Effects of team management model on incontinent dermatitis in paraplegic patients

Abstract

Objective To explore the effects of team management model on the prevention and control of incontinence dermatitis in patients with paraplegia. Methods A total of 113 patients with paraplegia and incontinence who were treated in Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School from March 2016 to February 2018 were enrolled in the study. They were divided into observation group and control group according to the sequence of admission. The patients who were admitted from March 2016 to February 2017 were assigned as the control group, with 56 cases. The patients who were admitted from March 2017 to February 2018 were assigned as the observation group, with 57 cases. The control group was treated with routine intervention. Team management was applied in the observation group on the basis of routine nursing for 4 weeks. The incidence of incontinence dermatitis and negative emotion were compared between the two groups. Results After intervention, the incidence of incontinent dermatitis of the observation group (5.26%) was significantly lower than that of the control group (14.29%) , and the difference was statistically significant (P<0.05) . The scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale of the observation group were (38.70±6.83) and (41.07±5.62) , which were both lower than those of the control group (46.39±8.15) and (47.31±6.52) respectively, and the differences were statistically significant (P< 0.05) . Conclusions Team management can effectively reduce the incidence of incontinence dermatitis and negative emotions in paraplegic patients, which is worthy of clinical promotion. Key words: Paraplegia; Team management; Incontinence dermatitis