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J Wound Ostomy Continence Nurs ; 44(4): 374-379, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28549048

RESUMO

PURPOSE: The primary purpose of our study was to determine if there is a difference in the occurrence of hospital-acquired pressure injuries (HAPIs) and incontinence-associated dermatitis (IAD) in incontinent adults using a disposable versus reusable absorptive underpads. We also compared hospital length of stay in the 2 groups. DESIGN: Randomized controlled trial using cluster randomization based on inpatient care unit. SUBJECTS AND SETTING: Four hundred sixty-two patients admitted to 4 medical-surgical study units participated in the study; 252 used reusable underpads (control group) and 210 subjects used disposable underpads (intervention group). The study setting was a 711-bed acute care hospital located in Brooklyn, New York. METHODS: Two units were randomly allocated to use disposable incontinence pads, and the remaining 2 units used standard, reusable incontinence pads. Data for PI and IAD occurrences were collected weekly by specially trained RNs (skin care champions) on the assigned units. A 2-level hierarchical linear model was used to analyze the effects of the intervention on primary and secondary outcomes separately from any effects of the unit of randomization. RESULTS: HAPIs were significantly lower in the disposable underpads group: 5% versus 12% (P = .02). Rates of hospital IAD were not significantly different between the groups (P = .22). Analysis of a secondary outcome, hospital length of stay, was also lower in patients who used disposable underpads (6 days vs 8 days; P = .02). CONCLUSIONS: Findings suggest that use of disposable incontinence pads reduces HAPI but not IAD occurrences. The effect of disposable, absorbent incontinence pads should be considered when initiating a hospital-wide skin and PI prevention and treatment plan.


Assuntos
Absorventes Higiênicos/normas , Dermatite/prevenção & controle , Tampões Absorventes para a Incontinência Urinária/normas , Úlcera por Pressão/prevenção & controle , Absorventes Higiênicos/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Dermatite/etiologia , Feminino , Humanos , Doença Iatrogênica/prevenção & controle , Tampões Absorventes para a Incontinência Urinária/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Cidade de Nova Iorque , Úlcera por Pressão/etiologia , Estatísticas não Paramétricas , Incontinência Urinária/complicações
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