Zhou XL, He Z, Chen YH, Zuo LE, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2017 Nov 1;volume 44(6):568-571.
1. J Wound Ostomy Continence Nurs. 2017 Nov/Dec;44(6):568-571. doi:
10.1097/WON.0000000000000375.
Effect of a 1-Piece Drainable Pouch on Incontinence-Associated Dermatitis in
Intensive Care Unit Patients With Fecal Incontinence: A Comparison Cohort Study.
Zhou XL(1), He Z, Chen YH, Zuo LE.
Author information:
(1)Xing-Liang Zhou, BSN, RN, Shunde Hospital, Southern Medical University,
Foshan, China. Zhi He, BSN, RN, Shunde Hospital, Southern Medical University,
Foshan, China. Yan-He Chen, BSN, RN, Shunde Hospital, Southern Medical
University, Foshan, China. Liu-Er Zuo, MD, Shunde Hospital, Southern Medical
University, Foshan, China.
PURPOSE: The purpose of this study was to compare the effect of a 1-piece
drainable pouch to standard care on occurrences of incontinence-associated
dermatitis (IAD) in intensive care unit (ICU) patients with fecal incontinence
(FI).
DESIGN: Nonrandomized comparison cohort (quasi-experimental) study.
METHODS: Sixty-two bedridden patients with FI and indwelling urinary catheters
in the ICU of the Shunde Hospital, Southern Medical University, Foshan, China,
participated in the study. Thirty-one were assigned to the control group
(standard IAD preventive care alone) and 31 to the intervention group (standard
IAD preventive care plus application of a 1-piece drainable pouch). Stool
consistency was evaluated via the Bristol Stool Scale. Trained nurses assessed
the status of IAD using the Incontinence-Associated Dermatitis Intervention
Tool. The incidence of IAD and the perianal skin status were investigated over a
7-day period.
RESULTS: Participants in the experimental group had fewer IAD occurrences than
participants in the control group (12.9% vs 41.9%, P < .05). Occurrences of IAD
in the perianal were also significantly lower in the experimental group than in
the control group (χ = 7.884, P < .05).
CONCLUSION: Applying a 1-piece drainable pouch may reduce occurrences of IAD in
ICU patients with FI compared with the patients receiving standard IAD
preventive care.
DOI: 10.1097/WON.0000000000000375
PMID: 29117083 [Indexed for MEDLINE]
