失禁性皮炎(M)日.ppt

失禁性皮炎的防护 什么是失禁性皮炎——IAD 皮肤长期暴露在尿液和粪便的侵蚀中，所造成的皮肤损伤。 在59558名家庭照护患者中发现59.8%d 患者有失禁问题 国内现状 问卷数量：17份 涉及区域：上海，成都，南京，石家庄 涉及科室：ICU，老年科，神经内科，外科 尚无一所医院建立IAD标准化护理流程 IAD的评估——风险因素评估 严重度分级 清洗 保护 皮肤保护剂的作用是在皮肤上形成一层密闭或半透性的保护层，以此减少尿液或粪便对于皮肤的刺激 很多的皮肤保护剂是基于一些密闭型的材质，如凡士林或二甲基硅油 目前常见的皮肤保护剂有氧化锌、二甲基硅油、凡士林 液体敷料使用注意事项 使用前皮肤须清洁并擦干 涂抹大腿间或臀部皱褶处，须将皱褶处拨开后涂抹，待干后放回 视病情需要，每24－72小时重复涂抹 勿与乳液、乳霜、油药膏等一同使用 涂抹后需待完全干燥后再涂抹第二层，加强效果 预防粘胶产品对皮肤的损伤 气切周围皮肤保护 泡棉敷料 －柔软舒适，患者易接受 －有效防止局部皮肤浸渍 －防水透气 －减少骨突部位对局部皮肤的压迫 泡棉敷料应用（一） 泡棉敷料应用（一） 预防液体浸渍 3M液体敷料缓解放射性皮炎 专利轮辐状离型纸 防水透气透明薄膜 专利湿度控制层 锁水层 泡沫层 无或低渗液时，维持伤口湿性愈合环境 高渗液时，渗液快速挥发；保证更长粘贴时间或吸收更多渗液 邮箱：Isun@ 手机28mL 喷剂 (Catalog # 3346) 3mL 棒装 (Catalog # 3345) 1mL 片装 (Catalog # 3344) 1mL 棒装 (Catalog # 3344) 3M ? 液体敷料 3M Medical Template v2 7.13.07 * 列举出nosting的FAB 3M Medical Template v2 7.13.07 * The product has several important features that drive our claims: 1) The terpolymer provides a protective coating on the skin creating a highly effective moisture barrier protecting skin from urine, feces (stool), body fluids, adhesives and friction. 2) The product is not water-soluble and resists wash-off. It will last up to 72 hours for incontinence care. This is an FDA approved claim based on a clinical study #70-2008-9503-8, Cost-Effectiveness of a New Alcohol Free Film-forming Incontinence Skin Protectant and can be viewed at: http://mmglab1/mmgskinhealth/Skincare/no_sting/Efficacy_Studies/Cost_Effect/Cost_Effect.htm 3) The product’s solvent is alcohol-free. It will not cause pain (sting) even when applied to irritated or damaged skin 4) The product is quick-drying, usually within 15-30 seconds. This provides an advantage for caregivers especially when providing incontinence care or ostomy care. In these situations, soiling reoccurs frequently. Ability to dry quickly allows successful application of the protective product before additional soiling can occur. 3M Medical Template v2 7.13.07 * The product has several important features that drive our claim