Analysis of the effectiveness of preventive care in conjunction with the use of a flushable double-lumen stoma bag for the prevention of incontinent dermatitis in critically ill patients

Xia Jiang^1#, Yanli Hu^2#, Yongli Wu¹, Yunxian Shang¹, Ling Shi¹, Lisha Liu¹, Yuanfei Luo¹, Guiyan Liu¹, Hongyun Wei^3*

¹Emergency Intensive Care Unit, Huizhou Municipal Central People's Hospital, Huizhou, Guangdong 516001, China - ²Nursing Department, Dongguan Hospital affiliated to Southern Medical University (Dongguan People's Hospital), Dongguan, Guangdong 52300, China - ³Department of Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China

Objective: To investigate the effectiveness of preventive care in conjunction with the use of a flushable double-lumen stoma bag in the prevention of incontinent dermatitis in critically ill patients.

Methods: One hundred and sixty-four patients with severe incontinence admitted to hospital X from X years to X years were selected for inclusion in the study and randomly divided into a control group and an observation group of 82 patients each. The control group was given standard prophylactic care and the observation group was given a flushable double-lumen stoma bag in addition to the prophylactic care. The Incontinence Dermatitis Intervention Tool was used to evaluate the status and incidence of incontinence dermatitis in both groups. The Simplified Gauge of Comfort (GCQ) and the Simplified Fecal Incontinence Quality of Life Score (FIQL) were used to compare the comfort level during care and the quality of life before and aftercare in both groups.

Results: The stage and incidence of incontinent dermatitis were lower in the observation group than in the control group, with statistically significant differences (p<0.05). All GCQ scale scores were significantly higher in the observation group than in the control group (p<0.05). The FIQL scale scores increased significantly in both groups after the intervention compared to the pre-intervention scores and were significantly higher in the observation group than in the control group (p<0.05).

Conclusion: The use of a flushable double-lumen ostomy bag is effective in reducing the incidence of IAD, decreasing the severity of IAD and improving patient comfort and quality of life compared to receiving standard preventive care.