Construction and application of nursing process preventing critical patients fromincontinence-associated dermatitis

Abstract

Objective To construct nursing process for critically ill preventing incontinence-associated dermatitis(IAD), and provide theoretical basis for clinical nurses to prevent arising of IAD. Methods In basis of nursing procedure, preliminaryframework and entry pool of IAD-preventing nursing process were formed through evidence-based systematic evaluation and expert consulting, and a final content of the process was determined by a survey of 22 nursing specialists in Nantong with 2 rounds of expert consulting. The formatted process was applied in 88 hospitalized critically ill to prevent IAD from July to December in 2014. Results Nursing Process of IAD prevention for Critically ill patients was formatted, including 3 aspects: risk assessment of IAD, nursing management for IAD prevention and IAD severity assessing. IAD occurred to 4 out of 88 patients, of which the occurrence rate was 4.5%, which was lower than 25.7% of that before performing of the process. Conclusions The construction of nursing process preventing intensive care unit from Incontinence-associated dermatitis provides a relatively standardized theoretical basis for clinical nursing workers scientifically, feasibly and practicably. Key words: Incontinence-associated dermatitis; Critically ill patients; Prevention; Nursing process; Construction