자료유형  

 학위논문

Control Number  

0016934356

International Standard Book Number  

9798380389181

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Clements, Carla.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Pennsylvania., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(130 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

General Note  

Advisor: Matura, Lea Ann.

Dissertation Note  

Thesis (Ph.D.)--University of Pennsylvania, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Skin is the largest and most visible organ of the body. It is the direct interface between the external and internal environment. The skin has compensatory mechanisms to sustain its functions, but external threats may make it susceptible to injury. Although increasing evidence describes the biomechanical properties of the skin, limited clinical studies explore the effects of factors on the skin's outer surface and its susceptibility to injury. Factors associated with skin injury, such as body mass index (BMI), smoking, sun exposure, and age are not always integrated into study designs. This dissertation provided a secondary analysis of pre-existing data (N = 351) from two parent studies describing injury prevalence and frequency in women following consensual sexual intercourse. Data were transferred from the principal investigator of the parent study to this investigator according to human subjects procedures and analyzed using path analysis. Skin hydration was the central focus of the study and is defined as the water content of the stratum corneum. The study showed that both age and BMI were negatively associated with skin hydration, but skin hydration was not a mediator for any of the identified variables, skin color, or viscoelasticity. Additionally, neither the physiologic (BMI), behavioral (smoking and sun exposure) or demographic (age) variables were significantly associated with skin injury prevalence and frequency. Skin color L-value significantly predicted skin injury prevalence, not injury frequency. The results demonstrated that viscoelasticity was not a significant mediator for any relationship between the set predictors and the outcomes of skin injury prevalence and frequency. Viscoelasticity mediated the relationship between age and skin hydration and age was negatively associated with viscoelasticity. Therefore, although skin hydration did not predict skin injury, skin color (i.e., lightness) predicted skin injury prevalence. Further exploration of all related variables is necessary when identifying patients who are at high risk for skin injury. Future knowledge development can inform multi-level interventions that may target modifiable risk factors to maintain the skin's integrity. .

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Health sciences.

Subject Added Entry-Topical Term  

Health care management.

Index Term-Uncontrolled  

Skin hydration

Index Term-Uncontrolled  

Skin injury

Index Term-Uncontrolled  

Demographic factors

Index Term-Uncontrolled  

Skin color

Index Term-Uncontrolled  

Viscoelasticity

Added Entry-Corporate Name  

University of Pennsylvania Nursing

Host Item Entry  

Dissertations Abstracts International. 85-03B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:643007