失禁性皮炎護理研究新進展_West China Medical Journal

Authors：

劉歡 ¹ ,  寧寧 ²

Corresponding?author：

寧寧, Email: liuhuan881129@163.com

Keywords：

大小便失禁; 失禁性皮炎; 預防與治療

DOI：

10.7507/1002-0179.20130351

Video：

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失禁性皮炎是大小便失禁患者的常見問題，不僅給患者帶來痛苦，而且還增加了護理負擔。文章擬通過對失禁性皮炎的定義、病因、發病機制、并發癥、流行病學狀況、評估干預工具及護理措施等方面的綜述，旨在為臨床處理失禁性皮炎提供科學依據。

Citation： 劉歡,寧寧. 失禁性皮炎護理研究新進展. West China Medical Journal, 2013, 28(7): 1132-1134. doi: 10.7507/1002-0179.20130351 Copy

1.	王曉慶, 段培蓓. 失禁相關性皮炎的研究進展[J]. 護理學報, 2012, 19(14): 9-11.
2.	Gray M, Black J M, Baharestani M M, et al. Moisture-associated skin damage: overview and pathophysiology[J]. J Wound Ostomy Continence Nurs, 2011, 38(3): 233-241.
3.	Gray M, Bliss D Z, Doughty D B, et al. Incontinence-associated dermatitis: a consensus[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 45-56.
4.	Bliss D Z, Savik K, Harms S, et al. Prevalence and correlates of perineal dermatitis in nursing home residents[J]. Nurs Res, 2006, 55(4): 243-251.
5.	Brown D S. Perineal dermatitis risk factors: clinical validation of a conceptual framework[J]. Osto Wound Man, 1995, 41(10): 46-53.
6.	Gray M. Preventing and managing perineal dermatitis: a shared goal for wound and continence care[J]. J Wound Ostomy Continence Nurs, 2004, 31(Suppl1): 2-12.
7.	Junkin J, Selekof J L. Beyond "diaper rash": Incontinence-associated dermatitis: does it have you seeing red?[J]. Nursing, 2008, 38(Suppl11): 56.
8.	Palmer M H, Baumgarten M, Langenberg P, et al. Risk factors for hospital-acquired incontinence in elderly female hip fracture patients[J]. J Gerontol A Biol Sci Med Sci, 2002, 57(10): 672-677.
9.	Gray M, Ratliff C, Donovan A. Perineal skin care for the incontinent patient[J]. Adv Skin Wound Care, 2002,15(4):170-175, 177-178.
10.	Langemo D, Hanson D, Hunter S, et al. Incontinence and incontinence-associated dermatitis[J]. Adv Skin Wound Care, 2011, 24(3): 126-142.
11.	Junkin J, Selekof J L. Prevalence of incontinence and associated skin injury in the acute care inpatient[J]. J Wound Ostomy Continence Nurs, 2007, 34(3): 260-269.
12.	Bliss D Z, Zehrer C, Savik K, et al. An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence: economics of skin damage prevention[J]. J Wound Ostomy Continence Nurs, 2007, 34(2): 143-152.
13.	Driver D S. Perineal dermatitis in critical care patients[J]. Crit Care Nurse, 2007, 27(4): 42-47.
14.	Bliss D Z, Savik K, Thorson M A, et al. Incontinence-associated dermatitis in critically ill adults: time to development, severity, and risk factors[J]. J Wound Ostomy Continence Nurs, 2011, 38(4): 433-445.
15.	Nix DH. Validity and reliability of the perineal assessment tool[J]. Ostomy Wound Man, 2002, 48(2): 43-46, 48-49.
16.	Gray M, Beeckman D, Bliss D Z, et al. Incontinence-associated dermatitis: a comprehensive review and update[J]. J Wound Ostomy Continence Nurs, 2012, 39(1): 61-74.
17.	Borchert K, Bliss D Z, Savik K, et al. The incontinence-associated dermatitis and its severity instrument: development and validation[J]. J Wound Ostomy Continence Nurs, 2010, 37(5): 527-535.
18.	Brown D S. Perineal dermatitis: can we measure it?[J]. Ostomy Wound Manage,1993, 39(7): 28-31.
19.	王慧清, 陳紅芳. 重癥患者大便失禁的肛周皮膚護理[J]. 當代護士·學術版, 2010(1): 85-86.
20.	黃漫容, 成守珍, 肖萍, 等. 造口袋對危重患者大便失禁肛周皮膚保護的效果觀察[J]. 現代臨床護理, 2010(10): 12-14.
21.	Nix D, Ermer-Seltun J. A review of perineal skin care protocols and skin barrier product use[J]. Ostomy Wound Man, 2004, 50(12): 59-67.
22.	Cooper P, Gray D. Comparison of two skin care regimes for incontinence[J]. Br J Nurs, 2001, 10(Suppl 6): S6, S10.
23.	Hunter S, Anderson J, Hanson D, et al. Clinical trial of a prevention and treatment protocol for skin breakdown in two nursing homes[J]. J Wound Ostomy Continence Nurs, 2003, 30(5): 250-258.
24.	項建霞, 施小明. 濕潤燒傷膏防治老年人會陰尿布皮炎的療效觀察[J]. 海峽藥學, 2006, 18(2): 134.
25.	黃詠梅, 尚巍, 李玉潔. 京萬紅燙傷膏加龍血竭膠囊外敷治療會陰潰爛的療效觀察[J]. 解放軍護理雜志, 2004, 21(2): 94.
26.	徐明亞. 3M無痛保護膜在大小便失禁患者護理中的應用[J]. 護理研究·中旬版, 2009, 23(3): 689.
27.	張孝琴, 陳小芳, 蘇麗丹. 康惠爾皮膚保護膜在預防成人尿布皮炎中的應用[J]. 中國實用護理雜志, 2010(10): 30-31.
28.	Armstrong D G, Ayello E A, Capitulo K L, et al. New opportunities to improve pressure ulcer prevention and treatment: implications of the CMS inpatient hospital care present on admission indicators/hospital-acquired conditions policy: a consensus paper from the international expert wound care advisory panel[J]. Adv Skin Wound Care, 2008, 21(10): 469-478.

1. 　王曉慶, 段培蓓. 失禁相關性皮炎的研究進展[J]. 護理學報, 2012, 19(14): 9-11.
2. 　Gray M, Black J M, Baharestani M M, et al. Moisture-associated skin damage: overview and pathophysiology[J]. J Wound Ostomy Continence Nurs, 2011, 38(3): 233-241.
3. 　Gray M, Bliss D Z, Doughty D B, et al. Incontinence-associated dermatitis: a consensus[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 45-56.
4. 　Bliss D Z, Savik K, Harms S, et al. Prevalence and correlates of perineal dermatitis in nursing home residents[J]. Nurs Res, 2006, 55(4): 243-251.
5. 　Brown D S. Perineal dermatitis risk factors: clinical validation of a conceptual framework[J]. Osto Wound Man, 1995, 41(10): 46-53.
6. 　Gray M. Preventing and managing perineal dermatitis: a shared goal for wound and continence care[J]. J Wound Ostomy Continence Nurs, 2004, 31(Suppl1): 2-12.
7. 　Junkin J, Selekof J L. Beyond "diaper rash": Incontinence-associated dermatitis: does it have you seeing red?[J]. Nursing, 2008, 38(Suppl11): 56.
8. 　Palmer M H, Baumgarten M, Langenberg P, et al. Risk factors for hospital-acquired incontinence in elderly female hip fracture patients[J]. J Gerontol A Biol Sci Med Sci, 2002, 57(10): 672-677.
9. 　Gray M, Ratliff C, Donovan A. Perineal skin care for the incontinent patient[J]. Adv Skin Wound Care, 2002,15(4):170-175, 177-178.
10. 　Langemo D, Hanson D, Hunter S, et al. Incontinence and incontinence-associated dermatitis[J]. Adv Skin Wound Care, 2011, 24(3): 126-142.
11. 　Junkin J, Selekof J L. Prevalence of incontinence and associated skin injury in the acute care inpatient[J]. J Wound Ostomy Continence Nurs, 2007, 34(3): 260-269.
12. 　Bliss D Z, Zehrer C, Savik K, et al. An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence: economics of skin damage prevention[J]. J Wound Ostomy Continence Nurs, 2007, 34(2): 143-152.
13. 　Driver D S. Perineal dermatitis in critical care patients[J]. Crit Care Nurse, 2007, 27(4): 42-47.
14. 　Bliss D Z, Savik K, Thorson M A, et al. Incontinence-associated dermatitis in critically ill adults: time to development, severity, and risk factors[J]. J Wound Ostomy Continence Nurs, 2011, 38(4): 433-445.
15. 　Nix DH. Validity and reliability of the perineal assessment tool[J]. Ostomy Wound Man, 2002, 48(2): 43-46, 48-49.
16. 　Gray M, Beeckman D, Bliss D Z, et al. Incontinence-associated dermatitis: a comprehensive review and update[J]. J Wound Ostomy Continence Nurs, 2012, 39(1): 61-74.
17. 　Borchert K, Bliss D Z, Savik K, et al. The incontinence-associated dermatitis and its severity instrument: development and validation[J]. J Wound Ostomy Continence Nurs, 2010, 37(5): 527-535.
18. 　Brown D S. Perineal dermatitis: can we measure it?[J]. Ostomy Wound Manage,1993, 39(7): 28-31.
19. 　王慧清, 陳紅芳. 重癥患者大便失禁的肛周皮膚護理[J]. 當代護士·學術版, 2010(1): 85-86.
20. 　黃漫容, 成守珍, 肖萍, 等. 造口袋對危重患者大便失禁肛周皮膚保護的效果觀察[J]. 現代臨床護理, 2010(10): 12-14.
21. 　Nix D, Ermer-Seltun J. A review of perineal skin care protocols and skin barrier product use[J]. Ostomy Wound Man, 2004, 50(12): 59-67.
22. 　Cooper P, Gray D. Comparison of two skin care regimes for incontinence[J]. Br J Nurs, 2001, 10(Suppl 6): S6, S10.
23. 　Hunter S, Anderson J, Hanson D, et al. Clinical trial of a prevention and treatment protocol for skin breakdown in two nursing homes[J]. J Wound Ostomy Continence Nurs, 2003, 30(5): 250-258.
24. 　項建霞, 施小明. 濕潤燒傷膏防治老年人會陰尿布皮炎的療效觀察[J]. 海峽藥學, 2006, 18(2): 134.
25. 　黃詠梅, 尚巍, 李玉潔. 京萬紅燙傷膏加龍血竭膠囊外敷治療會陰潰爛的療效觀察[J]. 解放軍護理雜志, 2004, 21(2): 94.
26. 　徐明亞. 3M無痛保護膜在大小便失禁患者護理中的應用[J]. 護理研究·中旬版, 2009, 23(3): 689.
27. 　張孝琴, 陳小芳, 蘇麗丹. 康惠爾皮膚保護膜在預防成人尿布皮炎中的應用[J]. 中國實用護理雜志, 2010(10): 30-31.
28. 　Armstrong D G, Ayello E A, Capitulo K L, et al. New opportunities to improve pressure ulcer prevention and treatment: implications of the CMS inpatient hospital care present on admission indicators/hospital-acquired conditions policy: a consensus paper from the international expert wound care advisory panel[J]. Adv Skin Wound Care, 2008, 21(10): 469-478.

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