Exploring the relationship between skin property and absorbent pad environment
Exploring the relationship between skin property and absorbent pad environment
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DOI：
10.1111/j.1365-2702.2008.02606.x
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发表时间：
2009-06-01
影响因子：
4.2
通讯作者：
Sugama, Junko
中科院分区：
文献类型：
--
作者：
Shigeta, Yoshie;Nakagami, Gojiro;Sugama, Junko
本研究的目的是通过临床调查，找出在吸收垫周围环境中发现皮肤病变的相关因素。大多数老年失禁患者使用吸收性产品，因此导致许多患者在吸收垫区域出现皮肤病变。为了防止这些皮肤病变的发生，有必要检查临床患者的吸收垫环境，因为有许多因素使该区域的病理生理复杂化。采用横断面设计。100名使用尿布和吸水垫的大便和/或尿失禁的日本老年患者参与了这项研究。排除可漂白性红斑，在吸收垫区存在皮肤病变被证实。皮肤pH值、水合水平和细菌培养用于评估皮肤特性。同时调查了吸收垫环境和患者的人口统计学特征。皮肤病变的总体患病率为36%。40%的皮肤损伤是接触性皮炎。多因素logistic回归分析显示，只有腹泻的存在独立影响接触性皮炎。当病人腹泻时，接触性皮炎和使用吸收垫之间有显著的关系。虽然与吸收垫区域皮肤病变相关的因素错综复杂，但本研究首次能够确定腹泻是临床环境中的一个特定因素。这一发现表明，腹泻的存在与接触性皮炎显著相关。因此，当患者出现腹泻时，卫生保健专业人员应立即实施预防性护理方案，其中包括仔细观察皮肤和改进皮肤护理。开发一种更有效的吸收垫来保护小便失禁患者的皮肤也是必要的。
The aim of this study is to identify the related factors of skin lesions found in the surrounding environment of absorbent pads by clinical investigation.Most older patients with incontinence use absorbent products, therefore causing many patients to have skin lesion in the absorbent pad area. To prevent these skin lesions from occurring, it is necessary to examine the absorbent pad environment of clinical patients since there are many contributing factors that complicate the pathophysiology in this area.A cross-sectional design was used.One hundred older Japanese patients with faecal and/or urinary incontinence using diapers and absorbent pads participated. Excluding blanchable erythema, the presence of skin lesions in the absorbent pad area was confirmed. Skin pH, hydration level and bacterial cultures were used to assess the skin property. Absorbent pad environment and patient demographics were also investigated.The overall prevalence of skin lesions was 36%. Forty percent of the skin lesions were contact dermatitis. Multivariate logistic regression analysis revealed that only the presence of diarrhoea independently affected contact dermatitis.There was a significant relationship between contact dermatitis and the use of absorbent pads when the patient had diarrhoea. Although the factors related to skin lesions in the absorbent pad area are complexly intertwined, this study was the first to be able to determine diarrhoea as one specific factor in clinical setting.This finding suggests that the presence of diarrhoea is significantly related with contact dermatitis. Therefore, when a patient has diarrhoea, health-care professionals should immediately implement a preventative care program which includes careful skin observation and improved skin care. It is also necessary to develop a more effective absorbent pad to protect the skin of incontinent patients who suffer from the irritating effects of liquid stool.