基于香莲外洗液联合紫草油的结构化护理方案在老年失禁相关性皮炎患者中的应用效果OA

Objective To investigate the application effect of the structured nursing program based on Xianglian external lotion combined with comfrey oil in elderly patients with incontinence-associated dermatitis(IAD).Methods One hundred and two elderly IAD patients admitted to the hospital between January and December 2024 were selected as research subjects.They were divided into the experimental group and the con-trol group by the random number table method,with 51 cases in each group.Both groups of patients received nursing care via a structured nursing mode,and the intervention duration was 6 days.The control group was given conventional ostomy powder/protective film after warm water cleaning nursing,while the experimental group was given Xianglian External Lotion combined with comfrey oil.Scores of IAD severity(IADS),scores of critical care pain observation tool(CPOT),scores of visual analogue scale(VAS),secondary fungal infec-tion status,length of hospital stay,scores of generic quality of life inventory-74(GQOLI-74),scores of derma-tology life quality index(DLQI)and patient satisfaction were compared at different time points before and af-ter intervention.Results Compared with those before intervention,the IADS,CPOT and VAS scores of the two groups at 2,4 and 6 d after intervention all decreased,and the IADS,CPOT and VAS scores of the experi-mental group at 2,4 and 6 d after intervention were all lower than those of the control group(P<0.05).The incidence of secondary fungal infection in the experimental group was lower than that in the control group,and the length of hospital stay in the experimental group was shorter than that in the control group(P<0.05).The GQOLI-74 score of the experimental group at 6 d after intervention was higher than that before interven-tion and higher than that of the control group in the same period,and the DLQI score was lower than that be-fore intervention and lower than that of the control group in the same period(P<0.05).The satisfaction score of the experimental group was(89.02±14.37)points,which was higher than(79.73±19.46)points of the control group(t=2.743,P=0.007).Conclusion The structured nursing program based on the combina-tion of Xianglian External Lotion and Lithospermum oil can effectively shorten the length of hospital stay of elderly patients with IAD,reduce the severity of dermatitis and pain,improve the quality of life,reduce the risk of infection,and enhance patient satisfaction.