Efficacy of an improved absorbent pad on incontinence-associated dermatitis in older women: Cluster randomized controlled trial

Junko Sugama, Hiromi Sanada, Yoshie Shigeta, Gojiro Nakagami, Chizuko Konya

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

Background: Most older adults with urinary incontinence use absorbent pads. Because of exposure to moisture and chemical irritating substances in urine, the perineal skin region is always at risk for development of incontinence-associated dermatitis (IAD). The aim of this study was to examine the efficacy of an improved absorbent pad against IAD. Methods: A cluster randomized controlled design was used to compare the efficacy of two absorbent pads. Female inpatients aged ?65 years who had IAD and used an absorbent pad or diaper all day were enrolled. Healing rate of IAD and variables of skin barrier function such as skin pH and skin moisture were compared between the usual absorbent pad group (n = 30) and the test absorbent pad group (n = 30). Results: Thirteen patients (43.3%) from the test absorbent pad group and 4 patients (13.3%) from the usual absorbent pad group recovered completely from IAD. Moreover, the test absorbent pad group healed significantly faster than the usual absorbent pad group (p = 0.009). On the other hand, there were no significant differences between the two groups in skin barrier function. Conclusion: The test absorbent pad for older adults with urinary incontinence might be more efficacious against IAD than usual absorbent pad. Trial registration: UMIN-CTR: UMIN000006188.

Original languageEnglish
Article number22
JournalBMC Geriatrics
Volume12
DOIs
Publication statusPublished - 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

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