ICU患者失禁相关性皮炎风险评估的研究进展

Research progress on risk assessment of incontinence associated dermatitis in ICU patients

失禁性皮炎(IAD)是临床上失禁患者常见的一种并发症。IAD影响患者的生活质量,增加压力性损伤发生风险,延长住院时间,增加经济负担;同时加重临床护理人员的工作难度与强度。而重症监护病房患者高发IAD。对于皮肤型疾病,预防胜于治疗,然而,目前的IAD防治仍没有统一的标准,因此正确认识并充分评估ICU患者失禁相关性皮炎发生的风险因素,对临床护士护理ICU失禁患者防治相关性皮炎疾病具有重要的指导意义。本文将从IAD的概念、诊断、风险因素以及失禁相关性皮炎的高危人群等方面进行综述。

Incontinence dermatitis(IAD)is a common complication in patients with incontinence.IAD affects the quality of life of patients,increases the risk of stress injury,prolongs the length of hospital stay,increases the economic burden,and increases the difficulty and intensity of clinical nursing staff.The incidence of IAD was high in ICU patients.For skin diseases,prevention is better than treatment.However,there is no unified standard for IAD prevention and treatment.Therefore,it is of great significance for clinical nurses to correctly understand and fully evaluate the risk factors of incontinence related dermatitis in ICU patients.This article will review the concept,diagnosis,risk factors of IAD and the high-risk population of incontinence associated dermatitis.