Incidence and Characteristics of Incontinence-Associated Dermatitis in Community-Dwelling Persons With Fecal Incontinence.
Incidence and Characteristics of Incontinence-Associated Dermatitis in Community-Dwelling Persons With Fecal Incontinence.
复制标题
DOI：
10.1097/won.0000000000000159
复制
发表时间：
2015-09
期刊：
影响因子：
--
通讯作者：
Savik K
中科院分区：
文献类型：
--
作者：
Bliss DZ;Funk T;Jacobson M;Savik K
对于社区生活中大便失禁患者的失禁相关性皮炎（IAD）的发病率和特征知之甚少。本研究的主要目的是描述自我报告的网络成瘾的发生率和特点，在社区生活的个人大便失禁。该研究还研究了网络成瘾是否与年龄、性别、尿失禁或大便失禁的严重程度有关。采用前瞻性队列设计进行次要数据分析。患有大便失禁的社区生活成人（N = 98）（76%为女性，34%年龄在65岁以上，90%为白色），他们参加了一项关于膳食纤维补充剂的研究，并且在开始时没有IAD。35%的人还患有尿失禁。受试者在52天内每天评估他们的皮肤是否存在IAD，报告IAD损伤的类型（发红、皮疹/真菌感染和皮肤缺损）、IAD的位置和症状。他们在研究的第一天和最后14天的日记中报告了大便失禁。网络成瘾的发生率为41%（40/98）。发生网络成瘾的受试者的大便失禁严重程度评分比从未发生网络成瘾的受试者高1.2分（p <0.001）。网络成瘾与年龄、性别、大便失禁和尿失禁无显著相关性。2周内发生炎症相关性皮炎，约1周内愈合。最常见的体征和症状分别为发红（60%）和疼痛（78%）。大多数受试者（85%）在一个地方有网络成瘾。评估网络成瘾在社区生活的大便失禁患者是很重要的，因为网络成瘾是常见的，会导致不适。网络成瘾的严重程度相对较轻，这为WOC护士提供了通过预防和管理这一问题来改善患者预后的机会。
Little is known about the incidence and characteristics of incontinence associated dermatitis (IAD) in community-living individuals with fecal incontinence. The primary aim of this study was to describe the incidence and characteristics of self-reported IAD among community-living individuals with fecal incontinence. The study also examined whether IAD was associated with older age, gender, presence of urinary incontinence, or fecal incontinence severity. Secondary data analysis using a prospective cohort design. Community-living adults (N = 98) with fecal incontinence (76% female, 34% aged 65+ years, 90% White) who participated in a study about dietary fiber supplementation and were free of IAD at the start. Thirty five percent also had urinary incontinence. Subjects assessed their skin for IAD daily for 52 days reporting types of IAD damage (redness, rash/fungal infection, and skin loss), location of IAD, and symptoms. They reported fecal incontinence on a diary for the first and last 14 study days. The incidence of IAD was 41% (40/98). The fecal incontinence severity score for subjects developing IAD was 1.2 higher than those who never had IAD (p < .001). There was no significant association of IAD with age, gender, or dual fecal and urinary incontinence. Incontinence Associated Dermatitis developed within 2 weeks and healed in approximately 1 week. The most common sign and symptom were redness (60% patients) and soreness (78%), respectively. Most subjects (85%) had IAD in one location. Assessing for IAD in community-living patients with fecal incontinence is important as IAD is common and causes discomfort. The relatively mild severity of IAD offers WOC nurses opportunity for improving patient outcomes by preventing and managing this problem.