Incontinence-associated dermatitis in community-dwelling individuals with fecal incontinence.
Incontinence-associated dermatitis in community-dwelling individuals with fecal incontinence.
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DOI：
10.1097/won.0b013e31827e8b3d
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发表时间：
2013-03
期刊：
影响因子：
--
通讯作者：
Savik K
中科院分区：
文献类型：
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作者：
Rohwer K;Bliss DZ;Savik K
描述大便失禁社区居民中失禁相关皮炎的发生率和严重程度。描述性和比较性二级数据分析189个社区，参与比较膳食纤维对大便失禁的影响的研究的患有大便失禁的居住个体进行了关于吸收性产品使用的调查，该调查包含关于受试者皮肤损伤史的问题在研究开始时，在患有大便失禁的社区生活个体中，52.5%发生了与大便失禁相关的皮炎。尿失禁相关性皮炎的严重程度大多为轻度至中度，并定期发生。最常见的临床表现为皮肤发红（68%）。大多数人（95%）报告皮肤损伤的位置是肛门/直肠区域。双失禁者也报告阴道或阴茎周围皮炎。大便失禁严重程度越高的个体，失禁相关性皮炎的严重程度也越高（r = 0.27，p = 0.000）。尿失禁频率（r = 0.23，p <0.002）和粪便泄漏量（r = 0.23，p <0.002）与尿失禁相关性皮炎严重程度显著相关。不同性别、年龄或是否存在双侧尿失禁，尿失禁相关性皮炎的发生率或严重程度无显著差异。在社区中，患有大便失禁的个体的高百分比有时患有与失禁相关的皮炎。这一人群可能会受益于咨询WOC护士有关预防和管理失禁相关皮炎。
To describe the occurrence and severity of incontinence associated dermatitis among community-dwelling individuals with fecal incontinence Descriptive and comparative secondary data analysis One hundred eighty nine community-dwelling individuals with fecal incontinence who participated in a study comparing the effects of dietary fiber on fecal incontinence A survey on the use of absorbent products that contained questions about subjects’ history of skin damage was administered at the start of the study Incontinence associated dermatitis occurred in 52.5% of the community-living individuals with fecal incontinence. The severity of incontinence associated dermatitis was mostly mild to moderate and occurred periodically. Redness without broken skin was the most common manifestation (68%). Most individuals (95%) reported the location of skin damage to be the anal/rectal area. Those with double incontinence also reported dermatitis around the vagina or penis. Individuals with a greater severity of fecal incontinence had a greater severity of incontinence associated dermatitis (r = .27, p = .000). Both the frequency of incontinence (r = .23, p < .002) and the amount of feces leaked (r = .23, p < .002) had a significant correlation with incontinence associated dermatitis severity. There were no significant differences in the occurrence or severity of incontinence associated dermatitis by sex, age, or presence of double incontinence. A high percentage of individuals in the community with fecal incontinence suffer from incontinence associated dermatitis at times. This population may benefit from consultation with a WOC nurse about prevention and management of incontinence associated dermatitis.