Bakım Evinde Kalan Yaşlılarda Cilt Kuruluğu ve Etkileyen Faktörler

Yıl 2022, Cilt: 5 Sayı: 1, 1 - 8, 06.04.2022

Dilek Efe Arslan , Gökçen Aydın Akbuga , Nazan Kılıç Akça

https://doi.org/10.38108/ouhcd.816570

Öz

Amaç: Bu çalışma, bakım merkezinde kalan yaşlılarda cilt kuruluğu, pH seviyesi, cilt turgoru ve bunu etkileyen faktörleri incelemek amacıyla tanımlayıcı olarak yapıldı.
Yöntem: Çalışma evrenini bakım merkezinde kalan 53 yaşlı oluşturmuştur. Çalışmaya, dahil edilme kriterlerini karşılayan ve katılmaya onay veren 50 yaşlı çalışmaya alındı. Veriler Yaşlı Bilgi Formu ve cilt nemi ve pH'ı ölçen cihazlar aracılığı ile toplanmıştır. Verilerin değerlendirmesinde tanımlayıcı istatistikler, Mann-Whitney U testi ve spearman korelasyon analizi kullanıldı.
Bulgular: Araştırma sonuçları yaşlı kadınlarda kol kuruluğu oranının yaşlı erkeklere göre daha yüksek olduğunu ve kardiyovasküler hastalığı olan yaşlılarda cilt turgor süresinin daha uzun olduğunu ortaya koydu. Yaşlıların su-sıvı tüketimi ile cilt turgor süresi arasındaki ilişkisi incelendiğinde, su-sıvı tüketimi azaldıkça cilt turgor süresinin uzadığı görüldü.
Sonuç: Bakım merkezinde kalan tüm yaşlılarda kuru cilt görüldü; cilt turgorunun süresi uzundu; ve cilt pH'ı normal seviyelerdeydi. Ayrıca yaşlıların günlük su-sıvı alımının cilt turgoru süresini etkilediği ortaya çıktı.

Anahtar Kelimeler

cilt, kuru, yaşlı, turgor, bakım merkezi

Skin dryness in the Elderly Staying in a Nursing Homes and Affecting Factors

Öz

Objective: This study is a descriptive study conducted to examine skin dryness, pH level, skin turgor and the affecting factors in the elderly staying in nursing homes.
Method: The study population was composed of 53 elderly who stayed in a care and rehabilitation center. 50 elderly who met the participant selection criteria and who gave their consent to participate were included. Elderly Information Form and devices that measure skin moisture and pH were used as the data collection tools. Descriptive statistics, Man-Whitney U test and Spearman correlation test were used.
Results: The results of the study revealed that the rate of arm dryness in the female elderly was higher compared to the male elderly and that skin turgor duration was longer in the elderly with cardiovascular diseases. When the relationship between water-fluid consumption of elderly and skin turgor duration was examined, it was seen that the duration of skin turgor extends as water-fluid consumption decreases.
Conclusion: Dry skin was observed in all the elderly staying in the nursing homes; the duration of skin turgor extended; and skin pH was at normal levels. It was further revealed that daily water-fluid intake of the elderly affected the duration of skin turgor.

Anahtar Kelimeler

skın, dry, elderly, nursing homes

Kaynakça

• Akdeniz M, Tomova Simitchieva T, Dobos G, Blume Peytavi U, Kottner J. (2018). Does dietary fluid intake affect skin hydration in healthy humans? A systematic literature review. Skin Research and Technology, 24, 459–465.
• Baykal Y, Karaduman A, Bükülmez G. (1999). Skin problems in the elderly patients. Turkish Journal of Geriatrics, 2, 156-159.
• Bahadır Aktaş S, Atış G. (2014). Tükenmez Demirci G, Çolak, H. Skin findings in patients with type II diabetes mellitus treatments. The Journal of Tepecik Education and Research Hospital, 24, 37-42.
• Baş Y, Kalkan G, Seçkin HY, Takcı Z, Şahin Ş, Demir AK. (2014). Analysis of dermatologic problems in geriatric patients. Turkish Journal of Dermatology, 8, 95-100.
• Craig LA. (2016). The prevalence of dehydration and inadequate fluid intake in dysphagic elderly on thickened fluids in Canadian and United States long-term care facilities (Doctoral dissertation, D'Youville College).
• Dorrington K. (1981). Skin turgor: do we understand the clinical sign?, The Lancet, 317, 264-266.
• Durmazlar S.P.K., Eskioğlu F. (2008). Effects of estrogen on skin and skin findings in menopause: Review. Journal of Obstetrics and Gynecology, 6, 1450-1454.
• Gül Ü. (2009). Skin care and cosmetic approaches in the elderly. Turkiye Klinikleri Dermatoloji-Özel Konular, 2, 86-92, 2009.
• Güleç E. (2013) Investigate fluid intake and affecting factors of fluide intake of the elderly people living in a nursing home. Master Thesis, Dokuz Eylul University Institute of Health Sciences, İzmir.
• Hooper L, Bunn D, Jimoh FO, Fairweather-Tait SJ. (2014). Water-loss dehydration and aging. Mechanisms of Ageing and Development, 136, 50-58.
• Hurlow J, Bliss DZ. (2011). Dry skin in older adults. Geriatric Nursing, 32, 257-62.
• Kara Polat A, Alataş ET, Doğan G, Pıçakçıefe M. (2017) Prevalence of skin diseases among the elderly residing in nursing homes in Mugla. Turkish Journal of Geriatrics, 20, 23-29.
• Karaarslan IK, Erçal HE, Ertam İ, Türkmen M, Türk BG, Özdemir F. (2009). Geriatric patients in management of pigmented lesions: should follow-up be recommended? Turkish Journal of Geriatrics, 12, 124-129.
• Kılıç A, Gül Ü, Aslan E, Soylu S. (2008). Dermatological findings in the senior population of nursing homes in Turkey. Archives of Gerontology and Geriatrics, 47, 93-98.
• Kökçam İ, Dilek N. (2007). Skin diseases seen in the the elderly patients. Turkish Journal of Geriatrics, 10, 113-116.
• Lambers H, Piessens S, Bloem A, Pronk H, Finkel P. (2006). Natural skin surface pH is on average below 5, which is beneficial for its resident flora. International Journal of Cosmetic Science, 28, 359-70.
• Lee SH, Jeong SK, Ahn SK. (2006). An update of the defensive barrier function of skin. Yonsei Medical Journal, 47, 293-306.
• Leung WH. (2017). Scientific Symposium on Advanced Skin Care for Successful Management of Skin Barrier Impairment and Atopic Dermatitis Hong Kong. Journal of Dermatology and Venereology, 25, 39-40.
• Lodén M. (2003). Role of topical emollients and moisturizers in the treatment of dry skin barrier disorders. American Journal of Clinical Dermatology, 4, 771-88.
• Muz G, Özdil K, Erdoğan G, Sezer F. (2017). Water consumption and related factors in the elderly people who lived ın nursing home and home. Türk Hijyen Deneysel Biyoloji Dergisi, 74, 143-150.
• Özyurt K, Avci A, Çinar SL, Silay E. (2014). Dermatological disorders in geriatric patients. Turkish Journal of Dermatology, 8, 206-209.
• Paul C, Maumus-Robert S, Mazereeuw-Hautier J, Guyen CN, Saudez X, Schmitt AM. (2011). Prevalence and risk factors for xerosis in the elderly: a cross-sectional epidemiological study in primary care. Dermatology, 223, 260–265.
• Roh SY, Kim KH. (2013). Effects of aroma massage on pruritus, skin pH, skin hydration and sleep in elders in long-term care hospitals. Journal of Korean Academy of Nursing, 43, 726-735.
• Smith DR, Atkinson R, Tang S, Yamagata Z. (2002). A survey of skin disease among patients in an Australian nursing home. Journal of Epidemiology, 12, 336–340.
• Smith DR, Sheu HM, Hsieh FS, Lee YL, Chang SJ, Guo YL. (2002). Prevalence of skin disease among nursing home patients in southern Taiwan. International Journal of Epidemiology, 41, 754-759.