Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Knowledge of Diaper Dermatitis and Diaper Hygiene Practices among Mothers of Diaper-wearing Children

영유아 어머니의 기저귀 발진에 대한 지식 및 기저귀 관리 실태

  • Received : 2018.09.18
  • Accepted : 2018.11.13
  • Published : 2019.04.30
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Abstract

Purpose: The purpose of this study was to investigate the prevalence of diaper dermatitis (DD), knowledge of DD prevention and treatment, and diaper hygiene practices among mothers with diaper-wearing children. Methods: The participants were 176 mothers who presented to an outpatient clinic at a children's hospital with diaper-wearing children. Data were collected using a structured self-administered questionnaire. Results: The percent of correct answer for knowledge about DD was 59.7%. Almost half of the participants' children had experienced at least 1 episode of DD during the last 6 months. Inappropriate diaper hygiene practices, such as using talcum powder on DD and rubbing with a dry towel after cleansing, were reported. Moreover, only 37% of mothers used the recommended skin barrier to prevent DD. Although many children suffer from DD, levels of educational experience and perceived need for education on this topic were low. Almost 70% of mothers obtained DD-related information through internet sites. Conclusion: Educating parents about the etiology of DD and evidence-based diaper hygiene practices is an important aspect of effective DD prevention and treatment. Internet sites or smartphone apps may be effective methods for education on DD prevention and treatment considering parents' preferences for ways to obtain health information.

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References

  1. Klunk C, Domingues E, Wiss K. An update on diaper dermatitis. Clinics in Dermatology. 2014;32(4):477-487. https://doi.org/10.1016/j.clindermatol.2014.02.003
  2. Shin HT. Diagnosis and management of diaper dermatitis. Pediatric Clinics of North America. 2014;61(2):367-382. https://doi.org/10.1016/j.pcl.2013.11.009
  3. Merrill L. Prevention, treatment and parent education for diaper dermatitis. Nursing for Women's Health. 2015;19(4):324-337. https://doi.org/10.1111/1751-486X.12218
  4. Blume-Peytavi U, Hauser M, Lunnemann L, Stamatas GN, Kottner J, Bartels NG. Prevention of diaper dermatitis in infants: A literature review. Pediatric Dermatology. 2014;31(4):413-429. https://doi.org/10.1111/pde.12348
  5. Alonso C, Larburu I, Bon E, González MM, Iglesias MT, Urreta I, et al. Efficacy of petrolatum jelly for the prevention of diaper rash: A randomized clinical trial. Journal for Specialists in Pediatric Nursing. 2013;18(2):123-132. https://doi.org/10.1111/jspn.12022
  6. Atherton DJ. Understanding irritant napkin dermatitis. International Journal of Dermatology. 2016;55(S1):7-9. https://doi.org/10.1111/ijd.13334
  7. Steele RW. Diaper dermatitis: Facts and misinformation. Clinical Pediatrics. 2017;56(5):6S-7S. https://doi.org/10.1177/0009922817704929
  8. Li CH, Zhu ZH, Dai YH. Diaper dermatitis: A survey of risk factors for children aged 1-24 months in China. Journal of International Medical Research. 2012;40(5):1752-1760. https://doi.org/10.1177/030006051204000514
  9. Blume-Peytavi U, Kanti V. Prevention and treatment of diaper dermatitis. Pediatric Dermatology. 2018;35(S1):S19-S23. https://doi.org/10.1111/pde.13495
  10. Eke GK, Opara PI. Mothers knowledge and home management of nappy rash in Port Harcourt, Nigeria. Nigerian Health Journal. 2013;13(4):152-157.
  11. Blume-Peytavi U, Lavender T, Jenerowicz D, Ryumina I, Stalder JF, Torrelo A, et al. Recommendations from a European roundtable meeting on best practice healthy infant skin care. Pediatric Dermatology. 2016;33(3):311-321. https://doi.org/10.1111/pde.12819
  12. Seifi B, Jalali S, Heidari M. Assessment effect of breast milk on diaper dermatitis. Dermatology Reports. 2017;9(1):7044. https://doi.org/10.4081/dr.2017.7044
  13. Health Insurance Review and Assessment Service, National Health Insurance Service. 2017 National health insurance statistical yearbook [Internet]. Seoul: Health Insurance Review and Assessment Service, National Health Insurance Service; 2018 [cited 2018 September 11]. Available from:http://opendata.hira.or.kr/op/opc/selectStcPblc.do?sno=12100&odPblcTpCd=002&searchCnd=&searchWrd=&pageIndex=1.
  14. Kayaoglu S, Kivanc-Altunay I, Sarikaya S. Diaper dermatitis in infants admitted to social pediatric health center: Role of socio-demographic factors and infant care. The Indian Journal of Pediatrics. 2015;82(10):904-908. https://doi.org/10.1007/s12098-015-1747-x
  15. Maya KS, Pai SM, D'Souza A. Effectiveness of awareness programme on prevention and management of diaper dermatitis among mothers of children of age 0 to 1 year. Nitte University Journal of Health Science. 2015;5(3):77-81.
  16. Bartels NG, Lunnemann L, Stroux A, Math D, Kottner J, Serrano J, et al. Effect of diaper cream and wet wipes on skin barrier properties in infants: A prospective randomized controlled trial. Pediatric Dermatology. 2014;31(6):683-691. https://doi.org/10.1111/pde.12370
  17. Gozen D, Caglar S, Bayraktar S, Atici F. Diaper dermatitis care of newborns human breast milk or barrier cream. Journal of Clinical Nursing. 2014;23(3-4):515-523. https://doi.org/10.1111/jocn.12047
  18. Han JS, Kim DK, Shin HS, Chung YL, Chung TS, Chae SM. The study of baby diapers: Cost, environment, and skin irritability. Journal of the Korean Society of Maternal and Child Health. 2000;4(1):93-102. https://doi.org/10.1023/A:1009518220331
  19. Song JH, Kim ST. Diapers and infant skin health. Korean Journal of Child Health Nursing. 1999;5(3):241-249.
  20. Lawton S. Nappy rash: Diagnosis and treatment. Journal of Family Health Care. 2014;24(5):36-40.
  21. Stamatas GN, Tierney NK. Diaper dermatitis: Etiology, manifestations, prevention, and management. Pediatric Dermatology. 2014;31(1):1-7. https://doi.org/10.1111/pde.12245
  22. Ness MJ, Davis DMR, Carey WA. Neonatal skin care: A concise review. International Journal of Dermatology. 2013;52(1):14-22. https://doi.org/10.1111/j.1365-4632.2012.05687.x
  23. Odio M, Thaman L. Diapering, diaper technology, and diaper area skin health. Pediatric Dermatology. 2014;31(s1):9-14. https://doi.org/10.1111/pde.12501
  24. Park DJ, Kwon MS, Choi JW. The influence of health information orientation, attitude of internet health information, and e-health literacy on personal health behaviors. Journal of Public Relations Research. 2013;17(3):379-413. https://doi.org/10.15814/jpr.2013.17.3.379
  25. Kim SJ, Lee JM, Min HY. A survey of smartphone-based health education needs for parents. Child Health Nursing Research. 2016;22 (4):346-354. https://doi.org/10.4094/chnr.2016.22.4.346
  26. Son HM, Je M, Sohn YS. Quality evaluation of online health information related to young child. Child Health Nursing Research. 2018;24(1):91-100. https://doi.org/10.4094/chnr.2018.24.1.91
  27. Ahn J, Lim IS. The significant role of the National Health Information Portal, http://health.mw.go.kr. Journal of Korean Medical Association. 2011;54(9):957-960. https://doi.org/10.5124/jkma.2011.54.9.957