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Fundamental research on hygienic care of skin and nursing care to maintain skin function

皮肤卫生护理和维持皮肤功能护理的基础研究

基本信息

批准号：
15592242
负责人：
SAEKI Yuka
金额：
$ 1.92万
依托单位：
Fukuoka Prefectural University (2004-2005)Nagano College of Nursing (2003)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

This study was designed to investigate influences of nursing care on the condition and physiological function of the skin. This study consists of three experiments including that (1) Care to protect dry skin after using hot water, (2)Influences of surgical adhesive tape on the condition and function of the skin, and (3)Influences of bed bath on the condition and cleanliness of the skin.(1) The stratum corneum (SC) hydration and skin lipid increased significantly immediately after the end of immersion in hot water. However these changes returned to the level before immersion after 10 minutes. The increase in SC hydration lasted to 60 minutes after the immersion by applying the moisturizer concluding the seramide 5 minutes after the end of the immersion, not 10 minutes. These results suggest that the moisturizer should be applied to the skin within 5 minutes after using hot water to protect the dry skin.(2) Influences of several surgical adhesive tapes on skin were investigated by measuring SC, skin lipid, surface pH and transepidermal water loss (TEWL) reflecting the barrier function of the skin as a skin function. As a result, SC increased significantly by applying plastic tapes for 1 or 2 days except for the paper type. TEWL increased significantly in all tapes indicating that barrier function of skin might be impaired, but the degree of increased change was least in paper tape. Therefore, it is concluded that paper tape with acrylic acid adhesive might has in less influence on skin barrier function.(3) In bed bath TEWL increased and ATP activity decreased as the skin was wiped on a towel strongly or/and increased frequency. Therefore, though cleanliness of skin increased by wiping strongly or with increased frequency, the skin barrier function would be damaged. It is suggested that the site of skin or age of a person should be considered to maintain the homeostasis of skin in bed bath.

本研究旨在探讨护理对皮肤状况及生理功能的影响。本研究包括三个实验：(1)注意保护使用热水后的皮肤干燥；(2)手术胶带对皮肤状况和功能的影响；(3)床浴对皮肤状况和清洁度的影响。(1)热水浸泡结束后立即角质层(SC)水合和皮肤脂质显著增加。然而，这些变化在10分钟后恢复到浸泡前的水平。通过在浸泡结束后5分钟而不是10分钟后涂抹保湿剂，SC水合的增加持续到60分钟。这些结果表明，保湿剂应该在使用热水后5分钟内涂抹在皮肤上，以保护干燥的皮肤。(2)通过测量SC、皮肤脂质、表面pH值和反映皮肤屏障功能的经皮失水(TEWL)来研究几种外科胶带对皮肤的影响。结果表明，除纸类外，覆膜1-2天后，SC显著增加。所有胶带的TEWL均显著增加，提示皮肤屏障功能可能受到损害，但纸质胶带增加的程度最小。因此，使用带有丙烯酸粘合剂的纸带对皮肤屏障功能的影响可能较小。(3)在床浴中，随着毛巾上擦拭皮肤的强度和/或频率的增加，TEWL增加，ATP活性降低。因此，尽管强力擦拭或增加擦拭频率会增加皮肤的清洁度，但皮肤屏障功能会受到损害。建议床上沐浴时应考虑皮肤部位或年龄，以维持皮肤的动态平衡。