Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Carebidet Robot during Defecation on Incontinence Associated Dermatitis, Pressure Ulcer Risk, and Biological Markers in Critical Care Patients

케어비데로봇을 이용한 배설간호가 중환자실 환자의 실금관련피부염, 욕창위험도, 생리학적 지표에 미치는 효과

  • Shin, Na Yeon (Department of nursing, CHA Bundang Medical Center) ;
  • Kim, Tae Gon (Department of Neurosurgery, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Jang, Jin Young (Department of neurosurgery, CHA Bundang Medical Center) ;
  • Kim, Mi Yeon (Department of nursing, CHA Bundang Medical Center)
  • 신나연 (차의과학대학교 분당차병원) ;
  • 김태곤 (차의과학대학교 신경외과) ;
  • 장진영 (차의과학대학교 신경외과) ;
  • 김미연 (차의과학대학교 분당차병원)
  • Received : 2021.11.21
  • Accepted : 2021.12.20
  • Published : 2021.12.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purposes of this study were to examine the effects of carebidet robot during defecation on incontinence associated dermatitis, pressure ulcer risk and biological markers in critical care patients. Data were analyzed using t-test, Chi-square test, Fisher's exact test, Mann-Whitney U-test and Repeated measures ANOVA. There was a significant difference in incontinence associated dermatitis, pressure ulcer risk, and improving biological markers between the two groups, and there were significant changes over time and the group by time interactions. The findings of the study demonstrated that carebidet robot during defecation was more effective than the current usual care in reducing incontinence associated dermatitis, pressure ulcer risk, and improving biological markers in critical care patients.

본 연구의 목적은 중환자실 환자를 대상으로 케어비데로봇을 이용한 배설간호가 실금관련 피부염, 욕창위험도, 생리적 지표(혈청 알부민, 단백질, 헤모글로빈, 림프구 변화)에 미치는 효과를 확인하기 위해 시행되었다. 연구대상은 종합병원 중환자실에 입실한 환자들을 대상으로 케어비데로봇 ((주)큐라코)을 이용하여 실험군에게는 케어비데로봇을 1인당 1대씩 장착하고 실금이 발생 될 시 작동하게 하여 건조 완료하였으며, 대조군에게는 실금이 발생될 시 물티슈로 닦고 자연 건조를 시키는 방법으로 1주간 진행하였다. 수집된 자료는 기술통계, t-test, repeated measured ANONA로 분석하였다. 연구결과 실금 관련 피부염, 욕창 위험도, 알부민, 림프구는 집단간에 통계적으로 유의한 차이가 있었다. 본 연구는 케어비데로봇을 이용한 배설간호가 피부 점막에 미치는 효과를 과학적 근거인 생리적 지표로 검증하였다는 점에서 의의가 있으며, 대상자 확대를 통한 추후 연구가 더욱 필요하다.

Keywords

Acknowledgement

This research was funded by Gim-Hae Innopolis Specialized Enterprise in year 2020.

References

  1. J. A. Kneedler, J. I. Pfister & S. K. Purcell. Incontinence associated dermatitis: An online continuing education activity [Internet]. Aurora, IL: Pfiedler Enterprises; 2013 [cited 2014 February 10]. Available from: http://www.pfiedler.com/ce/1205/index.html.
  2. M. Gray, D. Z. Bliss, D. B. Doughty, J. Ermer-Seltun, K. L. Kennedy-Evans & M. H. Palmer (2007). Incontinence-associated dermatitis: a consensus. Journal of Wound, Ostomy, and Continence Nursing, 34(1), 45-54. https://doi.org/10.1097/00152192-200701000-00008
  3. J. Junkin & J. L. Selekof (2007). Prevalence of incontinence and associated skin injury in the acute care inpatient. Journal of Wound Ostomy and Continence Nursing, 34(3), 260-269. DOI: 10.1097/01.WON.0000270820.91694.1
  4. D. Beeckman. (2018). Incontinence-associated dermatitis (IAD) and pressure ulcers: an overview. Science and Practice of Pressure Ulcer Management, 89-101. DOI: 10.1007/978-1-4471-7413-4_7
  5. S. A. Kayser, L. Phipps, C. A. VanGilder & C. Lachenbruch (2019). Examining prevalence and risk factors of incontinence-associated dermatitis using the international pressure ulcer prevalence survey. Journal of Wound, Ostomy, and Continence Nursing, 46(4), 285-290. DOI: 10.1097/WON.0000000000000548
  6. H. Smart & R. Sibbald (2020). Skin care for the protection and treatment of incontinence associated dermatitis (IAD) to minimize susceptibility for pressure injury (PI) development. World Council of Enterostomal Therapists Journal, 40(4), 40-44.
  7. S. A. Kayser, K. Koloms, A. Murray, W. Khawar & M. Gray (2021). Incontinence and incontinence-associated dermatitis in acute care: a retrospective analysis of total cost of care and patient outcomes from the premier healthcare database. Journal of Wound, Ostomy, and Continence Nursing, 48(6), 545-552. DOI: 10.1097/WON.0000000000000818
  8. P. Sharma, S. Latha & R. K. Sharma (2021). Development of a need-based interventional skincare protocol on incontinence-associated dermatitis among critically ill patients. Indian Journal of Critical Care Medicine, 25(2), 158-165. https://doi.org/10.5005/jp-journals-10071-23716
  9. B. Alshahrani, J. Sim & R. Middleton (2021). Nursing interventions for pressure injury prevention among critically ill patients: a systematic review. Journal of Clinical Nursing, 30(15-16), 2151-2168. DOI: 10.1111/jocn.15709C
  10. C. W. Shin, S. D. Kim & W. Y. Cho (2009). The prevalence and management of urinary incontinence in elderly patients at sanatorium in Busan area. Korean Journal of Urology, 50(5), 450-456. DOI: 10.4111/kju.2009.50.5.450
  11. Y. H. Choi & S. R. Kim (2021). The effect of uncoated paper application on skin moisture, risk of pressure injury and incidence of pressure injury in neurologic intensive care unit patients: a randomized controlled trial. International Journal of Nursing Practice, e12919. DOI: 10.1111/ijn.12919
  12. D. Z. Bliss, S. Johnson, K. Savik, C. R. Clabots & D. N. Gerding (2000). Fecal incontinence in hospitalized patients who are acutely ill. Nursing Research, 49(2), 101-108. https://doi.org/10.1097/00006199-200003000-00007
  13. J. H. Oh, Y. J. Yi, C. J. Shin, C. S. Park, S. S. Kang, J. H. Kim et al. (2015). Effects ofsilver-care-robot program on cognitive function, depression, and activities of daily living for institutionalized elderly people. Journal of Korean Academy of Nursing, 45(3), 388-396. DOI: 10.4040/jkan.2015.45.3.388
  14. R. Mieronkoski, I. Azimi, A. Rahmani, R. Aantaa, V. Terava, P. Liljeberg et al. (2017). The internet of things for basic nursing care-a scoping review. International Journal of Nursing Studies, 69:78-90. DOI: 10.1016/j.ijnurstu.2017.01.009.
  15. E. M. Hong & S. J. Shin (2019). Nurses' perceptions of care robots in long term care acilities. Journal of Korean Gerontology of Nursing, 21(1), 22-32. https://doi.org/10.17079/jkgn.2019.21.1.22
  16. S. B. Brian, B. M. Jacinto, B. D. Rodney, C. L. Marie & M. Aceleen(2016). A new scale for assessing the severity of uncomplicated diaper dermatitis in infants: development and validation. Pediatric Dermatology, 33(6), 632-639. https://doi.org/10.1111/pde.12988
  17. B. J. Braden & Bergstrom N (1994). Predictive validity of the Braden scale for pressure sore risk in a nursing home population. Research in Nursing and Health. 17, 459-470. https://doi.org/10.1002/nur.4770170609