Efficacy of an improved absorbent pad on incontinence-associated dermatitis in older women: cluster randomized controlled trial

Abstract

BackgroundMost older adults with urinary incontinence use absorbent pads. Because of exposure to moisture and chemical irritating substances in urine, the perineal skin region is always at risk for development of incontinence-associated dermatitis (IAD). The aim of this study was to examine the efficacy of an improved absorbent pad against IAD.MethodsA cluster randomized controlled design was used to compare the efficacy of two absorbent pads. Female inpatients aged ≥65 years who had IAD and used an absorbent pad or diaper all day were enrolled. Healing rate of IAD and variables of skin barrier function such as skin pH and skin moisture were compared between the usual absorbent pad group (n = 30) and the test absorbent pad group (n = 30).ResultsThirteen patients (43.3%) from the test absorbent pad group and 4 patients (13.3%) from the usual absorbent pad group recovered completely from IAD. Moreover, the test absorbent pad group healed significantly faster than the usual absorbent pad group (p = 0.009). On the other hand, there were no significant differences between the two groups in skin barrier function.ConclusionThe test absorbent pad for older adults with urinary incontinence might be more efficacious against IAD than usual absorbent pad.Trial registrationUMIN-CTR: UMIN000006188

Dermatite associada à incontinência: estudo de coorte em pacientes críticos

“…When urinary incontinence occurs during bed rest, women are more susceptible to IAD, especially the area exposed to urine from the perineum through the coccyx to the sacrum, due to their anatomical structure (16) . On the other hand, the variable black race was identified, in the present study, as a factor of lower risk for development of IAD.…”

<br /><br />RESULTADOS DA INTERVENÇÃO DE ENFERMAGEM NA PREVENÇÃO E CICATRIZAÇÃO DA DERMATITE ASSOCIADA À INCONTINÊNCIA (DAI): Revisão sistemática da literatura<br /> NURSING INTERVENTION RESULTS IN THE PREVENTION AND HEALING OF DERMATITIS ASSOCIAT

“…A utilização de produtos de absorção em tamanho adequado a cada situação ajuda a prevenção de lesões associadas à presença de humidade (5,16) . A utilização de uma fralda que incorpora uma zona frontal de absorção e que evite o mecanismo de refluxo permite uma melhoria significativa de lesões presentes associadas à presença de humidade (13) .…”

Practice of use of diapers in hospitalized adults and elderly: cross-sectional study

“…Studies evaluating hygienic products suggest that, the minimum exchange values should be at six-hourly intervals. That is, at least four daily exchanges should be performed regardless of the presence of elimination (26)(27) . In order to increase skin protection in changing diapers, there are products used after thorough cleansing that provide a protective barrier.…”