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Structuring prevention and management program for incontinence-associated dermatitis using its risk factors

Research Project

Project/Area Number 25862232
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Gerontological nursing
Research InstitutionThe University of Tokyo (2015-2017)
University of Shizuoka (2013-2014)

Principal Investigator

ICHIKAWA YOSHIE  東京大学, 大学院医学系研究科(医学部), 客員研究員 (50514618)

Project Period (FY) 2013-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords失禁関連皮膚炎 / 失禁 / 高齢者 / スキンケア / 失禁関連皮膚障害 / 皮膚炎 / IAD / 予防ケア / 尿臭 / おむつ / 予防プログラム / リスクアセスメント
Outline of Final Research Achievements

Incontinence-associated dermatitis (IAD) is an inflammation of the skin that occurs when urine or stool comes into contact with the perineal or perigenital skin. The incidence of IAD is especially high in the elderly population. This study aims to structure the prevention and management program for IAD using risk factors for IAD. Although the risk factors for IAD have been previously reported, the cause of “urinary odor,” which is one of the factors, remains unknown. Hence, we examined the components of urine that have an odor to elucidate the cause. In the group with urine odor, the urine pH (P = 0.021) and semiquantitative value of magnesium ammonium phosphate crystal (P = 0.027) were significantly higher than that in the group with normal urine. These findings imply that urine odor was due to urinary tract infection. Based on these results and literature review, we structured the IAD prevention and management care program.

Report

(6 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (16 results)

All 2018 2017 2016 2014 2013

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) (of which Invited: 6 results) Book (2 results)

  • [Journal Article] Risk assessment tool for incontinence-associated dermatitis in elderly patients combining tissue tolerance and perineal environment predictors: a prospective clinical study.2014

    • Author(s)
      Ichikawa-Shigeta Y, Sanada H, Konya C, Yusuf S, Supriadi, Sugama J.
    • Journal Title

      Chronic Wound Care Management and Research.

      Volume: 1 Pages: 41-47

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Physiological and appearance characteristics of skin maceration in elderly women with incontinence2014

    • Author(s)
      Ichikawa-Shigeta Y, Sugama J, Sanada H, Nakatani T, Konya C, Nakagami G, Minematsu T, Yusuf S, Supriadi , Mugita Y
    • Journal Title

      Journal of Wound Care

      Volume: 23(1) Pages: 18-30

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Influence of differences in washing methods on skin texture2014

    • Author(s)
      Matsumoto M, Matsuo J, Dai M, Nishizawa T, Matsui K, Ichikawa Y, Okuwa M, Sugama J, Sanada H.
    • Journal Title

      International journal of cosmetic science

      Volume: 36(2) Issue: 2 Pages: 175-181

    • DOI

      10.1111/ics.12114

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] A convenient and highly sensitive method for quantification of ceramide in tape-stripping samples by dot-blot analysis as a skin barrier assessment technique in murine macerated skin.2013

    • Author(s)
      Mugita Y, Minematsu T, Huang L, Sugama J, Ichikawa Y, Nakagami G, Nagase T, Oe M, Noguchi H, Mori T, Sanada H.
    • Journal Title

      Journal of Japanese Society of Wound, Ostomy, and Continence Management

      Volume: 17(3) Pages: 201-212

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] AD重症度評価スケール(IAD-set)と ケアアルゴリズム.2017

    • Author(s)
      市川佳映
    • Organizer
      第25回日本創傷・オストミー・失禁管理学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Incontinence-Associated Dermatitis(IAD)の予防・管理における排泄ケアの重要性2017

    • Author(s)
      市川佳映
    • Organizer
      第14回排泄ケア・排泄機能指導研究会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 失禁関連皮膚炎のアセスメントと管理2016

    • Author(s)
      市川佳映
    • Organizer
      第18回日本褥瘡学会学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2016-09-02
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 失禁を有する高齢者を対象とした尿臭の原因の検討2016

    • Author(s)
      市川佳映, 松尾 淳子, 谷山 一美, 柳原 幾世, 真田 弘美
    • Organizer
      第25回日本創傷・オストミー・失禁管理学会学術集会
    • Place of Presentation
      金沢歌劇座(石川県金沢市)
    • Year and Date
      2016-06-11
    • Related Report
      2015 Research-status Report
  • [Presentation] 失禁を有する高齢者を対象 とした尿臭の原因の検討2016

    • Author(s)
      市川佳映, 松尾 淳子, 谷山 一美, 柳原 幾世, 真田 弘美
    • Organizer
      第25回日本創傷・オストミー・失禁管理学会学術集会
    • Place of Presentation
      石川県社会福祉会館(石川県金沢市)
    • Related Report
      2016 Research-status Report
  • [Presentation] 理事長企画 IAD重症度評価ツール(案)の紹介 IAD重症度評価スケール(案)の項目とスケール採点2016

    • Author(s)
      市川佳映
    • Organizer
      第25回日本創傷・オストミー・失禁管理学会学術集会
    • Place of Presentation
      金沢歌劇座(石川県金沢市)
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] シンポジウム企画 高齢者のトータルサポート ~スキンテア・栄養・排泄・薬物療法~ Incontinence-Associated Dermatitis(IAD) のアセスメントと管理2016

    • Author(s)
      市川佳映
    • Organizer
      第18回日本褥瘡学会学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 尿または便失禁を有する女性患者におけるIncontinence-associated dermatitis (IAD)発生と会陰部環境との関係.2014

    • Author(s)
      市川佳映, 真田弘美, 紺家千津子, 大桑麻由美, 松井優子, 松尾淳子, 木下幸子, 西澤知江, 須釜淳子.
    • Organizer
      第27回日本老年泌尿器科学会
    • Place of Presentation
      山形県山形市
    • Year and Date
      2014-06-13 – 2014-06-14
    • Related Report
      2014 Research-status Report
  • [Presentation] IAD予防のためのリスクアセスメント指標の紹介と多施設実態調査の報告.2014

    • Author(s)
      市川佳映
    • Organizer
      第23回日本創傷・オストミー・失禁管理学会学術集会
    • Place of Presentation
      埼玉県大宮市
    • Year and Date
      2014-05-16 – 2014-05-17
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Assessment of skin macaration as an indicator of risk of incontinence associated dermatitis2013

    • Author(s)
      Ichikawa Y, Sanada H, Konya C, Nakagami G, Yusuf S, Supriadi, Matsuo J, Minematsu T, Yamamoto Y, Sugama J
    • Organizer
      The 20th IAGG World congress of gerontology and geriatrics.
    • Place of Presentation
      Soul
    • Related Report
      2013 Research-status Report
  • [Book] Visual D. 2018年2月号 Vol.17 No.22018

    • Author(s)
      ヴィジュアルダーマトロジー編集委員会
    • Total Pages
      110
    • Publisher
      学研メディカル秀潤社
    • ISBN
      4780907012
    • Related Report
      2017 Annual Research Report
  • [Book] スキンケアガイドブック2017

    • Author(s)
      一般社団法人 日本創傷・オストミー・失禁管理学会
    • Total Pages
      320
    • Publisher
      照林社
    • ISBN
      4796524088
    • Related Report
      2017 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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