Objective To explore the application effect of comprehensive management of key risk control in Neurological Intensive Care Unit patients with incontinence-associated dermatitis(IAD).Methods The patients in the Neurological Intensive Care Unit of the First Affiliated Hospital of Wenzhou Medical University from January to December 2021 were taken as the control group,and the inpatients from January to December 2022 were taken as the observation group.The control group implemented routine skin care,and the observation group carried out comprehensive management of key risk control.The incidence of IAD,time of occurrence,duration,severity of IAD,and the qualification rate of skin risk as-sessment and dynamic renewal of IAD grade assessment were compared between the two groups.Results The incidence of IAD was 7.30％(10/137)in the observation group and 25.66％(39/152)in the control group,with a significant difference(P＜0.05).The mean time of LAD in the observation group was(6.72±1.59)d,Which was significantly later than the control group[(4.21±0.81)d,P＜0.05];the mean duration of(3.45±0.51)d was significantly shorter[(7.67±1.34)d,P＜0.05];and the severity was less severe(P＜0.05).There were significant differences in skin risk assessment and the dynamic update status of lAD between the two groups(P＜0.05).Conclusion The comprehensive management of key risk control can reduce the incidence of IAD,prolong the occurrence time,shorten the duration,and reduce the severity,which is worthy of clinical promotion and application.
关键词
风险管控/综合管理/失禁相关性皮炎/神经重症患者
Key words
Key risk control/Comprehensive management/Incontinence-associated dermatitis/Neurological intensive care unit patients
维普
万方数据