J Korean Acad Nurs.  2015 Jun;45(3):357-366. 10.4040/jkan.2015.45.3.357.

Adaptation and Evaluation of the Incontinence Care Protocol

• Park KH
• Choi H

• KMID: 2164377
• DOI: http://doi.org/10.4040/jkan.2015.45.3.357

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 (chi2=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.

Keyword

Dermatitis; Fecal incontinence; Pressure ulcer; Practice guideline; Evidence-based nursing

MeSH Terms

Aged
Aged, 80 and over
Dermatitis/pathology
Evidence-Based Nursing/*standards
Fecal Incontinence/pathology/*prevention & control
Female
Humans
Intensive Care Units
Male
Middle Aged
Pressure Ulcer/epidemiology/pathology
Program Development
*Program Evaluation
Severity of Illness Index
Skin Care
Urinary Incontinence/pathology/*prevention & control