Prevalence and associations of xerosis cutis, incontinence-associated dermatitis, skin tears, pressure ulcers, and intertrigo in aged nursing home residents: A representative prevalence study

Völzer, Bettina; Kalyoncu, Monira El Genedy -; Fastner, Alexandra; Simitchieva, Tsenka Tomova -; Neumann, Konrad; Sill, Janna; Balzer, Katrin; Kottner, Jan

doi:10.1016/j.ijnurstu.2023.104472

Cited by 25 publications

(16 citation statements)

References 57 publications

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“…In another study conducted by Völzer et al. (2023), the prevalence of PI among residents across 17 German nursing homes was found to be 8% (95% CI 5.1 to 10.8). Therefore, evidence‐based guidelines and practical tools alone are insufficient.…”

Section: Introductionmentioning

confidence: 91%

Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review

Yang,

Mu,

Zhang

et al. 2023

Journal of Clinical Nursing

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AimsTo identify studies and the content of the interventions that have facilitated the implementation of pressure injury (PI) prevention measures in nursing home settings.Design and MethodA scoping review methodology was employed. The author has carried out the following steps successively: Identified this scoping review's questions, retrieved potentially relevant studies, selected relevant studies, charted the data, summarised the results, and consulted with stakeholders from nursing homes in China.Data SourcesSix electronic databases and three resources of grey literature—PubMed, CINAHL, Web of Science Core Collection, Embase, Cochrane Central Register of Controlled Trials, Psych INFO, Open Grey, MedNar, ProQuest Dissertations, and Theses Full Texts were searched from January 2002 through May 2022.ResultsForty articles were included, among which the primary interventions were quality improvement, training and education, evidence‐based practice, device‐assisted PI prophylaxis, nursing protocols, and clinical decision support systems. Twenty‐three outcome indicators were summarised in 40 articles, which included 10 outcome indicators, seven process indicators, and six structural indicators. Furthermore, only five articles reported barriers in the process of implementing interventions.ConclusionThe common interventions to promote the implementation of PI prevention measures in nursing homes are quality improvement, training, and education. Relatively limited research has been conducted on evidence‐based practice, clinical decision support systems, device‐assisted PI prophylaxis, and nursing protocols. In addition, there is a paucity of studies examining the impediments to implementing these measures and devising targeted solutions. Therefore, it is recommended that future studies include analysis and reporting of barriers and facilitators as part of the article to improve the sustainability of the intervention.ImpactThis article reminds nursing home managers that they should realise the importance of implementation strategies between the best evidence of PI prevention and clinical practice. Also, this review provides the types, contents, and outcome indicators of these strategies for managers of nursing homes to consider what types of interventions to implement in their organisations.TRIAL AND PROTOCOL REGISTRATIONThe protocol of this scoping review was published as an open‐access article in June 2022 (Yang et al., 2022).

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Section: Introductionmentioning

confidence: 91%

Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review

Yang,

Mu,

Zhang

et al. 2023

Journal of Clinical Nursing

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“…Interestingly, skin dryness is also one of the strongest predictors of skin tear development 23 and the risk factor is considered modifiable 24 . Especially in care dependent populations the skin tear prevalence is up to 22% 5,25,26 . For measuring the strength of DEJ adhesion in clinical research, suction blistering can be used 20,27 .…”

Section: Introductionmentioning

confidence: 99%

“…Aging is associated with physiological and morphological changes of the skin, increasing the susceptibility to many dermatological conditions and skin injuries 1 . Dry skin (xerosis cutis) is associated with intrinsic aging and prevalence estimates in older adults range between 41.2 and 99.1% 2‐6 . The prevalence of skin dryness increases with increasing age 7 .…”

Section: Introductionmentioning

confidence: 99%

“… 1 Dry skin (xerosis cutis) is associated with intrinsic aging and prevalence estimates in older adults range between 41.2 and 99.1%. 2 , 3 , 4 , 5 , 6 The prevalence of skin dryness increases with increasing age. 7 In xerosis cutis, decreased stratum corneum hydration (SCH), 8 increased pH, 9 , 10 increased roughness, decreased elasticity, 7 possible subclinical inflammation 11 and altered molecular markers 12 have been reported.…”

Section: Introductionmentioning

confidence: 99%

“…24 Especially in care dependent populations the skin tear prevalence is up to 22%. 5 , 25 , 26 For measuring the strength of DEJ adhesion in clinical research, suction blistering can be used. 20 , 27 Suction blistering is an artificial and controlled technique 28 , 29 and is widely used in dermatology, for example, for studying wounds or epidermal grafting.…”

Section: Introductionmentioning

confidence: 99%

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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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Strategies to make human skin models based on cellular senescence for ageing research

Shakel,

Costa Lima,

Reis

2024

Ageing Research Reviews

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Prevalence and associations of xerosis cutis, incontinence-associated dermatitis, skin tears, pressure ulcers, and intertrigo in aged nursing home residents: A representative prevalence study

Cited by 25 publications

References 57 publications

Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review

Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review

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

Strategies to make human skin models based on cellular senescence for ageing research

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