Technologies of Clinical Diagnosis and Medical Treatment
Application of a structured skin care regimen on the patients with fecal incontinence in ICU
Yunxia Wang, Qiaoyan Liu, Meifen Shen, Yuyu Wang, Lan Gu
Published 2018-02-23
Cite as Int J Nurs, 2018, 37(4): 561-565. DOI: 10.3760/cma.j.issn.1673-4351.2018.04.043
Abstract
ObjectiveTo explore the nursing effects of"structured skin-care regimen"on the incontinence-associated dermatitis of ICU patients with fecal incontinence.
MethodsA total of 144 patients with fecal incontinence in ICU were chosen as the research objects and were divided into the control group and the intervention group, 72 cases of each group.The control group received routine care of incontinence-associated dermatitis, and the intervention group were given the"structured skin-intervention program for patients with fecal incontinence". Rate of incontinence-associated dermatitis and its severity, nursing duration and care cost were compared between the control group and the intervention group.
ResultsThe incidence rate of IAD of the intervention group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). The severity score of IAD of the intervention group was lower than that of the control group, and the difference was statistically significant(P<0.05). The costs of patients with fecal incontinence and IAD of the intervention group were significantly lower than those of the control group, and the differences were statistically significant(P<0.05). There was no significant difference in the cost of IAD in the intervention group compared with the control group(P>0.05). There was no significant difference in the nursing time between patients with fecal incontinence and IAD in the intervention group compared with the control group(P>0.05).
ConclusionStructured skin-care regimen can obviously reduce the occurance rate of incontinence-associated dermatitis and its severity, decrease care cost of fecal incontinence patients with incontinence-associated dermatitis and reduce the burden of patients and the society.
Key words:
Fecal incontinence; Incontinence-associated dermatitis; Structured skin-care regimen
Contributor Information
Yunxia Wang
Neurosurgery Department, the First Affiliated Hospital of Suzhou University, Suzhou 215006, China
Qiaoyan Liu
Meifen Shen
Yuyu Wang
Lan Gu