Dry skin and the use of leave-on products in nursing care: A prevalence study in nursing homes and hospitals

Nurs Open. 2018 Sep 27;6(1):189-196. doi: 10.1002/nop2.204. eCollection 2019 Jan.

Abstract

Aims: To describe the prevalence of dry skin in nursing homes and hospitals and to describe relationships between topical skincare interventions and dry skin.

Design: Two multicentre descriptive cross-sectional prevalence studies.

Methods: The studies were performed in German nursing homes and hospitals in 2015 and 2016. Data were collected by trained nurses based on a standardized data collection form. The severity of dry skin was measured using the Overall Dry Skin Score.

Results: In total, 1,662 nursing home residents and 1,486 hospital patients participated. The prevalence of dry skin was 41.2% in nursing homes and 55.2% in hospitals. In case of skincare dependency, the proportions of participants with dry skin were higher, particularly in hospitals (70.2%). In both institutions, the application of leave-on products increased when dry skin was present but remained lower in hospitals. Considering the high amount of skin dryness in skincare-dependent participants, interventions seem not to be successful. Results indicate a need for skincare improvement in future.

Keywords: care; care activities; dermatology; hospital care; nursing home care; practice nursing; quality of care.