Abstract:

Objective

To assess the impact of standardized management protocols on the prevention and treatment of incontinence associated dermatitis （IAD） in intensive care units （ICU）

Methods

A total of 100 stroke patients with incontinence admitted to the ICU of Beijing Tiantan Hospital， affiliated to Capital Medical University， from May 2022 to December 2023， were enrolled in this study. They were divided into the control group （50 cases） and the intervention group （50 cases） according to the order of admission time. The control group received routine care， whereas the intervention group underwent standardized skin management procedures on the basis of routine care in the control group. Data collected include the IAD incidence， onset time， severity， treatment cost， and patient family satisfaction for two groups of patients.The independent sample t-test was utilized to compare the differences in IAD severity score， occurrence time， treatment cost， and satisfaction score between the two groups. The chi-square test was employed to compare the differences in IAD incidence between the two groups.

Results

Compared with the control group， the intervention group had a lower incidence of IAD （4.00% vs 18.00%）， a delayed onset time［（12.23±1.32）d vs （8.63±1.85）d］， lower severity score ［（15.85±4.24） points vs （25.43±4.63） points］，reduced treatment costs ［（4342.53±2687.62） yuan vs （5619.31±3426.27） yuan］， and higher patient family satisfaction scores ［（22.07±2.35） points vs （16.84±2.44） points］， with statistically significant differences（χ²=5.010）， P=0.025； t=27.184， P＜0.001； t=33.543， P＜0.001； t=15.035， P＜0.001； t=4.845， P=0.026）.

Conclusion

The implementation of standardized management protocols in stroke patients with incontinence admitted to the ICU can effectively reduce the incidence and severity of IAD， delay its onset， lower treatment costs， and improve patient family satisfaction.

Key words: Stroke, Incontinence associated dermatitis, Standardized management, Intensive care