Application of 4R Crisis Management Theory in the Management of Incontinence-Associated Dermatitis in ICU Patients with Fecal Incontinence

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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Abstract

Objective: To analyze the preventive and management effects of the 4R crisis management theory on incontinence-associated dermatitis (IAD) in ICU patients with fecal incontinence. Methods: A hundred patients with fecal incontinence who were admitted to the ICU for treatment between January 2024 and December 2024 were selected and randomly divided into two groups using a random number table. The observation group received 4R crisis management theory, while the control group received routine management. The IAD risk score, incidence of IAD, severity of IAD, and formation and healing time of IAD were compared between the two groups. Results: After management, the IAD risk score of the observation group was lower than that of the control group (P < 0.05). The incidence of IAD in the observation group was lower than that in the control group, the proportion of mild IAD was higher than that in the control group, the formation time of IAD was later than that in the control group, and the healing time was shorter than that in the control group (P < 0.05). Conclusion: Adopting the 4R crisis management theory for ICU patients with fecal incontinence can reduce the risk of IAD occurrence, effectively prevent IAD, reduce its severity, delay its formation time, and promote good healing.

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