Risk factors of incontinent-associated dermatitis in the acute severe stroke patients

doi:10.3877/cma.j.issn.2095-9141.2015.06.005

Abstract

Abstract:

Objective

To investigate the risk factors of incontinent-associated dermatitis in the acute severe stroke patients.

Methods

Incontinent-associated dermatitis were assessed by application of Incontinence-associated Dermatitis and Its Severity Instrument(IADS) and Perineal Assessment scale(PAT) in the patients of acute severe stroke, and their risk factors were analyzed.

Results

(1)128 cases of patients with acute cerebral stroke were 36 cases of pre-hospital IAD, the incidence of 28.13%. There were 20 cases were mild; 9 cases were of moderate; 7 cases were severe. (2)The risk factors of IAD for the pre-hospital IAD included age≥65 years, history of stroke, diabetes, coma, period≥12 h, the temperature≥38.0 ℃, fecal incontinence, urinary incontinence, NIHSS score≥12, poor nutritional status and immune function, that were relatively higher risk of pre-hospital IAD in the patients of acute cerebral stroke.

Conclusion

There was higher incidence rate of pre-hospital IAD in the acute severe stroke patients. The risk factors had characteristic. This study could provid individualized nursing care for patients admitted to hospital.

Key words: incontinent-associated dermatitis, cerebral stroke, fecal incontinence, urinary incontinence, nursing intervention

Jinmei Yu, Wanjun Lu, Aimei Chen, Min Zhang, Yan Jiang. Risk factors of incontinent-associated dermatitis in the acute severe stroke patients[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(06): 17-19.

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References 12

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危险因素	n	RR	95%CI	P值
年龄≥65岁	25	3.538	1.000～8.633	0.044
性别(女)	6	0.231	0.114～2.469	0.914
性别(男)	30	0.607	0.110～3.341	0.846
卒中史(例)	10	7.692	1.330～27.321	<0.001
糖尿病(例)	21	6.250	1.397～4.473	0.003
便秘(例)	19	1.222	0.356～4.199	0.750
昏迷(例)	15	7.824	2.063～4.700	0.001
体温≥38.0 ℃	10	3.667	1.002～2.721	0.043
发病时间≥12 h	30	6.413	1.564～9.726	0.002
小便失禁(例)	27	0.531	0.114～2.469	0.891
大便失禁(例)	15	3.241	1.057～3.229	0.035
大小便失禁(例)	12	6.703	1.883～3.788	<0.001
NIHSS评分≥12	33	3.830	1.476～3.776	0.007
脑梗塞(例)	15	1.528	0.812～2.834	0.275
脑出血(例)	21	1.233	0.518～3.002	0.692
营养状况差(例)	11	3.712	1.974～6.981	0.014
免疫功能下降(例)	25	4.950	1.280～3.331	0.004

危险因素	n	RR	95%CI	P值
年龄≥65岁	25	3.538	1.000～8.633	0.044
性别(女)	6	0.231	0.114～2.469	0.914
性别(男)	30	0.607	0.110～3.341	0.846
卒中史(例)	10	7.692	1.330～27.321	<0.001
糖尿病(例)	21	6.250	1.397～4.473	0.003
便秘(例)	19	1.222	0.356～4.199	0.750
昏迷(例)	15	7.824	2.063～4.700	0.001
体温≥38.0 ℃	10	3.667	1.002～2.721	0.043
发病时间≥12 h	30	6.413	1.564～9.726	0.002
小便失禁(例)	27	0.531	0.114～2.469	0.891
大便失禁(例)	15	3.241	1.057～3.229	0.035
大小便失禁(例)	12	6.703	1.883～3.788	<0.001
NIHSS评分≥12	33	3.830	1.476～3.776	0.007
脑梗塞(例)	15	1.528	0.812～2.834	0.275
脑出血(例)	21	1.233	0.518～3.002	0.692
营养状况差(例)	11	3.712	1.974～6.981	0.014
免疫功能下降(例)	25	4.950	1.280～3.331	0.004

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