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http://dx.doi.org/10.4040/jkan.2015.45.3.357

Adaptation and Evaluation of the Incontinence Care Protocol  

Park, Kyung Hee (Department of Nursing, Samsung Medical Center)
Choi, Heejung (Department of Nursing, Konkuk University)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.3, 2015 , pp. 357-366 More about this Journal
Abstract
Purpose: This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol. Methods: The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity. Results: The experimental group had significantly less severe IAD (t=6.69, p <.001), lower occurrence of pressure ulcers (${\chi}^2=7.35$, p =.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p =.009) than the control group. Conclusion: Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.
Keywords
Dermatitis; Fecal incontinence; Pressure ulcer; Practice guideline; Evidence-based nursing;
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Times Cited By KSCI : 2  (Citation Analysis)
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