Risk and factors related to the development of lesions due to xerosis in hospitalized elderly people
DOI:
https://doi.org/10.17533/udea.iee.v43n1e03Keywords:
nursing, skin aging, elderly healthAbstract
Objective. To analyze the risk and factors related to the development of skin lesions due to xerosis in hospitalized elderly people.
Methods. This was a descriptive and cross-sectional study with 455 elderly people hospitalized in Paraíba (Brazil). The Risk Assessment Scale for the Development of Lesions Associated with Xerosis Cutis in Elderly People (ERLAX-53) developed in Brazil by Cruz in 2023 was used.
Results. The sample consisted of 272 (59.8%) elderly people from the medical clinic and 183 (40.2%) from the ICU, most of whom were females (54.5%). There were high frequencies of the variables “immobility” (58.9%), “friction and shear” (87.7%), “presence of comorbidities” (99.3%) and “predominance of dry skin” (79.8%). The correlation was positive and moderate for “mobility”, “level of consciousness”, “tactile sensitivity”, “temperature” and “phototype”. As for the risk of lesions associated with xerosis, 337 (74.1%) were at medium risk and 101 (22.2%) at high risk.
Conclusion. 96.3% of the elderly people with xerosis cutis who participate in the study were at medium to high risk of developing additional skin lesions, which is why nursing must implement preventive and treatment strategies to care for these people.
Downloads
References
1. Konya I, Iwata H, Hayashi M, Akita T, Homma Y, Yoshida H, et al. Reliability and validity of the Japanese version of the overall dry skin score in older patients. Skin Research and Technology. 2022; 28:28–34.
2. Jiang Q, Wang Y, Liu Y, Zhu D, Xie Y, Zhao J, et al. Prevalence and associated factors of dry skin among older inpa-tients in hospitals and nursing homes: A multicenter cross-sectional study. International Journal of Nursing Studies. 2022; 135:104358.
3. Vasconcelos CA, Izolani Neto O. A cosmética aplicada ao envelhecimento cutâneo. Brazilian Journal of Surgery and Clinical Research. 2020; 31(1): 72-6.
4. Amin R. Lechner A, Vogt A, Blume-Peytavi U, Kottner J. Molecular characterization of xerosis cutis: a systematic re-view. PloS ONE. 2021; 16(12):e0261253.
5. Gold M, Andriessen A, Burgess C, Callender V, Goldberg D, Hougeir F, et al. Promoting a Healthy Skin Barrier Using Skin Care in People with Mature Skin Xerosis. Journal of Drugs in Dermatology. 2024; 23(1):1253-9.
6. Völzer B, El Genedy-Kalyoncu M, Fastner A, Tomova-Simitchieva T, Neumann K, Sill J, et al. Prevalence and associa-tions of xerosis cutis, incontinence-associated dermatitis, skin tears, pressure ulcers, and intertrigo in aged nursing home residents: A representative prevalence study. International Journal of Nursing Studies. 2023; 141:104472.
7. Fastner A, Hauss A, Kottner J. Skin assessments and interventions for maintaining skin integrity in nursing practice: an umbrella review. International Journal of Nursing Studies. 2023; 143:104495.
8. Santos L, Silvino ZR. Organização dos serviços de saúde sob a perspectiva da metodologia lean healthcare em uma comissão de cuidados com a pele. Revista Enfermagem Atual In Derme. 2023; 97(1):e023005.
9. Cruz RAO, Narciso AC, Evangelista CB, Oliveira JS, Costa MML. Scale of injuries risk due to xerosis in hospitalized el-derly people: development and evidence validity. Estima – Brazilian Journal of Enterostomal Therapy. 2023; 21:e1444.
10. Baez AM, Martinez-Lopez Y, Perez OL, Perez R. Propuesta de Tareas para el Desarrollo del Pensamiento Variacional en Estudiantes de Ingeniería. Formación Universitaria. 2017; 10(3):93-106.
11. Konya I, Nishiya K, Yano R. Effectiveness of bed bath methods for skin integrity, skin cleanliness and comfort en-hancement in adults: a systematic review. Nursing Open. 2021; 8:2284–2300.
12. Byrne A, Milestone k. ‘He wouldn’t be seen using it…’ Men’s use of male grooming products as a form of invisible con-sumption. Journal of Consumer Culture. 2023; 23(1):146–67.
13. Rocha R, Furtado I, Spinola P. Financing needs, spending projection, and the future of health in Brazil. Health Econo-mics. 2021; 30(5):1082-94.
14. Deflorio D, Di Luca M, Wing AM. Skin properties and afferent density in the deterioration of tactile spatial acuity with age. The Journal of Physiology. 2023; 601(3):517-533.
15. Cruz RAO, Almeida FCA, Costa MML. Condiciones relacionadas con el riesgo de lesiones en personas mayores con xerosis. Revista Cubana de Enfermería. 2022; 38(2):e4213.
16. Saran S, Gurjar M, Baronia A, Sivapurapu V, Ghosh OS, Raju GM et al. Heating, ventilation and air conditioning (HVAC) in intensive care unit. Critical Care. 2020; 24:194.
17. Cruz RAO, Oliveira PS, Agra G, Narciso AC, Lima CLJ, Costa MML. Evaluation and measures for prevention and treat-ment of skin xerosis in elderly: an integrating review. Revista de Pesquisa Cuidado é Fundamental Online. 2021; 13: 241-8.
18. Oliveira R, Ferreira J, Azevedo LF, Almeida IF. An Overview of Methods to Characterize Skin Type: Focus on Visual Rating Scales and Self-Report Instruments. Cosmetics. 2023; 10(1):1-15.
19. Esteves MLDB, Brandão BJF. Colágeno e envelhecimento cutâneo. Primum Journal. 2022; 5:e220700161.
20. Morecroft R, Tomlinson K, Lewis R, Carré M. Friction between human skin and incontinence pads in the presence of barrier protection products. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medi-cine. 2023; 1(1) 1-11.
21. Miles SJ, Fulbrook P, Williams DM. Skin tear prevalence in an Australian acute care hospital: A 10-year analysis. Inter-national Wound Journal. 2022; 19(6):1418-27.
22. Tehan PE, Burrows T, Hawes MB, Linton C, Norbury K, Peterson B, et al. Factors influencing diabetes-related foot ulcer healing in Australian adults: a prospective cohort study. Diabetic Medicine. 2023; 40(1):e14951.
23. Anqi S, Xiukun S, Ai’e X. Quantitative evaluation of sensitive skin by ANTERA 3D® combined with GPSkin Barrier®. Skin Research and Technology. 2022; 28(6):840-5.
24. Cunha MG, Engracia M, Souza LG, Machado Filho CD. Biostimulators and their mechanisms of action. Surgical & Cosmetic Dermatology. 2020; 12(2):109-17.
25. Chen S, Zhou F, Xiong Y. Prevalence and risk factors of senile pruritus: a systematic review and meta-analysis. British Medical Journal Open. 2022; 12(2):e051694.
26. Kang SY, Um JY, Chung BY, Lee SY, Park JS, Kim JC, et al. Hidratante em Pacientes com Doenças Inflamatórias da Pele. Medicina. 2022; 58(7):888.
27. Gallinger J, Kuhn A, Wessel S, Behm P. Heinecke S, Filbry A, et al. Depth-dependent hydration dynamics in human skin: Vehicle-controlled efficacy assessment of a functional 10% urea plus NMF moisturizer by near-infrared confocal spec-troscopic imaging (KOSIM IR) and capacitance method complemented by volunteer perception. Skin Research and Tech-nology. 2022; 28(1):342–9.
28. August S, Granier S, Tighe MP, Tbaily LW, Chowdhury S, Ahlbom H. A Clinical Investigation of the Performance and Safety of Epaderm®, an Emollient Cream. Clinical, Cosmetic and Investigational Dermatology. 2021; 14(1):909-20.
29. Mornane C, Peck B, Terry D, Ryan M. Twice-Daily Moisturizer Application for Skin Tear Prevention among Older Adults in Acute Care. Advances in Skin & Wound Care. 2021; 34(2):1-4.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
