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Prevention and care for moisture-associated skin damage: A scoping review
Lin Qi1, Qingsheng Zhao1, Lianrong Guo1
1School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China; Qilu Hospital of Shandong University, Jinan, Shandong Province, China.
Objective:
Moisture-associated skin damage (MASD) is an inflammatory skin condition caused by long-term exposure to a moist environment, which can compromise the integrity of the barrier and increase pain. This scoping review aimed to systematically analyze the research status of prevention and care for MASD.
Methods:
We conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. PubMed, MEDLINE, Scopus, Web of Science, CINAHL, and the Cochrane Database of Systematic Reviews were searched for relevant articles until March 2023.
Results:
Based on eligibility criteria, 34 research studies and review articles were included. The prevalence of MASD varies greatly in different medical environments and patient groups. The high-risk factors included prolonged exposure to excessive water, chemical irritation such as urine or feces, mechanical factors such as friction or improper removal of medical adhesives and local bacterial colonization. Prevention measures mainly include avoiding skin exposure to moisture, skin cleansing, moisturizing and the treatment of secondary bacterial infection.
Conclusion:
A variety of factors have an impact on MASD. Nurses should select suitable tools to screen high-risk patients and take targeted preventive measures according to the related types of skin injury to reduce the incidence of MASD.
Insights
Moisture-associated skin damage (MASD) is an inflammatory condition linked to prolonged wetness. Effective prevention involves identifying risks, proper skin care, and treating infections to reduce MASD incidence.
Area of Science:
- Dermatology
- Wound Care
- Public Health
Background:
- Moisture-associated skin damage (MASD) is an inflammatory condition resulting from prolonged exposure to moisture.
- MASD compromises skin barrier integrity, leading to increased pain and discomfort.
- Understanding MASD prevention and care is crucial in various healthcare settings.
Purpose of the Study:
- To systematically review and analyze the current research status on the prevention and care of MASD.
- To identify key risk factors and effective management strategies for MASD.
Main Methods:
- A comprehensive scoping review was conducted.
- Searches were performed across major databases including PubMed, MEDLINE, Scopus, Web of Science, CINAHL, and Cochrane Library until March 2023.
- Eligibility criteria were applied to select relevant research and review articles.
Main Results:
- 34 studies were included in the review.
- MASD prevalence varies across different patient groups and medical environments.
- Key risk factors identified include excessive moisture, chemical irritants (urine, feces), friction, adhesive removal, and bacterial colonization.
- Prevention strategies encompass moisture avoidance, skin cleansing, moisturizing, and managing secondary infections.
Conclusions:
- MASD is influenced by a multifactorial etiology.
- Nurses play a critical role in screening high-risk patients and implementing targeted preventive interventions.
- Tailoring preventive measures to specific injury types is essential for reducing MASD incidence.
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