Here - EWMA 2013

POSTER: PRESSURE ULCER
Poster: Pressure Ulcer
P 331
The Evaluation of the Effect of a Structured Skincare Regimen
Using a novel IAD assessment tool (IADS Instrument) and the
Relationship between IADS Score and PU Development among ICU
Patients with Fecal Incontinence
Kyung Hee Park 1 , Keum Soon Kim Kim 2
1 Samsung Medical Center (Seoul, Korea);
2 College of Nursing, Seoul National University (Seoul, Korea).
Aim: We measured the effect of a structured skincare regimen for fecal incontinence
patients using the Incontinence-Associated Dermatitis and its Severity (IADS) instrument
and analyzed the relationship between IADS scores and developing pressure
ulcers(PUs).
Methods: 76 fecal incontinence patients with Bristol stool form 5, 6, and 7 and Braden
scale score of 16 or less in the ICUs at Samsung Medical Center in Seoul, South Korea
participated. Of the 76 subjects enrolled, each 38 of subjects was assigned to the
experiment or control group. A structured skincare regimen was developed and applied
to the experiment group. The IADS scores of the experiment group was compared with
those of the control group using independent t-test. Logistic regression was carried out
to analyze the relationship between IADS score and PUs development.
Results: Experiment group showed to have significantly lower score of IADS (t= 4.836,
p