Effects of Skin Microclimate Changes on Skin Condition in Healthy Adults.

IF 1.7 3区 医学 Q2 NURSING
Caroline Borzdynski, Charne Miller, William McGuinness
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引用次数: 0

Abstract

Purpose: The purpose of this study was to examine the effects of moisture, as a skin microclimate variable, at the skin-support surface interface on repeated measures of skin erythema, stratum corneum hydration and skin temperature at pressure-prone areas of healthy adults.

Design: Quasi-experimental repeated measures study.

Subjects and setting: Forty-eight healthy adults participated in a single center-controlled study conducted in a simulated hospital setting in an urban setting (Melbourne, Australia). This research project was conducted from November 2021 to June 2022.

Methods: The effects of moisture and intermittent pressure-loading on skin overlying the sacrum, heels, and elbows were investigated. Participants followed a standardized immobilization protocol of 60 minutes, with 10-minute brief pressure off-loading, in the semi-recumbent position on a standard hospital bed/mattress. The intervention comprised laying with the sacrum in contact with an absorbent pad saturated with normal saline; control skin sites (elbows and heels) were not exposed to the moistened absorbent pad. Skin measures were obtained consecutively at each anatomical testing site upon brief off-loading. Linear mixed models (LMMs) were used to compare skin parameters over time and between conditions.

Results: Differences in stratum corneum hydration scores between control and intervention conditions at the sacrum were significant (P = .001). Differences in erythema and skin temperature scores between control and intervention conditions at the sacrum did not significantly differ; however, significant changes in skin temperature (P = .025) at the sacrum were observed at the 10-minute measurement intervals over 1 hour in the sample, suggesting change in skin temperature over time. No participant displayed non-blanching erythema as a subjective indicator of skin injury in any of the testing conditions.

Conclusions: Skin moisture/wetness, over a period of 1 hour, does not appear to impact erythema and skin temperature at the sacrum. In contrast, the introduction of moisture at the sacrum significantly increases sacral stratum corneum hydration. Study findings suggest that more frequent monitoring cycles of wet sacral skin may be required to identify moisture-associated skin changes.

皮肤微气候变化对健康成年人皮肤状况的影响
目的:本研究的目的是研究皮肤-支撑面界面的湿度作为皮肤微气候变量,对重复测量健康成年人易受压力部位的皮肤红斑、角质层水合作用和皮肤温度的影响:设计:准实验性重复测量研究:48名健康成人参加了在城市(澳大利亚墨尔本)模拟医院环境中进行的单中心对照研究。该研究项目于 2021 年 11 月至 2022 年 6 月进行:方法:研究湿度和间歇性压力加载对骶骨、脚跟和肘部皮肤的影响。参与者在标准医院病床/床垫上以半躺姿势进行 60 分钟的标准化固定方案,并进行 10 分钟的短暂压力卸载。干预措施包括将骶骨与浸满生理盐水的吸水垫接触;对照组皮肤部位(肘部和脚跟)不接触湿润的吸水垫。在短暂卸载后,在每个解剖测试部位连续采集皮肤测量值。线性混合模型(LMM)用于比较不同时间和不同条件下的皮肤参数:结果:对照组和干预组在骶骨处的角质层水合得分差异显著(P = .001)。对照组和干预组在骶骨处的红斑和皮肤温度得分差异不显著;但在样本中,每隔 10 分钟测量一次,骶骨处的皮肤温度在 1 小时内有显著变化(P = .025),表明皮肤温度随时间发生了变化。在任何测试条件下,都没有参与者出现作为皮肤损伤主观指标的非褪色红斑:结论:皮肤湿度/潮湿度在 1 小时内似乎不会影响骶骨处的红斑和皮肤温度。相反,在骶骨处引入湿度会明显增加骶骨角质层的水合作用。研究结果表明,可能需要更频繁地监测骶部湿润皮肤的周期,以确定与湿度相关的皮肤变化。
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
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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