Effects of comprehensive nursing intervention on preventing incontinence-associated dermatitis in patients with mental disorder

Abstract

Objective To explore the effects of comprehensive nurisng intervention on prenventing incontinence-associated dermatitis in patients with consciousness disorder, and to provide effective prevention methods accordingly. Methods Patients with consciousness disorder and fecal incontinence who were admitted by a GradeⅡ general hospital between April 2015 and December 2016 were selected and randomly divided into an intervention group and a control group. Patients in the control group received stool drainage with anal tracheal catheter with aerocyst connected to drainage bags, while patients in the intervention group received comprehensive nurisng, including disposable drainage with stoma bags, skin protection with liquid dressing and stoma bag rinsing with 0.9% sodium chloride solution. Results The patients in the control group were nursed for (62.00±6.41) min a day, while the patients in the intervention group were nursed for (47.00±5.26) min a day. The patients in the intervention group needed shorter nursing time than the patients in the control group (t=4.24, P<0.01) . The incidence of incontinence-associated dermatitis of the patients in the intervention group (26.92%) was lower than that of the patients in the control group (47.83%) (χ2=4.59, P<0.05) . Conclusions Comprehensive nurisng can reduce the incidence of incontinence-associated dermatitis in patients with mental disorder. Key words: Consciousness disorder; Incontinence-associated dermatitis; Comprehensive nursing intervention; Stoma bag; Rinsing