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Vol.33 No.1 contents | Japanese/English |
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Full Text of PDF (1045K) Article in Japanese |
Evaluation of Four Methods of Perineal Care Using Adult Type Care Simulator and Sticking of Pseudo-muddy Stool
Toshie TSUCHIDA1), Yoshie HAMAMOTO2) and Machiko OGINO1)
1)School of Nursing, Hyogo University of Health Sciences, 2)Department of Nursing, Iseikai Hospital
This study was performed to clarify how specific methods of perineal care and caregivers' distinctive hand movements affect the degree of spreading and sticking of pseudo-muddy stool. Fifteen nurses and care workers were enrolled in the study. The subjects performed the following four methods of perineal care on a male manikin with pseudo-muddy stool: general irrigation care (GI) based on a national survey, appropriate irrigation care (AI) based on medical literature, wipe care (WC) using a foam cleanser, and water-repellent treatment (WRT) before WC without a foam cleanser. The number of subjects in each group who experienced spreading and sticking of the pseudo-muddy stool and the size of the areas onto which the pseudo-muddy stool spread and stuck to the caregivers, manikins, surroundings, and care equipment were statistically analyzed.
Subjects in all groups experienced the spreading of stool to the caregivers' gloves. Significantly more subjects in the GI and AI groups experienced the spreading of stool to the greater trochanter of the manikin (GI, 8 [AR, 2.3]; AI, 8 [AR, 2.3]; WC, 1; WRT, 1; p = 0.001). Significantly more subjects in the GI than in the WRT group experienced the spreading of stool to the bed sheet (GI, 12 [AR, 4.0]; WRT, 1 [AR, -2.8]; p < 0.001). Significantly more subjects in the GI than in the AI group experienced the spreading of stool to the washing bottles (GI 7, AI 0, p = 0.016). Significantly more subjects in the WRT group experienced wiping stool off easily (WRT, 14 [AR, 3.9]; GI, 7; AI, 5; WC, 4; p < 0.001).
The findings of this study suggest that WRT before WC without a foam cleanser prevents spreading and sticking of stool in a more effective way than irrigation using tap water.
Key words：perineal irrigation care, wipe care, water-repellent treatment, the use of only one hand as the clean hand, black light
e-mail: tsuchida＠huhs.ac.jp
Received: April 4, 2017
Accepted: September 7, 2017
33 (1)：24─36,2018
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