Developing of A care product has high clotting comfort features, and investigation of the effect of its functionality and on perineal dermatitis in woman patients with urinary and fecal incontinence

The aim of this randomized-controlled, prospective, quasi-experimental study is to developing a new incontinece care product for controlling the fecal and urinary incontinence and to examine the effect of this new product on prevention of perineal dermatitis. In the first phase, material samples which were used for producing diaper were obtained from diaper manufacturing firms, and analyses of these samples were performed in the laboratory for determined the quality of these samples. In the second phase, an incontinence care product which has high wear comfort features has been designed and developed. Wearing experiments of this product were made in ten healthy individuals whom provided to wear this product at least two-eight hours and their opinions were obtained using a questionnaire. In the third phase, newly developed incontinence care products were enrobed to patients with incontinence and they were monitored along seven days for the development of perineal dermatitis. The population of the study was consist of bedridden patients with fecal and urinary incontinence and meet the discharge requirementin bed who hospitalized in Ege Univeristy Medical Faculty Hospital. The sample of study was consist of bedridden patients with fecal and urinary incontinence and meet discharge requirement in bed who hospitalized in Ege University Medical Faculty Hospital between the date 02.04.2015 and 03.07.2015, conform to the limitations of the study and and chosen by randomized controlled sampling techniques. Data were collected by using a questionnaire which is prepared for determine the opinions of healty individuals, patient identification form, skin integrity assesment form and patient monitoring form. The data was analysed using SPSS (Statistical Package fo Social Sciences) 22.0 statistical package program. In analysis of the data was used percentage, chi-square, Fisher's chi-square, Spearman's correlateion, Kruskall-Wallis and Mann –Whitney and Student t tests. Dermatitis was developed 3 on right side of the hip, left side of the hip, 4 in the right groin and left groin inguinal region was formed in 1 of the sacrum of patients in the experimental group. New dermatitis was develeoped in the 4 area in a one patients in the control group. One of these dermatitis was developed besides the right hip, one of these hip beside left, one of these right and left groin. Totally in five area was developed dermatitis in patients in the experimental group and it was found that of these dermatitis were in first, second and third degree. Dermatitis was developed in 16.7% in third and fourth days, in 33.3% in fifth days and 50% in sixth and seventh days of patients in the experimental group. Dermatitis was developed in 16.7% in fifth, in sixth and in seventh days of patients in the control group. There was no statistically significant difference between the percentage of developing dermatitis in experimental and control groups. As a result it was determined that newly developed incontinence care product is in the available features as well as the diaper used in the control group and there was no statistically significant difference in terms of creating dermatitis. Improving of features of the newly incontinence care product and implementing of the study in a greater number of patients and in different patients groups is recommended. Keywords: Incontinence care product, perineal dermatitis, diaper