The preventive effect of graded nursing based on perineal assessment tool on incontinence-associated dermatitis in patients with severe traumatic brain injuries
Abstract
Objective: Severe traumatic brain injury (TBI) is associated with substantial central nervous system damage, making the patients prone to urinary or fecal incontinence and incontinence-associated dermatitis (IAD). This study aimed to evaluate the clinical value of graded nursing based on the Perineal Assessment Tool (PAT) for preventing and treating IAD in patients with severe TBI.
Methods: This retrospective analysis was conducted at Jiangyin People’s Hospital and included prospectively collected data from 189 patients with severe TBI admitted to the intensive care unit from March 2022 to December 2023. Among them, 94 patients received traditional nursing (traditional group), and 95 received graded nursing based on the PAT risk assessment tool (graded nursing group). The PAT score, IAD incidence, quality of life, and nursing satisfaction of patients were analyzed before and after intervention.
Results: After intervention, the PAT and quality of life (QOL) scores in both groups increased compared to before intervention and were higher in the grading nursing group compared to the traditional group (P<0.05). The incidence and duration of IAD in the graded nursing group were lower, while the nursing satisfaction was higher compared to the traditional group (P<0.05).
Conclusions: Compared with traditional nursing, graded nursing based on PAT in severe TBI patients can reduce the incidence of IAD, improve QOL, and increase patient satisfaction.
doi: https://doi.org/10.12669/pjms.41.6.11691
How to cite this: Yin Q, Huang L, Rui X, Zhang A. The preventive effect of graded nursing based on perineal assessment tool on incontinence-associated dermatitis in patients with severe traumatic brain injuries. Pak J Med Sci. 2025;41(6):1638-1643. doi: https://doi.org/10.12669/pjms.41.6.11691
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
