ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
指南与标准

《成人失禁患者皮肤护理规范》团体标准解读

  • 高艳红 ,
  • 赵诺 ,
  • 刘春梅 ,
  • 王泠 ,
  • 周玉洁 ,
  • 王霞 ,
  • 郭彤 ,
  • 魏力 ,
  • 张素 ,
  • 王志稳 ,
  • 张智霞 ,
  • 黄峥 ,
  • 纪慧茹 ,
  • 郭淑丽 ,
  • 蒋琪霞 ,
  • 徐洪莲 ,
  • 胡宏鸯 ,
  • 张红梅 ,
  • 胡爱玲 ,
  • 孙红玲 ,
  • 傅晓瑾 ,
  • 吴欣娟
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  • 100039 北京市 解放军总医院第三医学中心护理部(高艳红,赵诺,刘春梅,纪慧茹); 北京大学人民医院护理部、呼吸与危重症医学科(王泠,张素); 北京大学第三医院护理部(周玉洁); 北京医院护理部(王霞); 中日友好医院护理部(郭彤); 天津医科大学总医院护理部(魏力); 北京大学护理学院(王志稳); 山西临汾中心医院护理部(张智霞); 郑州大学第一附属医院心血管中心(黄峥); 中国医学科学院北京协和医院护理部(郭淑丽,张红梅,吴欣娟); 解放军东部战区总医院烧伤整形科(蒋琪霞); 解放军海军军医大学第一附属医院肛肠外科(徐洪莲); 浙江大学医学院附属邵逸夫医院造口伤口专科(胡宏鸯); 中山大学附属第三医院护理教研室(胡爱玲); 浙江大学医学院附属第二医院专科护理门诊(孙红玲); 北京大学第一医院整形烧伤科(傅晓瑾)
高艳红:女,硕士,主任护师,国际造口治疗师,E-mail:2396307392@qq.com

收稿日期: 2022-12-30

  网络出版日期: 2023-07-10

Interpretation of group standards for skin care of adult incontinence

  • GAO Yanhong ,
  • ZHAO Nuo ,
  • LIU Chunmei ,
  • WANG Ling ,
  • ZHOU Yujie ,
  • WANG Xia ,
  • GUO Tong ,
  • WEI Li ,
  • ZHANG Su ,
  • WANG Zhiwen ,
  • ZHANG Zhixia ,
  • HUANG Zheng ,
  • JI Huiru ,
  • GUO Shuli ,
  • JIANG Qixia ,
  • XU Honglian ,
  • HU Hongyang ,
  • ZHANG Hongmei ,
  • HU Ailing ,
  • SUN Hongling ,
  • FU Xiaojin ,
  • WU Xinjuan
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Received date: 2022-12-30

  Online published: 2023-07-10

摘要

统一标准的失禁患者皮肤护理规范和流程能为护理人员提供临床规范指引,同时也是减轻患者皮肤并发症发生率的指导依据。2022年解放军总医院第三医学中心联合全国16所医院撰写《成人失禁患者皮肤护理规范(T/CRHA 016—2023)》中国研究型医院学会团体标准,对成人失禁患者皮肤护理整体评估、护理用具选择、标准流程及护理要点进行了规范,并于2023年1月发布。该文针对此标准中的重要部分、条目进行详细解释,便于使用者理解,促进临床失禁患者皮肤护理的规范实践。

本文引用格式

高艳红 , 赵诺 , 刘春梅 , 王泠 , 周玉洁 , 王霞 , 郭彤 , 魏力 , 张素 , 王志稳 , 张智霞 , 黄峥 , 纪慧茹 , 郭淑丽 , 蒋琪霞 , 徐洪莲 , 胡宏鸯 , 张红梅 , 胡爱玲 , 孙红玲 , 傅晓瑾 , 吴欣娟 . 《成人失禁患者皮肤护理规范》团体标准解读[J]. 中华急危重症护理杂志, 2023 , 4(7) : 620 -624 . DOI: 10.3761/j.issn.2096-7446.2023.07.010

Abstract

The unified and standardized skin care norms and procedures for incontinence patients provide clinical standard guidance for nursing staff,and are also the guiding basis for reducing the incidence of skin complications of patients. In 2022,the Third Medical Center of the General Hospital of the People's Liberation Army collaborated with 16 hospitals nationwide to write the group standard of the Chinese Research Hospital Association “skin care norms for adult incontinence patient(T/CRHA 016—2023)”,which was released in January 2023. It mainly standardized the overall evaluation of skin care for adult incontinence patients,the selection of nursing products,the standard process and the key points of nursing. This article explained the important parts and items in this standard in detail to facilitate users' understanding and promote the standardized practice of skin care for patients with clinical incontinence.

参考文献

[1] Beeckman D,van Damme N,Schoonhoven L,et al. Interventions for preventing and treating incontinence-associated dermatitis in adults[J]. Cochrane Database Syst Rev,2016,11(11):CD011627.
[2] Wei L,Bao Y,Chai Q,et al.Determining risk factors to develop a predictive model of incontinence-associated dermatitis among critically ill patients with fecal incontinence:a prospec-tive,quantitative study[J]. Wound Manag Prev,2019,65(4):24-33.
[3] 解薇,张璐,杨青敏. 成人失禁相关性皮炎预防措施的系统评价[J]. 解放军护理杂志,2015,32(4):7-11.
Xie W,Zhang L,Yang QM.A system review of prevention measures of incontinence-associated dermatitis of adult patients with incontinence[J]. Nurs J Chin PLA,2015,32(4):7-11.
[4] 仲骏,徐建鸣. 成人失禁相关性皮炎评估与分类工具新进展[J]. 解放军护理杂志,2016,33(7):47-49.
Zhong J,Xu JM.New development of evaluation and classification tools for adult incontinence-related dermatitis[J]. Nurs J Chin PLA,2016,33(7):47-49.
[5] Morris L.Flexi-Seal faecal management system for preventing and managing moisture lesions[J]. Wounds UK,2011,2(7):88-93.
[6] Langemo D,Hanson D,Hunter S,et al.Incontinence and incontinence-associated dermatitis[J]. Adv Skin Wound Care,2011,24(3):126-140.
[7] 张艳,张延红,朱亚芹,等. 预防成人失禁病人发生失禁相关性皮炎证据总结[J]. 全科护理,2020,18(12):1518-1520.
Zhang Y,Zhang YH,Zhu YQ,et al.Summary of evidence for preventing incontinence-related dermatitis in adult incontinence patients[J]. Chin Gen Pract Nurs,2020,18(12):1518-1520.
[8] 高艳红,吴欣娟. 成人失禁患者一次性吸收型护理用品临床应用专家共识[J]. 中华护理杂志,2019,54(8):1165-1169.
Gao YH,Wu XJ.Expert consensus on clinical application of disposable absorbent care products for adults with incontinence[J]. Chin J Nurs,2019,54(8):1165-1169.
[9] 刘春梅,高艳红,邓丽,等. 高吸收护理产品对住院卧床患者皮肤护理的影响研究[J]. 中国急救复苏与灾害医学杂志,2018,13(5):474-475.
Liu CM,Gao YH,Deng L,et al.Research of high absorption nursing products effec[J]. China J Emerg Resusc Disaster Med,2018,13(5):474-475.
[10] 贾静,徐晶晶,仇晓溪. 结构化皮肤护理方案对降低患者失禁性皮炎患病率的应用效果[J]. 中华护理杂志,2016,51(5):590-593.
Jia J,Xu JJ,Qiu XX.The application of a structured skin care regimen to reduce incontinence-associated dermatitis[J]. Chin J Nurs,2016,51(5):590-593.
[11] 裴小芹,陈立萍. 结构化皮肤护理方案对失禁性皮炎患者预防和控制效果研究[J]. 护理实践与研究,2019,16(6):138-140.
Pei XQ,Chen LP.Study on the prevention and control effect of structured skin care plan on patients with incontinence-associated dermatitis[J]. Nurs Pract Res,2019,16(6):138-140.
[12] 黄琼蕾,金瑛,魏莱,等. 中西医结合医院ICU护士对失禁相关性皮炎认知现状的调查研究[J]. 中华急危重症护理杂志,2020,1(6):520-524.
Hunng QL,Jin Y,Wei L,et al.The survey on knowledge,attitude and behaviors of incontinence-associated dermatitis among ICU nurses in integrated traditional Chinese and western medicine hospitals[J]. Chin J Emerg Crit Care Nurs,2020,1(6):520-524.
[13] 董莲莲,庄一渝,陈香萍,等. ICU失禁性皮炎信息化管理模块的构建及应用研究[J]. 中华急危重症护理杂志,2021,2(2):101-106.
Dong LL,Zhuang YY,Chen XP,et al.Design and application of an information module for incontinence-associated dermatitis in ICU[J]. Chin J Emerg Crit Care Nurs,2021,2(2):101-106.
[14] 徐元元,史广玲,张燕红,等. 预防ICU患者大便失禁性皮炎的循证实践[J]. 中华护理杂志,2021,56(6):811-817.
Xu YY,Shi GL,Zhang YH,et al.Evidence-based practice in prevention of fecal incontinence associated dermatitis in ICU patients[J]. Chin J Nurs,2021,56(6):811-817.
[15] 张如梅,张玉玲,王园园,等. 造口袋冲洗联合氧疗在ICU大便失禁患者中的应用研究[J]. 中华急危重症护理杂志,2020,1(4):303-306.
Zhang RM,Zhang YL,Wang YY,et al.Study on the application of ostomy bag combined with irrigation and oxygen therapy in ICU patients with fecal incontinence[J]. Chin J Emerg Crit Care Nurs,2020,1(4):303-306.
[16] 徐洪莲,赵书锋,郝建玲,等. 56例慢性伤口的标准化评估及管理[J]. 中国护理管理,2018,18(1):18-21.
Xu HL,Zhao SF,Hao JL,et al.Standardized assessment and management of 56-cases chronic wounds[J]. Chin Nurs Manag,2018,18(1):18-21.
[17] 李晓艳,刘革婷,吴静,等. 会阴评估工具对ICU失禁患者失禁性皮炎发生的预警作用及相关危险因素分析[J]. 护理管理杂志,2017,17(4):232-234.
Li XY,Liu GT,Wu J,et al.The analysis of predictive value and related risk factors for perineal assessment tool on incontinent-associated dermatitis among ICU incontinent patients[J]. J Nurs Adm,2017,17(4):232-234.
[18] 蒋琪霞. 失禁及其相关皮肤并发症预防和处理的研究进展[J]. 中华现代护理杂志,2016,22(1):2-5.
Jiang QX.Prevention and management of incontinence and related skin complications[J]. Chin J Mod Nurs,2016,22(1):2-5.
[19] Aharony L,De Cock J,Nuotio MS,et al.Consensus document on the detection and diagnosis of urinary incontinence in older people[J]. Eur Geriatr Med,2017,8(3):202-209.
[20] Emilio,Sacc,Riccardo,et al. Objectively improving appropriate-ness of absorbent products provision to patients with urinary incontinence:The DIAPPER study[J]. Neurourology and Urody-namics,2017,37(1):23335.
[21] 王慧英,吴琳,刘钰. 局部氧疗联合造口袋治疗轻中度失禁性皮炎患者的效果评价[J]. 中国急救复苏与灾害医学杂志,2017,12(5):434-437.
Wang HY,Wu L,Liu Y.Evaluation of topical oxygen therapywith ostomy bagin the treatment of patients with mild-to-moderate incontinent dermatitis[J]. China J Emerg Resusc Disaster Med,2017,12(5):434-437.
[22] 宋彩萍,马秀英,罗霞,等. 失禁相关性皮炎的预防与分级护理[J]. 中华现代护理杂志,2016,22(1):24-26.
Song CP,Ma XY,Luo X,et al.Prevention and grading nursing care of incontinence-associated dermatitis[J]. Chin J Mod Nurs,2016,22(1):24-26.
[23] 孙超,奚桓,李峥,等. 老年患者出院准备服务专家共识(2019版)[J]. 中华护理杂志,2020,55(2):220-227.
Sun C,Xi H,Li Z,et al.Expert consensus on the discharge planning for hospitalized elderly patients(version 2019)[J]. Chin J Nurs,2020,55(2):220-227.
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