| A Study of Voiding Patterns and Pressure Ulcer for the Residents of Long Term Care Facilities. |
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| Hyo Jeong Song, Su Mi Kim, Nam Cho Kim |
1Department of Nursing, School of Medicine, Cheju National University, Korea. hjsong@cheju.ac.kr
2Department of Nursing, Seokang College, Korea.
3Department of Nursing, College of Nursing, Catholic University of Korea, Korea. |
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| ABSTRACT |
PURPOSE
This study was designed to provide the basic data for the development of the urinary incontinence nursing management program by identifying voiding patterns and pressure ulcer prevalence of residents in long term care facilities.
MATERIALS AND METHODS
The study was performed from January to February, 2003. The subjects consisted of 92 residents in long term care facilities around S city. Researcher visited the facilities and assessed their voiding patterns, voiding management, and skin. To investigate the voiding patterns of the residents, care givers in the facilities were educated how to fill up voiding diaries and the diaries were made for two days. The data were analyzed by t-test and x2-test with using SAS program.
RESULTS
The mean score for the activities of daily living of the subjects was 17.7+/-10.3 indicating medium. Mean score for mental status was 2.5+/-3.5 indicating very low.
Among the subjects, self-voiding group was 40.8%, the group with self-voiding at daytime and diapers at night 10.9%, the group managed with diapers all the time 41.1%. In UI status of self-voiding group, urge urinary incontinence 22.8%, mixed urinary incontinence 13.6%, stress urinary incontinence 6.8%, and 56.8% had no urinary incontinence.
About 9.8% of the subjects suffered from pressure ulcers and 15% of the group managed with diapers all the time had skin problems at perineal area. Between the group with pressure ulcer and the group without pressure ulcer, there were significant differences by length of residence, activities of daily living, mental status, and Braden scale.
CONCLUSION
The above findings indicated that the care programs for the group managed with diaper change and the group with skin problems were required to improve, and the voiding management focusing on rehabilitation rather than simple diaper change should be encouraged. |
| Keywords:
Voiding pattern; Pressure ulcer |
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