To Develop the Bundle Care of the Incontinence Associated Dermatitis in Disabled Patients: A Evidence- Based Framework

• Main Authors: WEI, HSIU-HUI, 魏秀慧
• Other Authors: HUANG, CHIH-LING
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/07216689295588551154

碩士 === 長榮大學 === 護理學系碩士班 === 105 === Background: Incontinence-associated dermatitis (IAD) is a prevalent cause of skin damage in clinical settings. IAD may cause burn heat sensation, pru- ritus, pain, and infection .It may prolong hospital stay and increase healthcare costs. Objective: The aim of this study was to develop a bundle care of the incontinence associated dermatitis based on the evidence- based framework in the disabled patients. Method: According to the steps of developing a bundle care, 9 steps were conducted. A multidisciplinary task group was established at a medical center in southern Taiwan. The steps included systematic review of the literature, a draft of IAD budle care, consensus of hospital nursing staff and clinical experts, evaluation of methodology experts. Results: The initial guideline was consensused by thirty nurses and seven clinical experts (two runs) to achieve above 80% agreement. Three methodology experts evaluated the quality of development process as a use recommendation. The IAD Bundle care consisted of 4 elements with 19 interventions, including skin assessment, skin cleanse, skin protect, and supportive interventions. The IAD bundle care was standardized and evidence- based clinical guideline. Conclusion: The result was the development of IAD bundle care, which integrating systematic literature review and the opinions of nurse staff, clinical experts, and methodology experts. Thus, these Bundle care are recommended for clinical application. Further studies will be implemented to test the effectiveness of IAD bundle care.