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Journal of Tissue Viability Feb 2021The aim of this quasi-experimental study was to develop an anti-embolism stocking care protocol and assess its effectiveness in preventing associated skin problems on...
AIM
The aim of this quasi-experimental study was to develop an anti-embolism stocking care protocol and assess its effectiveness in preventing associated skin problems on the legs.
MATERIALS AND METHODS
The study was conducted between 02 March and July 20, 2016 in the surgical clinics of a private university hospital in Ankara, Turkey. The sample consisted of 27 nurses and 162 patients (three different patients were fitted of anti-embolism stockings by each of the 27 nurses; pre-protocol 81 patients and post-protocol 81 patients). Data were collected using data collection forms developed by the researchers. An anti-embolism stocking care protocol was developed and used. Nurses and patients were evaluated using an observational method.
RESULTS
Following implementation of the protocol, nurses' mean knowledge (95.24 ± 5.60) and intervention skill (92.06 ± 10.42) scores were significantly higher than their pre-protocol knowledge (73.54 ± 14.26) and intervention skill (15.30 ± 6.84) scores. Nurses performed almost all steps of the care protocol correctly after the protocol was implemented. The rates of skin problems such as pressure ulcers, neurovascular problems and issues associated with wrinkles or creases in stockings were significantly reduced after implementation of the protocol.
CONCLUSIONS
This study demonstrates that nurses' knowledge and intervention skills are increased when a care protocol is used, together with the prevention of errors and improved patient outcomes. The use of care protocols guides nurses in practice, raises awareness and helps to achieve nursing care objectives by standardizing information.
Topics: Clinical Protocols; Humans; Skin Care; Skin Diseases; Stockings, Compression; Turkey
PubMed: 32747218
DOI: 10.1016/j.jtv.2020.07.001 -
Seminars in Cutaneous Medicine and... Jun 2013The skin is an indicator of overall health throughout life, and the skin's lifelong care and environment are reflected with aging. The goal of skin care education by... (Review)
Review
The skin is an indicator of overall health throughout life, and the skin's lifelong care and environment are reflected with aging. The goal of skin care education by clinicians is to teach and reinforce habits that will support and maintain optimum stratum corneum barrier function throughout life and, when dermatologic conditions or injuries arise, that will aid in recovery of barrier function.
Topics: Detergents; Humans; Skin; Skin Care; Skin Physiological Phenomena
PubMed: 24156156
DOI: 10.12788/j.sder.0024 -
Dermatology Nursing Feb 1999The scope and importance of traumatic wound care, assessment, debridement, pre and postoperative management, and subsequent skin care during the course of treatment... (Review)
Review
The scope and importance of traumatic wound care, assessment, debridement, pre and postoperative management, and subsequent skin care during the course of treatment cannot be over-emphasized, and indeed, are the most important considerations for functional and cosmetic outcome. Care begins in the emergent phase and continues through acute and convalescent phases. Efforts are directed at methods and techniques which prevent infection, facilitate wound healing, promote comfort, and at the same time, maintain optimal function and minimize deformities.
Topics: Debridement; Humans; Nursing Assessment; Skin Care; Wound Healing; Wounds and Injuries
PubMed: 10670326
DOI: No ID Found -
Journal of Wound, Ostomy, and... 2014Cleansing, moisturizing, and protecting neonatal skin is important, but literature evaluating specific product lines is limited. The purpose of this study was to measure...
PURPOSE
Cleansing, moisturizing, and protecting neonatal skin is important, but literature evaluating specific product lines is limited. The purpose of this study was to measure the influence of a skin care product line on overall skin condition, perineal erythema, and pain when applied to neonates in a neonatal intensive care unit (NICU).
DESIGN
This was an open label, descriptive study. Comparisons were made between measurements taken at the beginning of the study to those at the end, on the same subjects.
SUBJECTS AND SETTING
The study was conducted in a 41-bed NICU at Driscoll Children's Hospital in Corpus Christi, Texas, that serves 31 counties in the region. This NICU treats children needing level 2 and 3 care, with a 1:1 or 2:1 nurse staffing ratio. This is not a birthing center; patients come from other community hospitals. Twenty-nine neonates participated in the study; their average body weight was 1.39 kg (3.06 lb) and their average gestation was 31.7 weeks.
METHODS
A skin care product line was introduced into a neonatal intensive care unit for 14 days. The products included 2 cleansers, 2 moisturizers, and a skin protectant with zinc oxide. Three outcome measures were tracked: Neonatal Skin Condition Score (NSCS), Skin Erythema Scale (SES), and pain. Nurses were also given a product evaluation survey. Descriptive statistics were used to report percentages and trends. Paired t tests were used to compare the mean NSCS, SES, and pain scores from the first 2 days a subject was in the study to the mean of the scores from the last 2 days they were in the study.
RESULTS
Subjects experienced approximately 1774 exposures to individual products during data collection. No differences were found in pain scores (P = .132), SES score (P = .059), or NSCS (P = .603) when mean values were compared at the beginning and end of the study. Analysis of the product evaluation survey for questions on cleaning, moisturizing, and reducing discomfort found that more than 90% of nurses ranked the new products as better than or equal to similar products used previously.
CONCLUSIONS
Use of a skin care product line was not associated with significant increases in overall neonatal skin condition measured with the NSCS, perineal erythema measured with the SES, or pain. The nurses caring for the subjects in this study prefer these products to others they have used in the past.
Topics: Critical Illness; Drug Evaluation; Humans; Infant, Newborn; Infant, Premature; Intensive Care Units, Neonatal; Pain; Skin Care; Skin Cream; Surveys and Questionnaires
PubMed: 25377101
DOI: 10.1097/WON.0000000000000083 -
The British Journal of Dermatology Mar 2012
Topics: Cosmetics; Hair Preparations; Hair Removal; Humans; Male; Skin Care
PubMed: 22385027
DOI: 10.1111/j.1365-2133.2011.10787.x -
Journal of Tissue Viability May 2024The aim of the study was to describe types and frequencies of skin care interventions and products provided in institutional long-term care. (Randomized Controlled Trial)
Randomized Controlled Trial
AIM
The aim of the study was to describe types and frequencies of skin care interventions and products provided in institutional long-term care.
MATERIALS AND METHODS
Baseline data from a cluster randomized controlled trial conducted in nursing homes in Berlin, Germany was collected before randomization. Numbers, proportions and frequencies of washing, showering and bathing, and the application of leave-on products were calculated. Product labels were iteratively and inductively categorized into overarching terms and concepts.
RESULTS
A total of n = 314 residents participated in the study. In the majority, washing of the whole body was done once daily, and showering was performed once per week or more rarely. The majority received leave-on products daily on the face and once per week on the whole body. Most of the skin care interventions were delivered by nurses. There was marked heterogeneity in terms of product names, whereas the product names reveal little about the ingredients or composition.
CONCLUSION
Personal hygiene and cleansing interventions are major parts of clinical practice in long-term care. Daily washing is a standard practice at the moment. In contrast, leave-on products are used infrequently. To what extent the provided care promotes skin integrity is unclear. Due to the heterogeneity and partly misleading labels of skin care products, informed decision making is difficult to implement at present.
GOV IDENTIFIER
NCT03824886.
Topics: Humans; Cross-Sectional Studies; Skin Care; Female; Long-Term Care; Male; Germany; Aged, 80 and over; Aged; Nursing Homes
PubMed: 38360494
DOI: 10.1016/j.jtv.2024.02.005 -
The Journal of Arthroplasty Feb 2014
Topics: Hand Disinfection; Humans; Perioperative Care; Prosthesis-Related Infections; Skin Care
PubMed: 24342277
DOI: 10.1016/j.arth.2013.09.029 -
Dermatologic Clinics Apr 2018
Topics: Anti-Infective Agents; Dermatologic Agents; Humans; Rosacea; Skin Care
PubMed: 29499806
DOI: 10.1016/j.det.2017.11.014 -
Ostomy/wound Management Jan 2006
Review
Topics: Health Promotion; Humans; Nurse Clinicians; Nurse's Role; Pressure Ulcer; Skin Care
PubMed: 16528845
DOI: No ID Found -
Journal of Tissue Viability Nov 2020The non-invasive skin barrier measurements transepidermal water loss, stratum corneum hydration and the skin surface pH are widely used in clinical skin research....
BACKGROUND
The non-invasive skin barrier measurements transepidermal water loss, stratum corneum hydration and the skin surface pH are widely used in clinical skin research. Relative and absolute measurement errors of these measurements are unknown in geriatric care settings.
MATERIAL AND METHODS
Transepidermal water loss, stratum corneum hydration, skin surface pH and temperature were measured on the volar forearm and lower leg twice by trained raters within a cross-sectional study in ten nursing homes. Intrarater reliability was calculated using the ICC (1,1). Intrarater agreement was analyzed using Bland Altman Plots with limits of agreement.
RESULTS
Two hundred twenty-three residents were included and mean age was 84.2 years. The highest ICC was found for transepidermal water loss and skin surface temperature of the leg with 0.95 (95% CI 0.93 to 0.96). The ICC of the stratum corneum was 0.91 (95% CI 0.88 to 0.93) for both investigated skin areas. The measurement of the pH at the lower leg had the lowest ICC with 0.73 (95% CI 0.66 to 0.78). Highest limits of agreement of approximately 8 a.u. were calculated for stratum corneum hydration and lowest limits of agreement of approximately 1 °C were calculated for skin surface pH.
CONCLUSION
Relative measurement errors of transepidermal water loss and stratum corneum hydration were very low indicating that single measurements provide reliable estimates in this population and setting. However, the absolute measurement errors were high for both of these parameters. To increase reliability of skin surface pH we recommend at least two repeated measurements.
Topics: Aged; Aged, 80 and over; Architectural Accessibility; Body Mass Index; Cross-Sectional Studies; Female; Geriatrics; Germany; Humans; Male; Nursing Homes; Skin Care; Skin Temperature
PubMed: 32788086
DOI: 10.1016/j.jtv.2020.06.007