Effect of excrement management kits on skin outcomes in patients with incontinence dermatitis
Objective To explore and analyze the effects of excrement management kits and improved flushable ostomy bag devices on the skin outcome of patients with incontinence dermatitis,and to explore more economical and efficient nursing methods on the basis of ensuring the quality of care.Methods This study was designed according to prospective clinical trial research methods.A total of 100 patients with incontinence dermatitis admitted to the department of critical care medicine of Dongguan Donghua Hospital from October 2021 to February 2023 were selected as research subjects.They were divided into an observation group and a control group according to the principle of balanced and comparable data between groups,with 50 cases in each group.The observation group used excrement management kits for care,and the control group used modified flushable ostomy bag devices for care.We used the IAD skin damage assessment scale(IADS)to evaluate the severity of incontinence dermatitis in the two groups of patients before the nursing intervention and before leaving the hospital after the intervention;the two groups of patients were also compared on the prolapse of catheter and anal bag,the consumption of nursing pads and the satisfaction of nursing staff.Results After nursing intervention,the IADS scores of the patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);no devices fell off during the indwelling period of the two groups of patients;comparing the nursing consumption of the two groups of patients,the nursing pad consumption of the patients in the observation group was less than that in the control group,the difference was statistically significant(P<0.05);the average nursing time per session of the patients in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05);the nursing satisfaction of the patients in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The use of excrement management kit can effectively collect patients'stool and improve the skin damage of incontinent patients.It can also improve the efficiency of nursing work and improve the patient's nursing satisfaction.
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