Comparison of Petroleum-Based Skin-Protection Product and Zinc Oxide-Based Skin-Protection Product on Incidence and the Level of Severity of Early Incontinence Associated Dermatitis in Hepatic Encephalopathy Patients with Incontinence
Keywords:
zinc oxide, petroleum, hepatic encephalopathy patients, dermatitis, incontinenceAbstract
Hepatic encephalopathy patients with incontinence are at increased risk of incontinence associated dermatitis. This quasi experimental design was aimed to compare petroleum-based skin-protection product and zinc oxide-based skin-protection product on incidence and the level of severity of early incontinence associated dermatitis in hepatic encephalopathy patients with incontinence. Sample were 28 hospitalized hepatic encephalopathy patients with incontinence at medical unit, in a tertiary care hospital, Southern Thailand. Fourteen subjects were assigned to the comparison group receiving petroleum-based skin-protection product while other fourteen subjects were assigned to the experimental group receiving zinc oxide-based skin-protection product by simple random sampling. The patient demographic and clinical data form, Braden Scale, Incontinence Associated Dermatitis Intervention Tool were used to collect data. The content validity of all instruments was examined by three experts. The inter-rater reliability of Incontinence Associated Dermatitis Intervention Tool was tested yielding of 1. The hypotheses were examined by Chi-square and Mann-Whitney U-test. Results showed that it was found that the incidences and the level of severity of early incontinence associated dermatitis in a comparison group is significantly higher than in the experimental group (p <0.05 and p <0.001 respectively). It can be concluded that zinc oxide-based skin-protection product can reduce an incidence and level of severity of early incontinence associated dermatitis in hepatic encephalopathy patients with incontinence.
References
Atluri DK, Prakash R, Mullen KD. Pathogenesis, diagnosis, and treatment of hepatic encephalopathy. J ClinExpHepatol.2011; 1(2): 77-86.
Riggio O, Ridola L, Pasquale C. Hepatic encephalopathy therapy: An overview. World J Gastrointest PharmacolTher.2010; 1(2):54-63.
Chianca CT, Goncales PC, Salgado PO, Machado BO, Amorim GL, Alcoforado CL. Incontinence dermatitis: A cohort study in critically ill patients. Rev GauchaEnferm. [serial on the internet] 2017 [cited 2017 Oct 5];37(spe): e68075.
doi: 10.1590/1983-1447.2016.esp.68075. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28380152
Beeckman D, Van Damme N, Schoonhoven L, Van Lancker A, Kottner J, Beele H, et al. Interventions for preventing and treating incontinence associated dermatitis in adults. Cochrane Database Syst Rev. [serial on the internet] 2016 [cited 2017 Apr 5]; Issue 11. Art. No. CD011627. Available from:https://www.ncbi.nlm.nih.gov/pubmed/27841440
Bliss DZ, Savik K, Thorson MA, Ehman SJ, Lebak K, Beilman G. Incontinenceassociated dermatitis in critically ill adults: Time to development, severity, and risk factors. J Wound Ostomy Continence Nurs.2011; 38(4):433-45.
Bliss ZD, Funk T, Jacobson M, Savik K. Incidence and characteristics of incontinence associated dermatitis in community-dwelling persons with fecal incontinence. J Wound Ostomy Continence Nurs. 2015; 42(5):525-30.
Van Damme N, Clays E, Verhaeghe S, Van Hecke A, Beeckman D. Independent risk factors for the development of incontinence associated dermatitis (category 2) in critically ill patients with fecal incontinence: A cross sectional observation study in 48 ICU units. Int J Nurs Stud.2018; 81:30-9.
Park KH, Kim KS. Effect of a structured skin care regimen on patients with fecal incontinence: A comparison cohort study. J Wound Ostomy Continence Nurs. 2014; 41(2): 161-7.
Gray M, Beeckman D, Bliss DZ, Fader M, Logan S, Junkin J, et al. Incontinenceassociated dermatitis: A comprehensive review and update. J Wound Ostomy Continence Nurse. 2012; 39(1):61-74.
Woo K.Y, Beeckman D, Chakravarthy D. Management of moisture associated skin damage: A scoping review. Adv Skin Wound Care. 2017; 30(11): 494-501.
Suthisa T, Indicator report of advanced nurse practitioner, Nursing Services Division, Songklanagarind Hospital: 2015. (in Thai)
Conley P, McKinsey D, Ross O, Ramsey A, Feeback J. Dose skin care frequency affect the severity of incontinenceassociated dermatitis in critically ill patients? Nursing.2014; 44(12):27-32.
Wananukul S, Limpongsanuruk W, Singalavanija S, Wisuthsarewong W. Comparison of dexpanthenol and zinc oxide ointment with ointment base in the treatment of irritant diaper dermatitis from diarrhea: A multicenter study. J Med Assoc Thai.2006; 89(10):1654-8. (in Thai)
Patthana P. The Effect of utilizing work instruction for incontinence associated dermatitis in high risk patient. Region 11 Medical Journal.2016; 30(1):59-67. (in Thai)
Junkin J. Incontinence-Associated Dermatitis Intervention Tool (IADIT. [serial on the internet] 2008 [cited 2014 Mar 5]. Available from: http://ltctoolkit.rnao.ca/resources/factsheetspampletspocketcardslogos/incontinence-associated-dermatitisintervention-to
Polit FD, Beck TC. Inferential statistic: Nursing research generating and assessing evidence for nursing practice. 9thed. Philadelphia: Lippincott Williams & Wilkins; 2012.P 404-32.
Anthoy D, Parboteeah S, Saleh M, Papannikolaou P. Norton, Waterlow and Braden scores: A review of the literature and a comparison between the scores and clinical judgement. J ClinNurs.2008; 17(5):646-53.
Braunschmidt B, Muller G, Jukic-Puntigam M, Steininger A. The interrater reliability of the incontinence associated dermatitis intervention tool -D (IADIT-D) between two independent registered nurses of nursing home residents in long-term care facilities. J Nurs Meas.2013; 21(2):284-95.
Shiu SR, Hsu MY, Chang SC, Chung HC, Hsu HH. Prevalence and predicting factors of incontinence-associated dermatitis among intensive care patients. JNHR. 2013; 9(3):210-7.
Jutarat K, Pissamai W, Wantanee W. Comparison of the effects of the skin care programs on incidence and severity levels of diaper dermatitis in children with diarrhea. Songklanagakarind Medical Journal. 2015; 33(1):41-52. (in Thai)
Alonso C, Larburu I, Bon E, Gonzalez MM, Iglesias MT, Urreta I, et al. Efficacy of petrolatum jelly for the prevention of diaper rash: A randomized clinical trial. JSPN.2013; 18(2):123-32.
Usanee K, Wallada C, Orapan T, Suporn D. The effects of utilizing clinical nursing practice guidelines for prevention of perineal dermatitis in neurological patients with urinary incontinence. J Nurs Sci. 2010; 29(4):37-45. (in Thai)
Zehrer CL, Newman DK, Grove GL, Lutz JB. Assessment of diaper clogging potential of petrolatum moisture barriers. Ostomy Wound Manage. 2005; 51(12):54-8.
Xhauflaire-Uhoda E, Henry F, Pierard-Franchimont C, Pierard GE. Electrometric assessment of the effect of a zinc oxide paste in diaper dermatitis. Int J Cosmet Sci.2009; 31(5):369-74.
Lansdown AB, Mirastschijski U, Stubbs N, Scanlon E, Agren MS. Zinc in wound healing: Theoretical, experimental, and clinical aspects. Wound Repair Regen.2007; 15(1):2-16.
Brenan MR, Milne CT, Agrell-Kann M, Ekhoim BP. Clinical evaluation of a skin protectant for the management of incontinence associated dermatitis: An open label nonrandomized prospective study. J Wound Ostomy Continence Nurs.2017; 44(2):172-180.
Brunner M, Droegemueller C, Rivers S, Deuser WE. Prevention of incontinence related skin breakdown foracute and critical care patients: Comparison of two products. Urol Nurs.2012; 32(4): 214-9.
Downloads
Published
How to Cite
Issue
Section
License
บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)
