 patients who used diaper were recruited and received the designed protocol and checklist. Of these two groups (51; 48), there is no difference on age, diagnosis, mobility, diarrhea and incontinence between the control and treatment group (P＞0.05). After applying the designed nursing care checklist, the frequency of changing diaper is significantly increased (P＜0.05). Of 48 treated patients, only seven (14.6%) had diaper dermatitis. The incidence is significantly reduced from 37.2% in control group (N=51) to 14.6% (N=48) in treated group (P＜0.05).

並列關鍵字

Diaper dermatitis