预防性护理流程在神经内科失禁性皮炎管理中的应用

Application of preventive nursing process in IAD management of neurology department

目的探讨预防性护理流程在神经内科失禁性皮炎(incontinence-associated dermatitis,IAD)中的应用效果。方法将2016年1月至2016年5月入院患者设为对照组,6月至2016年10月入院患者设为观察组,每组各38例。对照组患者根据护士经验给予常规护理,观察组给予IAD预防性护理流程,主要包括护士培训、评估风险因素、干预实施和IAD健康教育。比较两组患者IAD发生率、严重程度。结果对照组患者IAD发生率及其严重程度评分均高于观察组,两组比较,差异具有统计学意义(均P<0.05)。结论预防性护理流程有助于降低神经内科失禁患者IAD的发生率、严重程度,值得临床推广。

Objective To explore the value of preventive nursing process in the management of incontinence-associated dermatitis（IAD） in the department of neurology. Methods From January 2016 to May 2016, 38 hospitalized patients with neurological disorders were set as the control group. The control group was given routine nursing according to traditional way, and another 38 patients hospitalized from June 2016 to October 2016 who were set as the observation group were implemented with IAD preventive nursing process, including the training of nurses, risk factor evaluation,measures implented and IAD health education. The two groups were compared in terms of incidence, severity and harms of IAD. Results The incontinence incidence of IAD in the observation group was lower than that of the control group（P〈0.05）. The IADS score of the observation group was significantly lower as well（P〈0.05）.Conclusion Preventive nursing process can help to reduce the risk and severity of IADS in the patients with urinary incontinence in neurology department.