內科加護病房失禁性皮膚炎病人使用凡士林及氧化鋅保護皮膚之成效

Effectiveness of Using Vaseline or Zinc Oxide to Protect Skin Incontinence Dermatitis Patients

林文綾(Wen-Ling Lin) ； 劉淑芳(Shwu-Fang Liou) ； 黃惠美(Huei-Mei Huang)

《嘉大農林學報》 11卷2期 (2014/08) Pp. 19-28

摘要

成人失禁性皮膚炎是臨床常見的問題，主要起因於嚴重腹瀉或大小便失禁導致會陰、肛門周圍皮膚浸蝕、發紅、破損等損傷。臨床上常與第一度壓瘡混為一談，臨床上常以使用凡士林或氧化鋅作為初期皮膚發紅之照護處置。相關護理方式無一定論，缺乏實證性指引。藉由頻繁更換尿布，並無法有效預防。本研究之目的在探討使用凡士林及氧化鋅兩種不同保護性措施，對預防成人失禁性皮膚炎之成效。本研究為介入性研究，採評價設計，於某醫學中心二個內科成人加護中心將符合收案條件之病患，依住院日期先後排序，再以SPSS統計軟體產生之亂數表，隨機分派至塗抹氧化鋅組、凡士林組以及對照組，分別收案29名、39名、31名。發現三組成員在失禁性皮膚炎等級、皮膚發紅範圍、皮膚破損等級前後測之差距未達顯著差異。無論提供保護性措施與否，腹瀉時，均無法避免失禁性皮膚炎之產生。

關鍵字

失禁性皮膚炎 ； 凡士林 ； 氧化鋅

並列摘要

Incontinence dermatitis is a prevalent problem, particularly among individuals in acute and long-term care, often resulted from inflammation of the skin that occurs when urine or stool comes into contact with perineal or perigenital skin. Common active ingredients in a protectant or barrier include petrolatum, or zinc oxide, either alone or in some combination. This study aim to compare these two different regimens in the prophylaxis of incontinence dermatitis. Ninety nine patients with incontinence were randomized into a prospective controlled trial comparing three modalities. Twenty-nine patients used zinc oxide, thirty nine patients used petrolatum and thirty one patients was controlled group. Patient's demographics and degree of incontinence dermatitis were recorded. No difference was found among the groups in degree of incontinence dermatitis. Topical treatment using either petrolatum or zinc oxide cannot decrease the development of incontinence dermatitis.

並列關鍵字

Incontinence dermatitis ； Petrolatum ； Zinc oxide