The development of the objective risk assessment indicator for incontinence-associated dermatitis

• Project/Area Number: 21890217
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Single-year Grants
• Research Field: Community health/Gerontological nurisng
• Research Institution: Kanazawa University (2010); University of Shizuoka (2009)
• Principal Investigator: SHIGETA Yoshie 金沢大学, 健康増進科学センター, 助教 (50514618)
• Project Period (FY): 2009 – 2010
• Project Status: Completed (Fiscal Year 2010)
• Budget Amount: ¥2,366,000 (Direct Cost: ¥1,820,000、Indirect Cost: ¥546,000); Fiscal Year 2010: ¥1,001,000 (Direct Cost: ¥770,000、Indirect Cost: ¥231,000); Fiscal Year 2009: ¥1,365,000 (Direct Cost: ¥1,050,000、Indirect Cost: ¥315,000)
• Keywords: Incontinence-associated dermatitis / 浸軟 / 失禁 / 高齢者 / Incontinence Associated Dermatitis / 皮膚障害 / リスクアセスメント / TEWL / 真皮水分量

Research Abstract

Incontinence-associated dermatitis(IAD) is a common skin disorder in patients with faecal and/or urinary incontinence. However, it has not been determined which specific skin conditions have a high risk of IAD. This study focused on skin maceration as a risk factor for IAD. The results showed that the hydration level in the stratum corneum and dermis, transepidermal water loss and skin pH levels were significantly higher in the maceration group than in the non-maceration group. This study demonstrated that skin maceration affects not only the epidermis but also the dermis and leads to poor skin barrier function. Additionally, ROC analysis for classification of maceration showed that Erythema Index(EI) is the best classifier of maceration among other visual variables. EI could be a useful tool for healthcare professionals to make a correct diagnosis of maceration.

Research Products

• [Journal Article] Factors influencing intact skin in women with incontinence using absorbent products : results of a cross-sectional, comparative study (2010)
  • Author(s): Shigeta Y, Nakagami G, Ssanada H, Konya C, Sugama J
  • Journal Title: Ostomy Wound Manage Volume: 56(12) Pages: 26-33
  • Peer Reviewed
• [Journal Article] Factors influencing intact skin in women with incontinence using absorbent products : results of a cross-sectional, comparative study (2010)
  • Author(s): Shigeta Y
  • Journal Title: Ostomy Wound Management Volume: Vol.56 Pages: 26-33
  • Peer Reviewed
• [Journal Article] Exploring the relationship between skin property and absorbent pad environment (2009)
  • Author(s): Shigeta Y, Nakagami G, Sanada H, Oba M, Fujikawa J, Konya C, Sugama J.
  • Journal Title: Journal of Clinical Nursing Vol.18 Pages: 1607-1616
  • Peer Reviewed
• [Presentation] 高齢者の失禁に起因する皮膚浸軟の有無による皮膚生理機能の違い (2011)
  • Author(s): 繁田佳映
  • Organizer: 第28回日本ストーマ・排泄リハビリテーション学会
  • Place of Presentation: 福岡国際会議場(福岡県)
  • Year and Date: 2011-02-05
• [Presentation] 排泄ケアが高齢者の尿路感染症へ及ぼす影響についての検討 (2010)
  • Author(s): 繁田佳映
  • Organizer: 第23回日本老年泌尿器科学会
  • Place of Presentation: 東京ステーションコンファレンス(東京都)
  • Year and Date: 2010-05-15
• [Presentation] パット内環境における尾骨部ならびに排尿口部皮膚の細菌汚染状態 (2010)
  • Author(s): 仲上豪二朗,繁田佳映,真田弘美,紺家千津子,松尾淳子,須釜淳子,田端恵子
  • Organizer: 第23回日本老年泌尿器科学会
  • Place of Presentation: 東京ステーションコンファレンス(東京都)
  • Year and Date: 2010-05-15
• [Presentation] 皮膚障害と排泄ケアの間における関連性の検討 (2010)
  • Author(s): 繁田佳映
  • Organizer: 第19回日本創傷・オストミー・失禁管理学会学術集会
  • Place of Presentation: 都市センターホテル・砂防会館(東京都)
  • Year and Date: 2010-05-09
• [Presentation] 高齢者用前側吸収尿失禁パッドにおける尿吸収状態の評価 (2009)
  • Author(s): 須釜淳子, 真田弘美, 井上歩, 仲上豪二朗, 繁田佳映, 大場美穂, 紺家千津子, 松尾淳子, 田端恵子, 松本典子, 榎亜矢子
  • Organizer: 第18回日本創傷・オストミー・失禁ケア研究会
  • Place of Presentation: 仙台国際センター(宮城県)
  • Year and Date: 2009-05-09