Autor: |
Sari DW; Department of Gerontological Nursing/Wound Care Management, the University of Tokyo, Tokyo, Japan.; Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia., Minematsu T; Department of Skincare Science, the University of Tokyo, Tokyo, Japan.; Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Ishikawa Prefectural Nursing University, Ishikawa, Japan., Yoshida M; Department of Women's Health Nursing & Midwifery, Tohoku University Graduate School of Medicine, Miyagi, Japan., Kitamura A; Department of Gerontological Nursing/Wound Care Management, the University of Tokyo, Tokyo, Japan.; Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Tomida S; Department of Gerontological Nursing/Wound Care Management, the University of Tokyo, Tokyo, Japan., Abe M; Sapporo Skin Clinic, Sapporo, Hokkaido, Japan., Khasanah U; Faculty of Health Science, Universitas Islam Negeri Syarif Hidayatullah Jakarta, Tangerang selatan, Indonesia., Sanada H; Department of Gerontological Nursing/Wound Care Management, the University of Tokyo, Tokyo, Japan.; Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Ishikawa Prefectural Nursing University, Ishikawa, Japan. |
Abstrakt: |
Since itching without rash frequently among older adults' population, study about skin properties of itching without rash is important to develop prevention methods. Therefore, this study explored the skin properties related to itching without rash and the factors associated with them. A correlation, predictive designs study was conducted at Indonesian Long-term Care (LTC) facilities. Skin properties including skin barrier function and skin inflammation were examined by photographs (macroscopic and microscopic), stratum corneum (SC) hydration, skin Potential of Hydrogen (pH), and skin blotting. Itching experience and skincare behavior were obtained by questionnaire. The itching-related skin properties and associated factors were analyzed. A total of 405 residents participated in this study, with mean age was 74 years. The prevalence of itching on the whole body was 69.1%, and 50.3% of those manifesting itching on the left forearm involved itching without macroscopic abnormalities (itching without rash). SC hydration, skin pH, albumin and nerve growth factor β (NGFβ) were associated with itching without rash (p = 0.007, 0.012, < 0.001, and < 0.001, respectively). Additionally, factors associated with skin properties were age, sex, sun exposure experience, skincare, and hygiene care in the linear regression analysis. Measurement of skin biomarkers using skin blotting was a possible objective measurement of itching skin properties without rash regardless of the environmental condition. |