Nursing in critical care · 2025
Efficacy of a skincare protocol in reducing xerosis cutis risk in critically ill patients: A comparative analysis using the overall skin dryness score.
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Mahran Ghada Shalaby Khalaf, Zied Warda Ramadan Abou, Abdelrahman Hala Mohamed, Ahmed Ghada Hassan, Mekawy Mimi M, Alharbi Hanan F
Аннотация
BACKGROUND: Xerosis cutis, or dry skin, is a common issue among critically ill patients and can lead to discomfort, impaired skin barrier function, and an increased risk of complications.
AIM: This study aimed to evaluate the efficacy of a skincare protocol in reducing the risk of xerosis cutis in critically ill patients.
STUDY DESIGN: A pre- and post-intervention design was conducted. A total of 68 critically ill patients were non-randomly assigned into two groups (a control group and an intervention group). The control group received standard care, while the intervention group followed a specific skincare protocol. The primary outcome measure was the overall skin dryness score, categorized as absent, mild, moderate, severe or very severe. The distribution of skin dryness scores was compared between the two groups using the chi-square test; a p-value of <.05 was considered statistically significant.
RESULTS: It was noticed that the majority of patients in the control group have xerosis 22 (57.9%) versus 9 (30.0%) of patients in the intervention group with statistically significant differences on the 14th day (χ2 = 5.259, p = .022*). The highest percent of patients (44.7%) in the control group had a very severe (+4) overall skin dryness score versus 70% of patients in the intervention group who had absent (0) overall skin dryness score with statistically significant differences at the 14th day (χ2 = 11.858, p = 0.023*).
CONCLUSIONS: The implementation of a specific skincare protocol can effectively reduce the risk of xerosis cutis in critically ill patients and also improve patient comfort and prevent complications.
RELEVANCE TO CLINICAL PRACTICE: The skincare protocol serves as a reference for managing skin dryness and reducing the risk of xerosis cutis in critically ill patients. Nurses can incorporate this skincare protocol into their daily routines to prevent or manage dry skin, thereby enhancing patient comfort and quality of life.
AIM: This study aimed to evaluate the efficacy of a skincare protocol in reducing the risk of xerosis cutis in critically ill patients.
STUDY DESIGN: A pre- and post-intervention design was conducted. A total of 68 critically ill patients were non-randomly assigned into two groups (a control group and an intervention group). The control group received standard care, while the intervention group followed a specific skincare protocol. The primary outcome measure was the overall skin dryness score, categorized as absent, mild, moderate, severe or very severe. The distribution of skin dryness scores was compared between the two groups using the chi-square test; a p-value of <.05 was considered statistically significant.
RESULTS: It was noticed that the majority of patients in the control group have xerosis 22 (57.9%) versus 9 (30.0%) of patients in the intervention group with statistically significant differences on the 14th day (χ2 = 5.259, p = .022*). The highest percent of patients (44.7%) in the control group had a very severe (+4) overall skin dryness score versus 70% of patients in the intervention group who had absent (0) overall skin dryness score with statistically significant differences at the 14th day (χ2 = 11.858, p = 0.023*).
CONCLUSIONS: The implementation of a specific skincare protocol can effectively reduce the risk of xerosis cutis in critically ill patients and also improve patient comfort and prevent complications.
RELEVANCE TO CLINICAL PRACTICE: The skincare protocol serves as a reference for managing skin dryness and reducing the risk of xerosis cutis in critically ill patients. Nurses can incorporate this skincare protocol into their daily routines to prevent or manage dry skin, thereby enhancing patient comfort and quality of life.