Prevention and care for moisture-associated skin damage: A scoping review

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2024-06-06 DOI:10.1016/j.jtv.2024.06.002

Lin Qi , Qingsheng Zhao , Lianrong Guo , Bingnan Zhao , Min Zhang

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引用次数: 0

Abstract

Objective

Moisture-associated skin damage (MASD) is an inflammatory skin condition caused by long-term exposure to a moist environment, which can compromise the integrity of the barrier and increase pain. This scoping review aimed to systematically analyze the research status of prevention and care for MASD.

Methods

We conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. PubMed, MEDLINE, Scopus, Web of Science, CINAHL, and the Cochrane Database of Systematic Reviews were searched for relevant articles until March 2023.

Results

Based on eligibility criteria, 34 research studies and review articles were included. The prevalence of MASD varies greatly in different medical environments and patient groups. The high-risk factors included prolonged exposure to excessive water, chemical irritation such as urine or feces, mechanical factors such as friction or improper removal of medical adhesives and local bacterial colonization. Prevention measures mainly include avoiding skin exposure to moisture, skin cleansing, moisturizing and the treatment of secondary bacterial infection.

Conclusion

A variety of factors have an impact on MASD. Nurses should select suitable tools to screen high-risk patients and take targeted preventive measures according to the related types of skin injury to reduce the incidence of MASD.

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预防和护理与水分相关的皮肤损伤：范围审查

目的与潮湿有关的皮肤损伤（MASD）是一种因长期暴露于潮湿环境而引起的炎症性皮肤病，可损害皮肤屏障的完整性并增加疼痛。本范围界定综述旨在系统分析 MASD 预防和护理的研究现状。方法我们按照范围界定综述的系统综述和元分析扩展首选报告项目进行了范围界定综述。我们检索了 PubMed、MEDLINE、Scopus、Web of Science、CINAHL 和 Cochrane 系统综述数据库中的相关文章，直至 2023 年 3 月。在不同的医疗环境和患者群体中，MASD 的发病率差异很大。高危因素包括长期接触过多的水、化学刺激（如尿液或粪便）、机械因素（如摩擦或医用粘合剂去除不当）以及局部细菌定植。预防措施主要包括避免皮肤接触水分、清洁皮肤、保湿和治疗继发性细菌感染。护士应选择合适的工具筛查高危患者，并根据相关的皮肤损伤类型采取针对性的预防措施，以降低 MASD 的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.