摘要目的:探讨全国52所医院老年住院患者失禁相关性皮炎的发生现况及影响因素，并分析老年住院失禁患者的护理现况，为临床干预提供参考依据。方法:采用便利抽样法，于2021年3月31日，选取全国52所医院的14 675例老年住院患者为研究对象，采用自制的老年住院患者失禁相关性皮炎调查问卷进行调查，收集患者的一般人口学资料、健康状况、失禁情况和皮肤护理措施相关情况。采用二项Logistic回归分析探讨老年住院患者失禁相关性皮炎的影响因素。结果:14 675例老年住院患者中，皮肤干燥症的现患率为38.78%（5 691/14 675），失禁现患率为11.06%（1 623/14 675），失禁相关性皮炎的现患率为1.91%（280/14 675）；轻度、中度和重度失禁相关性皮炎的现患率分别为1.27%（186/14 675）、0.55%（81/14 675）、0.09%（13/14 675）。1 623例老年住院失禁患者护理现况中，落实率较低的项目为：使用中性洗剂清洁皮肤（14.17%，230/1 623）、润肤后使用皮肤保护剂（17.68%，287/1 623）、每次清洗皮肤后润肤（28. 90%，469/1 623）。二项Logistic回归分析结果显示，皮肤干燥症、粪失禁、粪尿双失禁、≥2种联合用药、住院时间>30 d是老年住院患者发生失禁相关性皮炎的危险因素。结论:老年住院患者失禁相关性皮炎的危险因素主要包括皮肤干燥、失禁类型、≥2种联合用药、住院时间>30 d，临床医护人员制订和实施预防措施时需要关注危险因素。

abstractsObjective:To explore the status and influencing factors of incontinence-associated dermatitis among elderly inpatients in 52 hospitals nationwide, and to analyze the nursing of elderly inpatients with incontinence, so as to provide a reference for clinical intervention.Methods:On March 31, 2021, convenience sampling was used to select 14 675 elderly inpatients from 52 hospitals across the country as the research object. The self-designed Incontinence-associated Dermatitis Questionnaire for Elderly Inpatients was used to collect general demographic data, health status, incontinence, and skin nursing. Binomial Logistic regression was used to investigate the influencing factors of incontinence-associated dermatitis in elderly inpatients.Results:Among 14 675 elderly inpatients, the prevalence rates of xerosis cutis, incontinence and incontinence-associated dermatitis were 38.78% (5 691/14 675) , 11.06% (1 623/14 675) and 1.91% (280/14 675) , respectively. The prevalence of mild, moderate and severe incontinence-associated dermatitis were 1.27% (186/14 675) , 0.55% (81/14 675) , and 0.09% (13/14 675) , respectively. Among the nursing of 1 623 elderly inpatients with incontinence, the items with low implementation rate were the use neutral lotion to clean skin (14.17%, 230/1 623) , use of skin protectant after moisturizing (17.68%, 287/1 623) , moisturizing after cleansing the skin (28.90%, 469/1 623) . The results of binomial Logistic regression analysis showed that xeroderma, fecal incontinence, urinary and fecal incontinence, ≥2 kinds of combined medication, and hospital stay >30 days were risk factors for incontinence-associated dermatitis in elderly inpatients.Conclusions:The risk factors of incontinence-associated dermatitis in elderly inpatients mainly include xerosis cutis, type of incontinence, ≥2 kinds of combined medication, and hospital stay >30 days.