基于IADIT的定向干预在重症患者失禁相关性皮炎患者中的应用

目的探讨改良皮肤清洗方法联合失禁相关性皮炎干预工具(IADIT)应用于危重症患者失禁相关性皮炎的效果。方法采用便利抽样法,将北京大学第三医院2017年3月—2018年2月伴有大便失禁的危重症患者92例作为对照组,2018年3月—2019年2月伴有大便失禁的危重症患63例作为试验组。对照组患者采用常规护理,试验组采用IADIT护理,比较两组患者失禁相关性皮炎的发生率、治疗效果和愈合时间。结果干预后,试验组失禁相关性皮炎发生率为30.16%(19/63),低于对照组的44.57%(41/92),两组比较差异有统计学意义(P<0.05);试验组失禁相关性皮炎治疗有效率为94.74%(18/19),高于对照组的65.86%(27/41),两组比较差异有统计学意义(P<0.05);试验组失禁相关性皮炎愈合的时间为(6.33±3.14)d,低于对照组的(11.55±3.41)d,两组比较差异有统计学意义(P<0.01)。结论在大便失禁的危重症患者中,与传统经验性护理方法相比,基于IADIT的定向干预措施能有效地降低失禁相关性皮炎的发生率,提高失禁相关性皮炎治愈率,缩短愈合时间。

Application of targeted intervention based on Incontinence-Associated Dermatitis Intervention Tool in critically ill patients with incontinence-associated dermatitis

Objective To explore the effect of improved skin cleaning method combined with Incontinence-Associated Dermatitis Intervention Tool(IADIT)in the treatment of incontinence-associated dermatitis in critically ill patients.Methods By convenience sampling,we selected the patients in Peking University Third Hospital as subjects.A total of 92 critically ill patients with fecal incontinence from March 2017 to February 2018 were set as the control group while 63 critically ill patients with fecal incontinence from March 2018 to February 2019 were set as the experimental group.Patients in the control group received routine care,and those in the experimental group received IADIT care.The incidence,curative effects and healing time of incontinence-associated dermatitis were compared between the two groups.Results After the intervention,the incidence of incontinence-associated dermatitis in the experimental group was 30.16%(19/63),which was lower than 44.57%(41/92)in the control group,and the difference between the two groups was statistically significant(P<0.05).The effective rate of incontinence-associated dermatitis in the experimental group was 94.74%(18/19),which was higher than 65.86%(27/41)in the control group,and the difference between the two groups was statistically significant(P<0.05).The healing time of incontinence-associated dermatitis in the experimental group was(6.33±3.14)d,which was lower than(11.55±3.41)d in the control group,and the difference between the two groups was statistically significant(P<0.01).Conclusions Compared with traditional empirical nursing methods,targeted interventions based on IADIT for critically ill patients with fecal incontinence can effectively reduce the incidence of incontinence-associated dermatitis,improve the cure rate of incontinence-associated dermatitis and shorten the healing time.