Maintaining skin integrity in the aged: A systematic review

Lichterfeld-Kottner, Andrea; Genedy, Monira El; Lahmann, Nils; Blume-Peytavi, Ulrike; Büscher, Andreas; Kottner, Jan

doi:10.1016/j.ijnurstu.2019.103509

Cited by 84 publications

(105 citation statements)

References 65 publications

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“…The integument is the largest organ in the body, necessary for the survival of the human being and for the perfect physiological balance of the organism, being able to suffer aggressions by intrinsic and extrinsic pathological factors. These aggressions can cause changes in their constitution, such as burns, traumatic ulcers, dermatitis, friction injury (FI) and others, which can lead to the individual's functional disability and cause changes in their quality of life [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

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Development of educational material for the prevention and treatment of friction injuries

Salomé

2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: to develop and validate an educational booklet to help health professionals to prevent and treat friction injuries. Method: methodological study. An integrative review of the literature of journals published between 2009 and 2019 was carried out in the main databases of Health Sciences. The evaluation of the educational booklet was conducted with 32 nurses, using the Delphi technique. The statistical analysis used was the Content Validity Index. Results: the judges considered the content of the educational booklet between the concepts “inadequate” and “adequate”, in the first assessment; after the corrections requested by the judges, the booklet was forwarded to the evaluators and the content of the educational booklet was rated between “adequate” and “totally adequate”. The overall Content Validity Index was 0.8118 in the first assessment and 1.0 in the second assessment. Conclusion: after the integrative literature review, the material was constructed and validated by professionals with experience in evaluating and treating individuals with wounds, obtaining consensus among the evaluators in the second evaluation.

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Section: Introductionmentioning

confidence: 99%

“…The body topography most affected by the FI is the back of the hands, the arms, the elbows and the legs of elderly or very young people as neonates. The production of serous exudate, especially in the first 24 hours, makes the FI mostly moist [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Development of educational material for the prevention and treatment of friction injuries

Salomé

2020

ESTIMA, Braz. J. Enterostomal Ther.

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“…O tegumento é o maior órgão do corpo, necessário para a sobrevivência do ser humano e para o equilíbrio perfeito fisiológico do organismo, podendo sofrer agressões por fatores patológicos intrínsecos e extrínsecos. Essas agressões podem causar modificações na sua constituição, como queimaduras, úlceras traumáticas, dermatite, lesão por fricção (LF) e outras, podendo levar à incapacidade funcional do indivíduo e provocar alterações na sua qualidade de vida [1][2][3] .…”

Section: Introductionunclassified

“…A topografia corporal mais é atingida pela LF é o dorso das mãos, os braços, os cotovelos e as pernas de pessoas idosas ou muito jovens como neonatos. A produção de exsudato seroso, especialmente nas primeiras 24 horas, torna as LF majoritariamente úmidas [1][2][3][4] .…”

Section: Introductionunclassified

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Desenvolvimento de um material educativo para a prevenção e o tratamento das lesões por fricção

Salomé

2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo: desenvolver e validar uma cartilha educativa para ajudar o profissional da saúde a prevenir e tratar da lesão por fricção. Método: estudo metodológico. Foi realizada revisão integrativa da literatura dos periódicos publicados entre 2009 e 2019 nas principais bases de dados de Ciências da Saúde. A avaliação da cartilha educativa foi conduzida com 32 enfermeiros, utilizando a técnica de Delphi. A análise estatística utilizada foi o Índice de Validade de Conteúdo. Resultados: os juízes consideraram o conteúdo da cartilha educativa entre os conceitos “inadequado” e “adequado”, na primeira avaliação; após as correções solicitadas pelos juízes, a cartilha foi reenviada aos avaliadores e o conteúdo da cartilha educativa foi avaliado entre “adequado” e “totalmente adequado”. O Índice de Validade de Conteúdo geral foi de 0,8118 na primeira avaliação e 1,0 na segunda avaliação. Conclusão: após a revisão integrativa da literatura, o material foi construído e validado por profissionais com experiência em avaliar e tratar de indivíduos com feridas, obtendo consenso entre os avaliadores na segunda avaliação.

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Effects of a leave‐on product on the strength of the dermoepidermal junction: An exploratory, intraindividual, randomized controlled trial in older adults with dry skin

Amin,

Rancan,

Hillmann

et al. 2024

Health Science Reports

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Background and AimsSkin aging is associated with dry skin and a decrease of the strength of the dermoepidermal adhesion, which increases the risk for lacerations (skin tears). Application of leave‐on products improves dry skin and seems to reduce skin tear incidence. The aim of this study was to measure the effects of a humectant containing leave‐on product on the strength of the dermoepidermal junction in older adult participants with dry skin.MethodsA randomized controlled trial using a split body design was conducted. One forearm was randomly selected and treated with a lipophilic leave‐on product containing 5% urea for 8 weeks. The other forearm was the control. The parameters stratum corneum hydration (SCH), transepidermal water loss, pH, roughness, epidermal thickness and skin stiffness were measured at the baseline, Weeks 4 and 8. At Week 8, suction blisters were created and time to blistering was measured. Blister roofs and interstitial fluid were analyzed for Interleukin‐1α, 6 and 8.ResultsTwelve participants were included. After 8 weeks treatment, SCH was higher (median difference 11.6 AU), and the overall dry skin score (median difference −1) and median roughness (Rz difference −12.2 µm) were lower compared to the control arms. The median group difference for Interleukin‐1α was −452 fg/µg total protein (TP) in the blister roofs and −2.2 fg/µg TP in the blister fluids. The median time to blister formation was 7.7 min higher compared to the control arms.ConclusionThe regular application of humectant containing leave‐on products improves dry skin and seems to lower inflammation and contribute to the strengthening of the dermoepidermal adhesion. This partly explains how the use of topical leave‐on products helps to prevent skin tears.

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Maintaining skin integrity in the aged: A systematic review

Cited by 84 publications

References 65 publications

Development of educational material for the prevention and treatment of friction injuries

Development of educational material for the prevention and treatment of friction injuries

Desenvolvimento de um material educativo para a prevenção e o tratamento das lesões por fricção

Effects of a leave‐on product on the strength of the dermoepidermal junction: An exploratory, intraindividual, randomized controlled trial in older adults with dry skin

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