皮肤清洁剂和留置产品干预措施,用于预防成年人失禁相关皮肤炎
Tanya Graham1, Dimitri Beeckman2,3,4,5, Jan Kottner6
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
The Cochrane database of systematic reviews
|July 11, 2025
概括
在成人中预防失禁相关性皮肤炎 (IAD) 是具有挑战性的,因为证据有限. 目前的研究表明,很少有人确信皮肤清洁剂或脱落产品比标准护理更有效.
科学领域:
- 皮肤病学 皮肤病学
- 老年学是一门学科.
- 基于证据的医疗保健
背景情况:
- 尿失禁相关性皮肤炎 (IAD) 是患有尿失禁或便失禁的成年人普遍存在的皮肤疾病.
- 预防策略侧重于皮肤护理干预措施,包括清洁和使用皮肤保护剂或屏障 (留置产品).
研究的目的:
- 评估皮肤护理清洁剂,留置产品和特殊程序在预防成年人内脏炎症方面的有效性.
- 综合来自IAD预防干预的随机对照试验 (RCT) 和准RCT的证据.
主要方法:
- 在多个数据库 (科克兰失禁专业注册,MEDLINE等) 中进行全面搜索. 是进行的.
- 包括的研究是RCT和准RCT,涉及18岁以上的成年人,在基线没有IAD.
- 主要结局包括IAD的发生率和与干预有关的不良影响;次要结局涉及参与者的满意度,坚持和生活质量.
主要成果:
- 包括1020名参与者的15项试验,但偏见的高风险和实质性的异质性限制了元分析.
- 非常低的确定性证据表明,泡清洁剂可能比肥和水更有效地预防IAD.
- 与单个干预措施或产品相比,皮肤清洁剂和留置产品的组合证据的确定性也非常低,阻止了最终的结论.
结论:
- 目前关于预防成人内脏炎症的干预措施的证据有限,确定性低至非常低.
- 目前尚不清楚任何特定的皮肤清洁剂或留置产品是否比其他产品提供更好的预防.
- 需要使用标准化方案进行高质量的试验,以建立有效的IAD预防策略.
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