Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients. | ||||
| Egyptian Journal of Health Care | ||||
| Article 12, Volume 14, Issue 1, March 2023, Page 155-171 PDF (267.03 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2023.279725 | ||||
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| Author | ||||
| Shimmaa Mohamed Elsayed* | ||||
| Lecturer, Critical care, and emergency nursing department, Faculty of Nursing, Damanhour University, Egypt. | ||||
| Abstract | ||||
| Background: Keeping skin integrity functioning and skin barrier protection is an important aspect of nursing care. ICU patients are susceptible to various skin complications, such as pressure ulcers and moisture-related skin damage. Aim: This study aimed to pinpoint incontinence-associated dermatitis (IAD) risk determinants among ICU patients. Design: A prospective observational research design was conducted. Setting(s): Data collection was done in two general ICUs. Participants: A convenience sample of 200 intensive care inpatients was involved. Tools of data collection: One tool, "Risk Determinants of IAD tool", was used to assess the determinants contributing to IAD. It consisted of three parts, part I used to assess demographic and clinical data; part II used to assess ventilation and hemodynamic patient data, and part III used to assess skin condition. Results: About 60.5% had male gender, with a mean age of 49.51 ± 10.54, and about 69.5.% of the overall sample had IAD. Concerning the severity of IAD, 78.4% had a risk for IAD with no redness and skin intact, 19.4% were categorized as grades I, and 2.2% were categorized as grade II. Conclusion: ICU patients' exposure to several risk factors can damage their skin integrity. It can be concluded that increasing age, female gender, sepsis, neurological disorders, a high score on the perineal assessment scale, fever, hypoalbuminemia, enteral nutrition, wet skin, poor hygiene practice, and watery diarrhoea are associated risk factors for IAD in patients with a critical illness. Recommendation: Early identification and management of IAD should be early by using standardized skin protocols and skin assessment tools. | ||||
| Keywords | ||||
| Critical ill patients; Dermatitis; Skincare; Perineal assessment; Incontinent; IAD | ||||
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