A nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in hospitalized Japanese older adults

Konya, Issei; Yano, Rika; Ito, Yoichi M.; Iwata, Hiroaki; Yoshida, Mayumi; Watanabe, Chiaki; Morita, Akemi

A nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in hospitalized Japanese older adults

Konya, Issei; Yano, Rika; Ito, Yoichi M. et al.

Geriatric nursing, 2025, 62(A), 280-288

Permalink : https://hdl.handle.net/2115/97589

このアイテムのアクセス数:37件（2026-07-12 14:49 集計）

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/97589
タイトル	A nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in hospitalized Japanese older adults
著者	Konya, Issei ; Yano, Rika ; Ito, Yoichi M. ; Iwata, Hiroaki ; Yoshida, Mayumi ; Watanabe, Chiaki ; Morita, Akemi
ORCID 0000-0002-7274-5955 著者名 Konya, Issei
ORCID 0000-0002-5243-8763 著者名 Yano, Rika
e-Rad_Researcher 10334236 著者名 Ito, Yoichi M.
e-Rad_Researcher 20397334 著者名 Iwata, Hiroaki
著者名 Yoshida, Mayumi
著者名 Watanabe, Chiaki
著者名 Morita, Akemi
言語	英語
キーワード	Aged
	Hygiene
	Skin care
	Skin barrier function
	Risk factors
発行日	2025-04-04
出版者	Elsevier
収録物名	Geriatric nursing
巻(号)	62(A)
ページ	280-288
ページ数	28
抄録	Mechanical irritation during skincare poses a risk of causing skin barrier dysfunction in older patients. Adequate skin assessment is thus required before skincare; however, no validated assessment method exists. This study developed a nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in Japanese older patients using a subset of a randomized controlled trial dataset. The volar forearms of 149 older patients (≥65 years) underwent a mechanical irritation test. Skin barrier dysfunction was defined based on transepidermal water loss before and after the test. Candidate variables were obtained from medical records and skin assessments. We found that 26.2 % of older patients experienced skin barrier dysfunction. The nomogram, comprising chronic kidney disease, purpura, dry skin, activities of daily living, and body mass index, demonstrated satisfactory discrimination, calibration, and clinical utility. This tool serves as an innovative and validated method for skin assessment, offering the potential to prevent skin disorders and deliver tailored, high-quality skincare.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0197-4572
NCID	AA10617895
関連情報	PMID 39523129
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.gerinurse.2024.10.031