Observation on the effect of traditional Chinese medicine wet compress combined with infrared irradiation intervention on elderly patients with severe incontinence-associated dermatitis
Objective To investigate the clinical application effect of traditional Chinese medicine wet compress combined with infrared irradiation intervention on elderly patients with severe incontinence-associated dermatitis(IAD).Methods A total of 90 elderly patients with severe IAD admitted to The Third Hospital of Nanchang from June 2022 to June 2023 were selected.According to the principle of comparability in basic characteristics between groups,they were divided into a control group and an observation group with 45 cases each.The control group implemented routine nursing care and used stoma powder+3M liquid dressing,while the observation group implemented traditional Chinese medicine wet compress with infrared irradiation intervention on the basis of the control group.The differences in IAD severity score(ILDS),inflammatory factors,clinical symptom and sign scores,general index assessment and recurrence rate between the two groups of patients were compared.Results Before nursing intervention,there was no statistically significant difference in the damage range,skin color,and erosion degree scores between the two groups of patients on the ILDS scale(P＞0.05).After 2 months of nursing intervention,the damage range,skin color,and erosion degree scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).Before nursing intervention,there was no statistically significant difference in the hs-CRP and IL-6 levels between the two groups of patients(P＞0.05).After 2 months of nursing intervention,the hs-CRP and IL-6 levels of patients in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).Before nursing intervention,there was no statistically significant difference in the symptom and sign scores between the two groups of patients(P＞0.05).After 2 months of nursing intervention,the symptom and sign scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).After the nursing intervention,the average healing time of patients in the observation group was shorter than that in the control group,the general comfort questionnaire(GCQ)score and treatment costs were higher than those in the control group,and the total recurrence rate was lower than that in the control group,the differences were statistically significant(P＜0.05).Conclusion Traditional Chinese medicine wet compress combined with infrared irradiation intervention can effectively reduce the IADS score and levels of hs-CRP and IL-6 in elderly patients with severe IAD,improve clinical symptoms and signs,accelerate the recovery process,enhance treatment comfort,and reduce the recurrence rate of the disease.However,the treatment is associated with high costs.
Elderly patientsIncontinence-associated dermatitisTraditional Chinese medicine wet compressInfrared irradiationApplication effect
万方数据
维普
