Background: Keeping skin integrity functioning and skin barrier protection is an important aspect
of nursing care. ICU patients are susceptible to various skin complications, such as pressure ulcers
and moisture-related skin damage. Aim: This study aimed to pinpoint incontinence-associated
dermatitis (IAD) risk determinants among ICU patients. Design: A prospective observational
research design was conducted. Setting(s): Data collection was done in two general ICUs. Participants: A convenience sample of 200 intensive care inpatients was involved. Tools of data collection: One tool, "Risk Determinants of IAD tool", was used to assess the determinants
contributing to IAD. It consisted of three parts, part I used to assess demographic and clinical data;
part II used to assess ventilation and hemodynamic patient data, and part III used to assess skin
condition. Results: About 60.5% had male gender, with a mean age of 49.51 ± 10.54, and about
69.5.% of the overall sample had IAD. Concerning the severity of IAD, 78.4% had a risk for IAD
with no redness and skin intact, 19.4% were categorized as grades I, and 2.2% were categorized as
grade II. Conclusion: ICU patients' exposure to several risk factors can damage their skin integrity.
It can be concluded that increasing age, female gender, sepsis, neurological disorders, a high score
on the perineal assessment scale, fever, hypoalbuminemia, enteral nutrition, wet skin, poor hygiene
practice, and watery diarrhoea are associated risk factors for IAD in patients with a critical illness. Recommendation: Early identification and management of IAD should be early by using
standardized skin protocols and skin assessment tools.
Mohamed Elsayed, S. (2023). Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients.. Egyptian Journal of Health Care, 14(1), 155-171. doi: 10.21608/ejhc.2023.279725
MLA
Shimmaa Mohamed Elsayed. "Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients.", Egyptian Journal of Health Care, 14, 1, 2023, 155-171. doi: 10.21608/ejhc.2023.279725
HARVARD
Mohamed Elsayed, S. (2023). 'Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients.', Egyptian Journal of Health Care, 14(1), pp. 155-171. doi: 10.21608/ejhc.2023.279725
VANCOUVER
Mohamed Elsayed, S. Risk Determinants of Incontinence associated dermatitis among Critically Ill Patients.. Egyptian Journal of Health Care, 2023; 14(1): 155-171. doi: 10.21608/ejhc.2023.279725
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