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The effect of pH-compatible cleansing cloths on skin pH and the development of pressure ulcers
Institution:1. Mehmet Akif Ersoy Un?versity Health Science Faculty, Nursing Department, Burdur, Turkey;2. Ayd?n Adnan Menderes University Faculty of Nursing, Ayd?n, Turkey;1. Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134, Verona, Italy;2. Ospedale Civile Sant''Andrea, 19121, La Spezia, Italy;3. Urban Medical Beauty, 00187, Roma, Italy;4. Estederm Studio di Dermatologia, Medicina Estetica e Chirurgia Plastica, 95127, Catania, Italy;5. Clinica Fleboláser, 15004, A Coruña, Spain;6. Clinique Montéroni, 34920, Le Crès/Montpellier, France;7. Ospedale Casa Sollievo della Sofferenza IRCCS, 71013, San Giovanni Rotondo, Foggia, Italy;1. Academic Unit of Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK;2. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK;3. Kleijnen Systematic Reviews Ltd, York, UK;4. School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland;5. Alliance for Research and Innovation in Wounds, National University of Ireland Galway, Galway, Ireland;1. Girne American University, School of Nursing, Nursing Department, Via Mersin 10, Kyrenia, North Cyprus, Turkey;2. Eastern Mediterranean University, Health Sciences Faculty, Nursing Department, Via Mersin 10, Famagusta, North Cyprus, Turkey;1. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;2. Wounds Research Lab - Centre for Interdisciplinary Research in Health, Catholic University of Portugal, Porto, Portugal;3. RedC Consultancy, Bradford, United Kingdom;4. Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel;5. Diabetic Foot Unit, Universidad Complutense de Madrid, Madrid, Spain;6. University of Miami Hospital Miller School of Medicine, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami, FL, USA;7. Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA;8. School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia;9. Podiatry Department, Salford Royal NHS Foundation Trust, Salford Care Organisation, Salford, United Kingdom;10. Nurse Practitioner, Warrnambool, Victoria, Australia;11. School of Nursing, Queen''s University, Kingston, Ontario, Canada;12. Swedish Centre for Skin and Wound Research, Faculty of Health and Medicine, School of Health Sciences, Örebro University, Örebro, Sweden;13. Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Odense, Denmark;14. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland;1. Keck School of Medicine of University of Southern California, Los Angeles, CA, United States;2. Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States;3. Division of Plastic and Reconstructive Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States
Abstract:AimSkin care plays an important role in the prevention of the development of pressure ulcers. The aim of this study was to determine the effect of skincare with a body pH-compatible cleansing cloth on the development time of pressure ulcers and on skin pH.MethodsThis experimental research was conducted with 156 patients hospitalized in intensive care clinics of a state hospital between September 2019 and 2020. The sample was calculated with a power of 80% and a significance level of 0.05 (α error) and as a result, 78 elderly patients formed the intervention group and another 78 elderly patients made up the control group. Data were collected using the Elderly Information Form, Braden Risk Assessment Scale, Pressure Ulcer Staging Tool and Skin pH Measurement Form. The pre- and post-care skin pH of both groups was measured with a skin pH meter. P < 0.05 was considered statistically significant.ResultsThe average development time for pressure ulcers was 14.9 days in the control group, 18.9 days in the intervention group and the difference was not statistically significant (p > 0.05). Skin pH decreased in the intervention group after the skin care routine was applied, whereas it increased in the control group.ConclusionIt can be said that care of one's skin with a body pH-compatible cleansing cloth has a positive effect on the development time of pressure ulcers and also positively changes the skin pH to acidic.
Keywords:Pressure ulcer  Skin care  Skin pH  Skin cleansing
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