Development of a New Incontinence Containment Product and an Investigation of Its Effect on Perineal Dermatitis in Patients With Fecal Incontinence: A Pilot Study in Women

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dc.contributor.authorLeblebiciglu, Hulya
dc.contributor.authorKhorshid, Leyla
dc.contributor.authorOndogan, Ziynet
dc.contributor.authorOzturk, Gunseli
dc.date.accessioned2020-12-01T12:10:14Z
dc.date.available2020-12-01T12:10:14Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.descriptionYILMAZ, HULYA/0000-0003-4729-1987en_US
dc.description.abstractResearch related to the design and development of new incontinence containment products for women is scarce. PURPOSE: the purpose of this 2-part study was to 1) develop a new incontinence containment product for fecal incontinence and 2) examine the effect of this new product on the occurrence of incontinence-associated dermatitis (IAD). METHODS: in part 1, a new incontinence containment product was designed, developed, and trialed among 10 healthy female volunteers. the product was comprised of a double layer of polypropylene nonwoven fabric and 100% cotton interlock fabric with a 3-ply 100% cotton interlock fabric added into the perianal section. Participants wore the product for 8 hours and were asked to defecate into the product and evaluate its comfort, ability to contain liquids and protect privacy, any personal allergic reaction, and air permeability. in part 2, after any product modifications, 12 bedridden women treated in the neurology unit of a hospital in western Turkey who had an indwelling urinary catheter and fecal incontinence and who did not have diabetes mellitus, a darkly pigmented area in the perianal area, pressure injury, or erythema were randomized to 2 groups (study product and control, a premium adult diaper) and monitored for 8 days for the development and severity of perineal dermatitis (scored from 0 [no erythema] to 4 [broken, abraded skin]) using a skin assessment tool. Any type of erythema was considered IAD. Skin care (cleansing with a washcloth and water) was provided daily and after each defecation to all study participants. Data were collected via paper-and-pencil completion of the perineal skin integrity assessment and patient observation forms and entered into and analyzed by a computerized statistical program. Fisher's exact test and the chi-squared test were used to analyze the difference in IAD incidence and severity between the 2 groups, and the Mann Whitney U test was used to detect differences in the number and consistency of defecations. RESULTS: No statistically significant differences were noted among the characteristics of the 12 participants (6 in each group) except for age; patients in the study product group were significantly older (70.66 +/- 10.36 vs 52.20 +/- 16.78 years; P <.05. Four (4) patients in the study group exhibited 13 areas of perineal dermatitis (degree 1 = 6 areas; degree 2 = 6 areas; degree 3 = 1 area; and degree 4 = 0); 1 patient in the control group had 4 areas with degree 1. CONCLUSION: This prototype product is not sufficient to be used in clinical practice in patients with fecal incontinence, but further study in a larger population is warranted.en_US
dc.identifier.doi10.25270/wmp.2019.1.2027
dc.identifier.endpage27en_US
dc.identifier.issn2640-5237
dc.identifier.issn2640-5245
dc.identifier.issue1en_US
dc.identifier.pmid30724746en_US
dc.identifier.startpage20en_US
dc.identifier.urihttps://doi.org/10.25270/wmp.2019.1.2027
dc.identifier.urihttps://hdl.handle.net/11454/63678
dc.identifier.volume65en_US
dc.identifier.wosWOS:000490576800002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHmpen_US
dc.relation.ispartofWound Management & Preventionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectfecal incontinenceen_US
dc.subjecturinary incontinenceen_US
dc.subjectdermatitisen_US
dc.subjectdiapersen_US
dc.subjectadultsen_US
dc.titleDevelopment of a New Incontinence Containment Product and an Investigation of Its Effect on Perineal Dermatitis in Patients With Fecal Incontinence: A Pilot Study in Womenen_US
dc.typeArticleen_US

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