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Gerokomos
versión impresa ISSN 1134-928X
Resumen
GARCIA-RUIZ, María Piedad et al. Moisture-related skin lesions in institutionalized incontinent patients. Gerokomos [online]. 2025, vol.36, n.1, pp.43-49. Epub 05-Mayo-2025. ISSN 1134-928X. https://dx.doi.org/10.4321/s1134-928x2025000100008.
Objective:
To know the profile of institutionalized patients with incontinence (urinary and/or mixed).
Methodology:
Multicenter prospective cohort study in 10 social and health centers in several provinces. Data collection through ad hoc questionnaire. All patients with incontinence were included. A descriptive analysis was carried out (frequencies and percentages in the qualitative ones and means and standard deviation in the quantitative ones).
Results:
164 participants were included. The average age was 85.71 years. 71% women. 100% were urinary incontinent and 58.5% also had mixed incontinence. The incidence of lesions in this sample was 20.7%, with pruritus being the most frequently reported symptom. The Perineal Assessment Tool (PAT) scale has an average value of 5.05. The average degree of dependency was classified as severe. In 100% of cases, absorbents were used as the only method of managing incontinence. The most notable personal history was diabetes in 29.3% of cases with oral antidiabetic drugs (OAD) treatments in 19.5%. The most widespread hygiene method at 54.3% was soap and water. Regarding the protection method used, the most used were OZn ointments in 47.6% and PBNI in 52.4%.
Conclusions:
The profile of the institutionalized patient with incontinence is that of an elderly woman, diabetic with OAD, dependent, with moderate risk of developing injuries and, despite the prevention measures used, 1 in 5 presents injuries associated with humidity.
Palabras clave : Dermatitis associated with incontinence; moisture injuries; sociodemographic profile.