Objective:To evaluate the clinical effect of comfort nursing intervention in preventing incontinent-associated dermatitis(IAD)and related complications in critically ill patients.Methods:This study enrolled critically...Objective:To evaluate the clinical effect of comfort nursing intervention in preventing incontinent-associated dermatitis(IAD)and related complications in critically ill patients.Methods:This study enrolled critically ill patients from the Intensive Care Unit at Ningxiang People’s Hospital between June 2020 and June 2024.Patients were randomly assigned to a comfort nursing group(n=51)and a routine nursing group(n=53).The comfort nursing group received comprehensive comfort nursing,while the routine nursing group received standard care.The incidence,classification and area of IAD as well as the incidence of complications and patient/family satisfaction with nursing care,were assessed.Results:The incidence of IAD was significantly lower in the comfort nursing group(8 patients)compared to the routine nursing group(21 patients)(P<0.05).Additionally,the incidences of wound infection and muscle soreness were notably lower in the comfort nursing group(both P<0.05).Patient and family satisfaction in the comfort nursing group was significantly higher than in the routine nursing group(both P<0.05).Conclusion:Comfort nursing intervention is effective in preventing IAD and reducing associated complications in critically ill patients,thereby improving patient and family satisfaction with treatment.展开更多
Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal inc...Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal incontinence who were admitted to the ICU for treatment between January 2024 and December 2024 were selected and randomly divided into two groups using a random number table.The observation group received 4R crisis management theory,while the control group received routine management.The IAD risk score,incidence of IAD,severity of IAD,and formation and healing time of IAD were compared between the two groups.Results:After management,the IAD risk score of the observation group was lower than that of the control group(P<0.05).The incidence of IAD in the observation group was lower than that in the control group,the proportion of mild IAD was higher than that in the control group,the formation time of IAD was later than that in the control group,and the healing time was shorter than that in the control group(P<0.05).Conclusion:Adopting the 4R crisis management theory for ICU patients with fecal incontinence can reduce the risk of IAD occurrence,effectively prevent IAD,reduce its severity,delay its formation time,and promote good healing.展开更多
文摘Objective:To evaluate the clinical effect of comfort nursing intervention in preventing incontinent-associated dermatitis(IAD)and related complications in critically ill patients.Methods:This study enrolled critically ill patients from the Intensive Care Unit at Ningxiang People’s Hospital between June 2020 and June 2024.Patients were randomly assigned to a comfort nursing group(n=51)and a routine nursing group(n=53).The comfort nursing group received comprehensive comfort nursing,while the routine nursing group received standard care.The incidence,classification and area of IAD as well as the incidence of complications and patient/family satisfaction with nursing care,were assessed.Results:The incidence of IAD was significantly lower in the comfort nursing group(8 patients)compared to the routine nursing group(21 patients)(P<0.05).Additionally,the incidences of wound infection and muscle soreness were notably lower in the comfort nursing group(both P<0.05).Patient and family satisfaction in the comfort nursing group was significantly higher than in the routine nursing group(both P<0.05).Conclusion:Comfort nursing intervention is effective in preventing IAD and reducing associated complications in critically ill patients,thereby improving patient and family satisfaction with treatment.
基金Exploration of the Preventive Effect of Skin Management Program Based on 4R Crisis Management Theory on Incontinence-Associated Dermatitis in ICU Patients with Fecal Incontinence(Project No.:YK202335)。
文摘Objective:To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis(IAD)in ICU patients with fecal incontinence.Methods:A hundred patients with fecal incontinence who were admitted to the ICU for treatment between January 2024 and December 2024 were selected and randomly divided into two groups using a random number table.The observation group received 4R crisis management theory,while the control group received routine management.The IAD risk score,incidence of IAD,severity of IAD,and formation and healing time of IAD were compared between the two groups.Results:After management,the IAD risk score of the observation group was lower than that of the control group(P<0.05).The incidence of IAD in the observation group was lower than that in the control group,the proportion of mild IAD was higher than that in the control group,the formation time of IAD was later than that in the control group,and the healing time was shorter than that in the control group(P<0.05).Conclusion:Adopting the 4R crisis management theory for ICU patients with fecal incontinence can reduce the risk of IAD occurrence,effectively prevent IAD,reduce its severity,delay its formation time,and promote good healing.