Kottner J, Blume-Peytavi U, Lohrmann C, Halfens R, et al.
International journal of nursing studies. Date of publication 2014 Oct 1;volume 51(10):1373-80.
1. Int J Nurs Stud. 2014 Oct;51(10):1373-80. doi: 10.1016/j.ijnurstu.2014.02.012.
Epub 2014 Feb 23.
Associations between individual characteristics and incontinence-associated
dermatitis: a secondary data analysis of a multi-centre prevalence study.
Kottner J(1), Blume-Peytavi U(2), Lohrmann C(3), Halfens R(4).
Author information:
(1)Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin,
Berlin, Germany. Electronic address: jan.kottner@charite.de.
(2)Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin,
Berlin, Germany.
(3)Department of Nursing Science, Medical University of Graz, Graz, Austria.
(4)School for Public Health and Primary Care (CAPHRI), Maastricht University,
Maastricht, The Netherlands.
BACKGROUND: Incontinent patients are at risk for incontinence-associated
dermatitis. Prolonged exposures of the skin to urine and/or stool are causal
factors but the exact aetiology and pathophysiology are not fully understood.
OBJECTIVES: The aim of the current investigation was to identify person and
health-related variables most strongly associated with incontinence-associated
dermatitis development.
DESIGN: Secondary data analysis of a multicentre-prevalence study in 2012.
SETTINGS: Hospitals, nursing homes, home care in Austria and the Netherlands.
PARTICIPANTS: Nursing home residents, hospital patients, home care clients who
completed an incontinence assessment and who were incontinent (n = 3713). Mean
age 81.2 (SD 11.2) years.
METHODS: Demographic, functional and physiological parameters were compared
between subjects with incontinence-associated dermatitis and without. A logistic
regression model predicting incontinence-associated dermatitis was build.
RESULTS: Subjects with incontinence-associated dermatitis were statistically
significantly more often male, had more often diabetes mellitus, had a higher
BMI, were less often affected by urinary but more often by faecal incontinence
and showed higher degrees of functional and psychical impairments. Being faecal
incontinent (OR 1.70; 95% CI 1.14-2.55), having diabetes mellitus (OR 1.46; 95%
CI 1.03-2.06) and having "friction and shear" problems (OR 0.65; 95% CI
0.51-0.81) according to the Braden scale item were the strongest covariates for
the presence of incontinence-associated dermatitis.
CONCLUSIONS: It is recommended to target special preventive skin care
interventions especially to persons who are faecal incontinent and who have
moist perineal skin, who have higher BMIs, who are diabetics, and who need
increased assistance in moving.
Copyright © 2014 Elsevier Ltd. All rights reserved.
DOI: 10.1016/j.ijnurstu.2014.02.012
PMID: 24636666 [Indexed for MEDLINE]
