Construction and application of digital protection system for incontinence-associated dermatitis based on earlier prevention

Abstract

Objective To establish a digital protection system for incontinence-associated dermatitis based on earlier prevention to reduce the incidence of incontinence-associated dermatitis. Methods Based on the informationization of nursing platform, we run the digital protection system module of incontinence-related dermatitis based on the forward moving of the prevention gateway in Zhejiang Provincial People's Hospital. Through comparative study, 108 patients with incontinence and incontinence-related dermatitis from January to March 2018 were randomly selected as the pre-operation data, and 108 patients with incontinence and incontinence-related dermatitis from January to March 2019 as the post-operation data. The nurses of the two groups were observed and compared in terms of their assessment accuracy in patients' incontinence risk, position and Incontinence Associated Dermatitis Severity (IADS) , clinical staging, and implementation of prevention strategies. Meanwhile, the incidence of incontinence-related dermatitis among all inpatients in the hospital from January to March in 2018 was compared with the same period of 2019. Results After the operation of the digital protection system for incontinence-related dermatitis based on earlier prevention, the nursing staff's accuracy rate in the risk assessment of incontinence (χ2=38.095, P<0.01) , IADS (χ2=64.901, P<0.01) , clinical staging accuracy (χ2=42.424, P<0.01) and the implementation of protective measures (χ2=50.000, P<0.01) had significant statistical differences. The incidence of incontinence-related dermatitis in hospitalized patients decreased from 0.35% before operation to 0.06% after operation with statistical significance (χ2=41.031, P<0.01) . Conclusions The operation of the digital protection system for incontinence-associated dermatitis based on earlier prevention can reduce the incidence of incontinence-associated dermatitis and improve the prevention and management competence of nursing staff. Key words: Incontinence-associated dermatitis; Digitization; Prevention system; Earlier prevention; Specialty of wound, stoma and incontinence; Assessment; Prevention