关键词: 失禁相关性皮炎, 护理措施, 预防, 皮肤保护膜

Abstract: Objective To compare the effects of 4 skin nursing interventions on prevention of severe incontinent associated dermatitis （IAD）. Methods A total of 112 incontinence patients in ICU were randomly divided into Group A，B，C and D，respectively. Apart from identical skin care in all groups，for Group A，silicone dressing on perineal skin was applied once every 12h；for Group B，silicone dressing was applied every 8h；for Group C，Barrier fi lm on perineal skin was applied once every 12h；for Group D，Barrier film was applied every 8h. All interventions were conducted for 7 days，and rate of IAD，time to occur and severity was recoded. Results The total rate of IAD was 26.78%. The rates of IAD in Group A and B were lower than those in Group C and D（P<0.05）； for the same dressing with different frequency，there was no statistically significant difference regarding the rate of IAD. The differences about time to occur and severity in 4 groups had no statistical significance. Conclusion Applying silicone dressing every 8 hours and 12 hours can reduce rate of IAD. The frequency of applying silicone dressing can vary according to the frequency of incontinence.

Key words: Incontinence Associated Dermatitis, Nursing Care, Prevention, Barrier Film