What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review

Jane O'Brien; Christina N. Parker; Ut Bui; Margaret MacAndrew; Jack Mitchell; Kathleen J. Finlayson

doi:10.33235/wpr.32.1.25-33

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What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review

Journal article

Open access

Peer reviewed

What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review

Jane O'Brien, Christina N. Parker, Ut Bui, Margaret MacAndrew, Jack Mitchell and Kathleen J. Finlayson

Wound Practice & Research, Vol.32(1), pp.25-33

2024

DOI: https://doi.org/10.33235/wpr.32.1.25-33

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Abstract

moisturisers

prevention

skin care

skin integrity

Aim: To synthesise evidence regarding skin care to maintain skin integrity and prevent wounds. Methods: An electronic search of key terms (skin care or skin integrity) was undertaken of articles published between 1 January 2018 until 30 September 2023. A narrative integrative review synthesised results. Results: In all 73 articles met the inclusion criteria. The topics included cleansers, moisturisers, and/or barrier products (n=33), health service interventions related to skin care (n=15), and the impact of dressings on skin integrity (n=12). Eight encompassed multiple interventions, three examined self -management and two foot skin care. Conclusion: Strong evidence on skin management to prevent wounds is limited. Moderate evidence supported the use of mild, non -alkaline cleansers and low pH moisturisers with humectants to improve skin integrity and prevent skin tears; in addition to prompt cleansing, use of topical barrier leave -on products and absorbent products to prevent incontinence-associated dermatitis. The choice of prophylactic dressing is not a one -size -fits -all decision but rather a nuanced clinical decision that must consider the specific needs and circumstances of each patient. Use of person -centred care, evidence-based interventions by healthcare providers, and involvement of the interprofessional teams emerged as central themes of skin care for prevention of wounds.

Details

Title: What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review
Authors: Jane O'Brien (Corresponding Author) - Queensland University of Technology
Christina N. Parker (Author) - Queensland University of Technology
Ut Bui (Author) - Queensland University of Technology
Margaret MacAndrew (Author) - Queensland University of Technology
Jack Mitchell (Author) - Queensland University of Technology
Kathleen J. Finlayson (Author) - Queensland University of Technology
Publication details: Wound Practice & Research, Vol.32(1), pp.25-33
Publisher: Cambridge Publishing
Date published: 2024
DOI: 10.33235/wpr.32.1.25-33
ISSN: 2202-9729
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991212776002621
Output Type: Journal article

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Web Of Science research areas: Dermatology

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