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Incidence and risk factors of incontinence‐associated dermatitis among patients in the intensive care unit

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  • Xinran Wang
  • Yu Zhang
  • Xiaoxue Zhang
  • Xiaowei Zhao
  • Hongtao Xian

Abstract

Objective To investigate the incidence of incontinence‐associated dermatitis (IAD) among patients in the intensive care unit (ICU) and to identify potential risk factors to establish a reference for clinical nursing work. Background Patients in the ICU are susceptible to IAD. IAD is painful, reduces the patient's quality of life and adds to the workload of clinical medical staff. However, risk factors associated with IAD may differ between countries and healthcare settings. Design Prospective cohort study Methods From November 2016 to November 2017, a prospective cohort study was conducted among109 patients in three Class 3, Grade A hospitals (comprising 9 ICUs in total) in Beijing. The Incontinence‐associated Dermatitis and Its Severity (IADS) instrument in Chinese was applied to assess IAD. Univariate and multivariate logistic regression analyses were performed to identify risk factors for IAD. Results The study population had 29 community‐acquired and 80 nosocomial infections, and 26 (incidence: 23.9%) of these had IAD. On univariate analysis, a significant difference was observed between patients with and without IAD with respect to the following indices: Barthel index, Braden scale score, Nutritional Risk Screening 2002 (NRS2002) score, serum albumin level, occurrence of infection, faecal incontinence, frequency of faecal incontinence, stool property and double (faecal and urinary) incontinence and perineal assessment tool (PAT) score (p

Suggested Citation

  • Xinran Wang & Yu Zhang & Xiaoxue Zhang & Xiaowei Zhao & Hongtao Xian, 2018. "Incidence and risk factors of incontinence‐associated dermatitis among patients in the intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 4150-4157, November.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:21-22:p:4150-4157
    DOI: 10.1111/jocn.14594
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