Tezcan B, Eraydın C, Karabacak BG, et al.
Advances in skin & wound care. Date of publication 2022 May 1;volume 35(5):1-9.
1. Adv Skin Wound Care. 2022 May 1;35(5):1-9. doi:
10.1097/01.ASW.0000823988.56640.72.
Evaluating the Scales Used To Diagnose Incontinence-Associated Dermatitis: A
Systematic Review.
Tezcan B(1), Eraydın C, Karabacak BG.
Author information:
(1)Bilge Tezcan, MSc, RN, is PhD Student, Murat State Hospital, Edirne, Turkey;
Canan Eraydın, MSc, RN, is PhD Student, Zonguldak Bulent Ecevit University
Faculty of Health Sciences, Department of Nursing Fundamentals, Zonguldak,
Turkey; and Bilgi Gülseven Karabacak, PhD, is Assistant Professor, Marmara
University Faculty of Health Sciences, Department of Nursing Fundamentals,
Istanbul, Turkey. The authors have disclosed no financial relationships related
to this article. Submitted April 30, 2021; accepted in revised form July 6,
2021.
OBJECTIVE: To investigate the scales used in the diagnosis of
incontinence-associated dermatitis (IAD), including the risk factors included in
the scales, their reliability and validity, and in which patient groups the
scales have been applied.
DATA SOURCES: The relevant studies were screened retrospectively using five MeSH
(Medical Subject Headings) keywords in various combinations. Seven international
databases were screened between March and July 2019. In total, 2,908 studies
published between 2009 and 2019 were evaluated.
STUDY SELECTION: Inclusion criteria for studies were as follows: written in
English, published between 2009 and 2019, and investigated a scale developed to
diagnose IAD (quantitative studies, randomized controlled studies, or
meta-analyses). Studies were excluded if they did not examine scales for
diagnosing IAD or were not in English. Nine studies were included in this
review: five studies on scale development, one scale revision, one scale
reliability study, and two Turkish validity and reliability studies.
DATA EXTRACTION: The study methods, sample characteristics, interventions,
validity and reliability analyses, risk factors in the scales, and subdimensions
of the scales were examined for each of the nine included studies.
DATA SYNTHESIS: Study samples were composed of nurses, healthcare professionals,
patients, or individuals living in a nursing home and ranged in size from 9 to
823 participants. Most data were collected from hospital-wide clinics. The
scales used investigated redness, rash, skin loss, incontinence type, infection
symptoms, skin color, edema, patient experience, pain, and perineal care habits.
Both validity and reliability of the scales were examined in eight of the
studies; in one study, only reliability was examined because the scale validity
was shown in previous research. Moreover, sensitivity and specificity were
indicated in one study.
CONCLUSIONS: There are several competent scales in the literature with proven
validity and reliability that can be used to diagnose IAD.
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
DOI: 10.1097/01.ASW.0000823988.56640.72
PMID: 35442923 [Indexed for MEDLINE]
