Effect of Eight Different Methods for Preventing Incontinence-associated Dermatitis: A Network Meta-analysis
DOI:
https://doi.org/10.54097/hset.v2i.565Keywords:
Incontinent-related dermatitis, Prevention, Network meta-analysisAbstract
The objective is to systematically evaluate the effects of different methods in the prevention of incontinence-associated dermatitis. Methods is based on Searched PubMed, the Cochrane Library, Web of Science, EMbase, CNKI, VIP and CBM,and the search time limit was all built until January 2019.Two investigators independently screened the literature, extracted the data and evaluated the risk of bias in the included studies. The R 3.5.2 software gemtc package, JAGS 4.3.0, and Stata 13.0 software were used for analysis. Results: A total of 24 articles were included and 2367 patients were included. Mesh meta-analysis results show that the skin protective agent, ostomy bag combined drainage device, ostomy bag, ostomy bag combined with skin protectant, built-in tampon to prevent the incidence of incontinence-related dermatitis is better than conventional care; The effect of devices and ostomy bags on preventing the incidence of incontinence-associated dermatitis is better than that of drainage devices and built-in tampon; the effect of ostomy pouch combined with skin protectant on preventing the incidence of incontinence-associated dermatitis is better than that of built-in tampon. The ranking probability map shows that the ostomy combined drainage device is a better solution to prevent the incidence of incontinence-associated dermatitis. Conclusion: According to the results of mesh meta-analysis and probabilistic ranking, the effect of the laparoscopic combined drainage device bag on preventing the incidence of incontinence-associated dermatitis is better than other methods. Future research should also be focused on the direct comparison of effects between different methods and the evaluation of cost effectiveness.
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Black J M, Gray M, Blis D Z, et al. MASD Part 2: Incontinence-associated Dermatitis and Intertriginous Dermatits: Aconsensus. Wound Ostomy Continence Nurs, 2011, 38 (4): 359-370.DOI:10.1097/WON. 0b013e318223c49e.
Gray M, Bliss D Z, Doughty D B, et al. Incontinence-associated Dermatitis: A Consensus. Wound Ostomy Continenc Nurs, 2007, 34 (1): 45-54.DOI:10.1097/00152192-200701000-00008.
Zhang N, Wu J. Progress of nursing research on incontinence-related dermatitis. Chinese Journal of Nursing, 2012, 47 (11): 1046-1048. DOI: CNKI: SUN: ZHHL.0.2012-11-036.
Chen X. Advances in the care of incontinent dermatitis. General Practice Nursing, 2014 (34): 3174-3175. DOI: 10.3969/j.issn.16744748.2014.34.002.
Xu WM, Hong Y, Wu J. Meta-analysis of the effect of stoma bags on the prevention and treatment of incontinent dermatitis in patients with fecal incontinence. Chongqing Medicine, 2017 (46): 4694. doi: 10.3969/j.issn.1671-8348.2017.33.028.
Bao Yuting, Xu Weiwei, Ma Enting, et al. Meta-analysis of the effect of catheter drainage combined with ostomy bag in managing fecal incontinence-associated dermatitis. Chinese Journal of Modern Nursing, 2016, 22 (29): 4188-4192. DOI: 10.3760/cma. j. issn. 1674-2907.2016.29.011.
Liu GW, Yu LIL, Jia HX, et al. Research progress of indirect comparison and reticulated Meta-analysis methods in systematic evaluation. Chinese Journal of Evidence-Based Medicine, 2014, 14 (10): 1276-1280. DOI: CNKI: SUN: ZZXZ. 0.2014-10-019.
Higgins J, Green S, Collaboration C. Cochrane Handbook for Systematic Reviews for Interventions. Cochrane Database of Systematic Reviews, 2011, 2011(2):S38. DOI:10.1002/9780470712184.
Zhang Chao, Dong Shengjie, Zeng Xiantao. Application of software packages in reticulation analysis. Chinese Journal of Evidence-Based Medicine, 2013, 13 (10): 1258-1264.DOI:10.7507/1672-2531. 20130215.
Zhang Chao, Sun Feng, Zeng Xiantao. Software call software for mesh analysis. Chinese Journal of Evidence-Based Medicine, 2014, 14 (2): 241-248. DOI: CNKI: SUN: ZZXZ.0.2014-02-022.
Zhang Chao, Yan Jinzhu, Sun Feng et al. Identification and processing methods of reticulated Meta-analysis consistency. Chinese Journal of Evidence-Based Medicine, 2014, 14 (7): 884-888.DOI:10.7507/1672-2531.20140146.
Chen C Y, Huang Q L, Xu Z L, et al. Effectiveness of 3M skin protective film combined with stoma powder for the prevention of fecal incontinence-related dermatitis. Modern Clinical Nursing,2015, 14 (05) : 51-53.
Meng Xia. Effect of skin protective film combined with semi-permeable dressing on the risk of dermatitis in critically ill patients in ICU. General Practice Nursing, 2017, 15 (23) : 2870-2872. doi:10.3969/ j.issn.1674-4748.2017.23.022.
Yang WJ, Liu Y, Gao J. Application of disposable 3L surgical adhesive wipes in the prevention of incontinence-related dermatitis in critically ill patients. Journal of Advanced Practice for Nurses, 2017, 32 (4) : 360-362. doi:10.16821/ j.cnki.hsjx.2017.04.025.
Cen Y, Liang Y, Lei Xuezhen, et al. Application of montmorillonite bulking agent combined with skin protection film in perianal skin protection in patients with fecal incontinence. China Maternal and Child Health Research, 2017, 28 (S4) : 618. doi: cnki: sun: sane.0.2017-s4-706.
Beeckman D, Verhaeghe S, Defloor T, et al. A 3-in-1 perineal care washcloth impregnated with dimethicone 3% versus water and pH neutral soap to prevent and treat incontinence-associated dermatitis: a randomized, controlled clinical trial. J Wound Ostomy Continence Nurs, 2011, 38 (6): 627-634.DOI:10.1097/WON.0b013e31822efe52.
Cooper P, Gray D. Comparison of two skin care regimes for incontinence. Br J Nurs, 2001, 10 (Sup1): S6-S20. DOI: 10.12968/bjon.2001.10.Sup1.5346.
Wu WJ, Zhang YY, Zhou YX, et al. Application of a homemade flushable stool collection device in the ICU [J]. Journal of Continuing Nurse Education, 2015 (12): 1138-1139. DOI: CNKI: SUN: FSJX. 0.2015-12-041.
Feng Jiezhen, Chen Shaozhen, Tang Chunyuan, et al. Observation of the effect of homemade fecal incontinence drainage device for fecal incontinence in critically ill patients. Journal of Nursing, 2010, 17 (20) : 58-60. DOI: 10.3969/j.issn.1008-9969.2010.20.022.
Ye Die-Lian, Li Su-Ting, Huang Guo-Min, et al. Comparison of the efficacy of different methods in perianal skin care for fecal incontinence in critically ill patients. International Journal of Nursing, 2014 (7) : 1646-1649.DOI:10.3760/cma.j.issn.1673-4351.2014.07.032.
Yıldız Denat, Khorshid L. The Effect of 2 Different Care Products on Incontinence-Associated Dermatitis in Patients With Fecal Incontinence. J WOUND OSTOMY CONT, 2011, 38 (2): 171-176.DOI:10.1097/ WON. 0b013e31820af24e.
Fu J, Shi B. Effectiveness of the one-piece ostomy bag in patients with fecal incontinence in geriatrics department. DOI: 10.3969/j.issn.1671-3141.2015.65.121.
Sun Lingli. Observation on the efficacy of different nursing methods for fecal incontinence. DOI: 10.3969/j.issn.1008-8849.2013.28.053.
Li H, Fu H, Xu F-L. Application of modified pouching method in patients with fecal incontinence. Chinese general medicine, 2015, 13 (05): 837-841. DOI: CNKI: SUN: SYQY.0.2015-05-055.
Wang F, Cheng Q, Hu XRL. Comparison of the effects of three different management methods in patients with fecal incontinence in the ICU. Qilu Journal of Nursing, 2012, 18 (22) : 100-101. DOI: CNKI: SUN: QLHL.0.2012-22-065.
Chen J W, He F, Ning C C, et al. Comparison of disposable anal pouches and disposable pads in patients with fecal incontinence. Nursing Research, 2011, 25 (3) : 215-216. doi: 10.3969/j.issn.1009-6493.2011.03.014.
Shi Y. Use and care of artificial anal pouches in patients with fecal incontinence after anal preservation surgery for rectal cancer. DOI: 10.3969/j.issn.1001-7585.2011.15.017.
Huang Yunxin, Lin Yishuang, Huang Yanhua, et al. Comparison of the effectiveness of two different methods in preventing complications in the care of patients with fecal incontinence. Journal of Qiqihar Medical College, 2014, 35 (2): 289-290. DOI: CNKI: SUN: QQHB. 0.2014-02-085.
Yu Y, Lai HY, Xie JY, et al. Effectiveness of OB built-in tampon retention anal combined with acupressure for prevention of incontinence-related dermatitis in patients with fecal incontinence in ICU. Modern Clinical Care, 2018, 17 (4): 36-39. DOI: 10.3969/j.issn.1671-8283.2018.04.008.
Alam P A, Burkett L S, Clark B A, et al. Randomized Cross-over Comparison of Icon™ Reusable Underwear to Disposable Pads for the Management of Mild to Moderate Urinary Incontinence. Female Pelvic Medicine & Reconstructive Surgery, 2018, 24 (2): 161.DOI:10.1097/SPV.0000000000000519.
Luo Chuan-Li, Huang Kai-Fang, Guo Mei, et al. Clinical application of a one-piece stoma bag combined with skin protection film in patients with diarrhea or fecal incontinence. International Journal of Nursing, 2013 (12) : 2895-2897. doi: 10.3760/cma.j.issn. 1673-4351.2013.12.120.
Dang Pauling, Wei Hongying. Observation of the effect of applying combined nursing in the care of patients with fecal incontinence. Journal of Taishan Medical College, 2015 (5): 590-591. DOI: 10.3969/j.issn.1004-7115.2015.05.049.
Jiuqi Sun. Preventive interventions for patients with fecal incontinence with modified Conrad Pouch. DOI: CNKI: SUN: NZYY.0.2013-31-134.
Yu YP. Observation on the effect of one-piece ostomy bag combined with negative pressure suction on the care of fecal incontinence in critically ill patients. Chinese medicine clinical research, 2017 (14). DOI: 10.3969/j.issn.1674-7860.2017.14.056.
Huang Z-X, Huang L-F. One-piece stoma bag combined with continuous negative pressure drainage for patients with fecal incontinence . Journal of Nursing, 2013, 28 (01): 50-51. DOI:10.3870/hlxzz. 2013. 01. 050.
Peng Y, Li Luping. Research progress of functional fecal incontinence. DOI: 10.3969/j.issn.1000-1174.2003.01.016.
Xu Jingjing, Gong Hao Ling, Jia Jing. A survey on the current status of clinical nurses' knowledge of incontinence dermatitis prevention and management. China Nursing Management, 2015, 15 (1): 83-85. DOI: CNKI: SUN: GLHL.0.2015-01-032.
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