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    The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears

    Access Status
    Fulltext not available
    Authors
    Carville, Keryln
    Leslie, Gavin
    Osseiran-Moisson, Rebecca
    Newall, Nelly
    Lewin, Gill
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Carville, K. and Leslie, G. and Osseiran-Moisson, R. and Newall, N. and Lewin, G. 2014. The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears. International Wound Journal. 11 (4): pp. 446-453.
    Source Title
    International Wound Journal
    DOI
    10.1111/iwj.12326
    ISSN
    1742-481X
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/38434
    Collection
    • Curtin Research Publications
    Abstract

    A cluster randomised controlled trial was conducted to evaluate the effectiveness of a twice-daily moisturising regimen as compared to ‘usual’ skin care for reducing skin tear incidence. Aged care residents from 14 Western Australian facilities (980 beds) were invited to participate. The facilities were sorted into pairs and matched in terms of bed numbers and whether they provided high or low care. One facility from each matched pair was randomised to the intervention group. Consenting residents in an intervention facility received a twice-daily application of a commercially available, standardised pH neutral, perfume-free moisturiser on their extremities. Residents in the control facilities received ad hoc or no standardised skin-moisturising regimen. Participant numbers were sufficient to detect a 5% difference in incidence rate between the two groups with 80% power and a significance level of P=0·05, and the inter-cluster correlation coefficient was 0·034. Data were collected over 6 months. A total of 1396 skin tears on 424 residents were recorded during the study. In the intervention group, the average monthly incidence rate was 5·76 per 1000 occupied bed days as compared to 10·57 in the control group. The application of moisturiser twice daily reduced the incidence of skin tears by almost 50% in residents living in aged care facilities.

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      © 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd The objective of this study was to construct a predictive model to identify aged care residents at risk of future skin tears. Extensive data about individual ...
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