Application of the TIME-CDST-based Approach in the Management of Incontinence-associated Dermatitis in Patients With Severe Trauma and Obesity.

OBJECTIVE

To investigate the effectiveness of the TIME-CDST (Tissue, Inflammation or Infection, Moisture, and Epidermal/Edge status-Clinical Decision Support Tool) in the prevention and management of incontinence-associated dermatitis (IAD) in patients with severe trauma and obesity.

METHODS

A total of 50 patients were assigned to the control group from February to April 2023, and 76 patients were designated as the intervention group from May to July 2023. In the control group, routine skin care measures were taken. The intervention group applied TIME-CDST for systematic hierarchical management, which included assessment, collaboration, control, decision-making, and evaluation. The incidence of IAD and fungal dermatitis, the severity of IAD, and healing time were compared between the 2 groups.

RESULTS

The application of TIME-CDST led to a decrease in the incidence of IAD from 44.00% to 26.32% (χ 2 =4.244, P <.05) and a reduction in fungal dermatitis from 27.27% to 0.05% (χ 2 =4.683, P <.05). The intervention also reduced the severity of IAD ( Z =-2.331, P <.05) and shortened the healing time ( Z =-2.321, P <.05).

CONCLUSIONS

The use of TIME-CDST in patients with severe trauma and obesity could reduce the incidence and severity of IAD and promote early healing of dermatitis.