pisco_log
banner

Application of Two Different Skin Protectants in Preventing Incontinence-associated Dermatitis in Patients with Severe Neurological Disorders

Fangju Mao, Xuesong Yi*, Juan Du, Yanlan Guo

Abstract


Objective: To explore the efficacy of two different skin protectants in preventing incontinence-associated dermatitis (IAD) in pa
tients with severe neurological disorders. Methods: This prospective controlled study enrolled 120 patients with fecal incontinence due to se
vere neurological disorders, divided into two groups: the experimental group (n=60) used infant diaper cream for perianal application, and the
observation group (n=60) used skin protectant film for perianal application, both for 7 consecutive days. The incidence of IAD was assessed
in both groups. Results: 1. There were no statistically significant differences in baseline characteristics (gender, age, weight, NIHSS score,
NRS-2002 assessment) between the two groups (p>0.05). 2. The incidence of IAD was also not significantly different between the two groups
(p>0.05). 3. From a cost analysis perspective, infant diaper cream was more affordable than skin protectant film. Conclusion: No statistically
significant difference was observed in the efficacy of diaper cream versus skin protectant film in preventing IAD in patients with severe neu
rological disorders. However, the cost of diaper cream (30 CNY/bottle) was significantly lower than that of skin protectant film (150 CNY/
bottle), resulting in cost savings and reduced financial burden for patients.

Keywords


Skin protection; Dermatitis;Neurocritical care; Therapeutic efficacy

Full Text:

PDF

Included Database


References


[1] Wang L, Zheng X, Ma R, et al. Interpretation of expert consensus on nursing practice for incontinence-associated dermatitis at home and

abroad [J]. China Nursing Management, 2018, 18(1):3-6 .

[2] Van Lancker A, Van Hecke A, et al. A systematic review and meta-analysis of incontinence-associated dermatitis, incontinence, and

moisture as risk factors for pressure ulcer development[J]. Research Nursing Health, 2014, 39(5):209-220 .

[3] Zulkowski K. Understanding moisture-associated skin damage, medical adhesive-related skin injuries, and skin tears[J]. Adv Skin

Wound Care, 2017, 30(8):372-381 .

[4] Zhou J. Development and evaluation of a risk assessment tool for incontinence-associated dermatitis in ICU patients [D]. China Medical

University, 2021.

[5] Alderden, Jenny, Rondinelli, et al. Risk factors for pressure injuries among critical care patients: A systematic review[J]. International

Journal of Nursing Studies, 2017.

[6] Gonzlez ?ndez M I, Lima ?Errano M, Martn ?astao C, et al. Incidence and risk factors associated with the development of pres

sure ulcers in an intensive care unit[J]. Journal of Clinical Nursing, 2017, 27(3).

[7] Fan Siyue, Chen Lijuan, Jiang Hongzhan, et al. Research progress on risk prediction tools for incontinence-associated dermatitis in criti

cally ill patients [J]. Chinese Journal of Nursing, 2023, 58(22):2812-2817 .

[8] Sarah Hillery. Caring for patients with urinary incontinence-associated dermatitis[J]. British journal of nursing, 2019, 28 (9):S26-S28 .

[9] Mikel Gray, Giuliano KK. Incontinence-Associated Dermatitis and Immobility as Pressure Injury Risk Factors: A Multisite Epidemio

logic Analysis[J]. J Wound Ostomy Continence Nurs. 2017, 00(0):1-5 .

[10] Zhou Jiajia. Evidence-based practice for the management of incontinence-associated dermatitis in hospitalized adults [D]. Zhejiang Uni

versity, 2021.

[11] Lichterfeld-Kottner A, Hahnel E, Blume-Peytavi U, et al. Systematic mapping review about costs. and economic evaluations of skin

conditions and diseases in the aged[J]. J Tissue Viability, 2017, 26(1):6-19 .

[12] Van Damme N, Clays E,Verhaeghe S, et al. Independent risk factors for the development of incontinence-associated dermatitis (category

2) in critically ill patients with fecal incontinence:A cross-sectional observational study in 48 ICU units[J]. Int J Nurs Stud, 2018, 81:30 -

39.

[13] Woo KY. Health economic benefits of cyanoacrylate skin protectants in the management of superficial skin lesions[J]. Int Wound J,

2014, 11(4):431-437 .

[14] Abishai E, Yeghiazaryan K, Golubnitschaja O.I paired wound healing: facts. and hypotheses for multi-professional considerations in

predictive,preventive and personal medicine[J]. EPMA, 2017, 8(1):23-33 .

[15] Gray M, Beeckman D, Bliss D Z, et al. Incontinence-associated dermatitis: a comprehensive review and update[J]. J Wound Ostomy

Continence Nurs, 2012, 39 (1):61-74 .

[16] Qin Wenhua, Dong Chunlan, Shu Xiaoqiong. Efficacy observation of oxygen blowing combined with Piplle anal cream in the treatment

of incontinence dermatitis in critically ill patients [J]. Heilongjiang Medical Science, 2022, 45(06):38-39+42 .




DOI: http://dx.doi.org/10.70711/pmr.v3i6.9145

Refbacks

  • There are currently no refbacks.