护理人员皮肤干燥:医院和疗养院多中心横断面患病率研究。

PubMed ID
G H
发表日期 2016年Apr月

原始出处 国际护理研究杂志
International journal of nursing studies
作者 Lichterfeld  A  Lahmann  N  Blume-Peytavi  U  Kottner  J 

文献标题 护理人员皮肤干燥:医院和疗养院多中心横断面患病率研究。
Dry skin in nursing care receivers: A multi-centre cross-sectional prevalence study in hospitals and nursing homes.
Dry skin in nursing care receivers: A multi-centre cross-sectional prevalence study in hospitals and nursing homes.

文献摘要 BACKGROUND

维持和改善病人和长期护理接受者的皮肤健康是健康和护理界广泛认同的目标。护理依赖型和老年人易患皮肤干燥症。

OBJECTIVES

本研究的目的是评估医院和疗养院中皮肤干燥的患病率和严重程度,并确定与这种皮肤状况相关的个人和健康相关变量。

DESIGN

这项研究是一项规模更大的年度多中心描述性横断面健康问题患病率研究的一部分。

SETTINGS/PARTICIPANTS

2014年,德国14家养老院和6家医院参与了这项研究。共纳入1710名受试者(n=1091名长期护理住院者和n=619名住院患者)。

METHODS

进行皮肤评估,并使用总体皮肤干燥评分测量皮肤干燥度。流动性采用护理依赖量表的相应项目进行测量。比较干性皮肤和非干性皮肤受试者的人口统计学、功能和生理参数。建立了预测皮肤干燥的logistic回归模型。

RESULTS

皮肤干燥患病率为48.8%(95%ci46.5-51.2)。与住院患者(42.2%;95%ci38.3-46.1)相比,疗养院居民最常受到影响(52.6%;95%ci49.6-55.6)。与其他皮肤区域相比,足部和腿部皮肤最常受到皮肤干燥的影响(42.9%)。在多变量模型中,年龄较大(OR 1.01;95%CI 1.01-1.02)、瘙痒(OR 14.21;95%CI 8.00-22.95)、肿瘤(OR 1.95;95%CI 1.30-2.91)、肌肉骨骼疾病(OR 1.31;95%CI 1.04-1.64)、皮肤护理无关(OR 0.48;95%CI 0.32-0.70)是干性皮肤存在的最强协变量。

CONCLUSIONS

基于一个大样本的结果表明,几乎每秒钟都有一位养老院的住户和医院的住院病人受到皮肤干燥的影响。与疗养院居民相比,住院患者更容易出现严重的疾病。皮肤护理干预措施,以解决皮肤干燥的建议,特别是医院病人和疗养院居民谁是受瘙痒或肿瘤疾病,谁是需要清洗/洗澡援助,谁有肌肉骨骼疾病。


BACKGROUND

Maintaining and improving skin health of patients and long-term care receivers is a widely agreed upon goal in health and nursing care. Care dependent and aged persons have a high predisposition to develop dry skin conditions.

OBJECTIVES

The aim of this study was to estimate the prevalence and severity of skin dryness in hospitals and nursing homes and to identify person- and health-related variables associated with this skin condition.

DESIGN

The study was part of a bigger annual multicentre descriptive cross-sectional prevalence study of health problems.

SETTINGS/PARTICIPANTS

Fourteen nursing homes and six hospitals in Germany participated in this study in 2014. A total of 1710 subjects (n=1091 long-term care residents and n=619 in-patients) were included.

METHODS

Skin assessments were conducted and skin dryness was measured using the Overall Dry Skin Score. Mobility was measured using the respective item of the Care Dependency Scale. Demographic, functional and physiological parameters were compared between subjects with and without dry skin. A logistic regression model predicting skin dryness was created.

RESULTS

The prevalence of skin dryness was 48.8% (95% CI 46.5-51.2). Nursing home residents were most often affected (52.6%; 95% CI 49.6-55.6) compared to in-patients (42.2%; 95% CI 38.3-46.1). The skin of feet and legs were most often affected by skin dryness (42.9%) compared to other skin areas. Being older (OR 1.01; 95% CI 1.01-1.02), having pruritus (OR 14.21; 95% CI 8.00-22.95), oncological (OR 1.95; 95% CI 1.30-2.91), musculoskeletal diseases (OR 1.31; 95% CI 1.04-1.64), being skin care independent (OR 0.48; 95% CI 0.32-0.70) were the strongest covariates for the presence of dry skin in the multivariate model.

CONCLUSIONS

Based on a large sample results indicate that approximately every second nursing home resident and hospital in-patient are affected by dry skin. Severe forms occur more often in hospital in-patients compared to nursing home residents. Skin care interventions to tackle dry skin are recommended particularly for hospital patients and nursing home residents who are affected by pruritus or oncological diseases, who are in need of washing/bathing assistance, and who have musculoskeletal diseases.

BACKGROUND

Maintaining and improving skin health of patients and long-term care receivers is a widely agreed upon goal in health and nursing care. Care dependent and aged persons have a high predisposition to develop dry skin conditions.

OBJECTIVES

The aim of this study was to estimate the prevalence and severity of skin dryness in hospitals and nursing homes and to identify person- and health-related variables associated with this skin condition.

DESIGN

The study was part of a bigger annual multicentre descriptive cross-sectional prevalence study of health problems.

SETTINGS/PARTICIPANTS

Fourteen nursing homes and six hospitals in Germany participated in this study in 2014. A total of 1710 subjects (n=1091 long-term care residents and n=619 in-patients) were included.

METHODS

Skin assessments were conducted and skin dryness was measured using the Overall Dry Skin Score. Mobility was measured using the respective item of the Care Dependency Scale. Demographic, functional and physiological parameters were compared between subjects with and without dry skin. A logistic regression model predicting skin dryness was created.

RESULTS

The prevalence of skin dryness was 48.8% (95% CI 46.5-51.2). Nursing home residents were most often affected (52.6%; 95% CI 49.6-55.6) compared to in-patients (42.2%; 95% CI 38.3-46.1). The skin of feet and legs were most often affected by skin dryness (42.9%) compared to other skin areas. Being older (OR 1.01; 95% CI 1.01-1.02), having pruritus (OR 14.21; 95% CI 8.00-22.95), oncological (OR 1.95; 95% CI 1.30-2.91), musculoskeletal diseases (OR 1.31; 95% CI 1.04-1.64), being skin care independent (OR 0.48; 95% CI 0.32-0.70) were the strongest covariates for the presence of dry skin in the multivariate model.

CONCLUSIONS

Based on a large sample results indicate that approximately every second nursing home resident and hospital in-patient are affected by dry skin. Severe forms occur more often in hospital in-patients compared to nursing home residents. Skin care interventions to tackle dry skin are recommended particularly for hospital patients and nursing home residents who are affected by pruritus or oncological diseases, who are in need of washing/bathing assistance, and who have musculoskeletal diseases.


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