Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Older Adults' Experiences of Living with and Using Diapers for Urinary Incontinence in Long-term Care Facilities

시설거주 노인의 요실금과 기저귀 착용 경험

  • Received : 2018.11.27
  • Accepted : 2019.05.31
  • Published : 2019.08.31
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Abstract

Purpose: This study was aimed to describe older adults' experiences of living with urinary incontinence and using diapers for its management in long-term care facilities. Methods: Qualitative data were collected through in-depth interviews with 22 participants in long-term care facilities. Content analysis was used to analyze the data. Results: Three themes and six categories were emerged. Participants navigated through those three categories as stages, including the initial stage of confronting the unacceptable reality, transitional stage of physical and emotional suffering, and adaptive stage of accepting the diaper usage as a part of life and hoping improvement. Six categories were feeling terrible with unavoidable use of diapers, being frustrated by nursing staff shortage and unsatisfactory care for urinary incontinence, physical discomfort from of wearing diapers and remaining unchanged, emotional difficulties due to using diapers, accepting and adapting to diaper usage as a part of life, hope for gender-specific quality care for urinary incontinence. Conclusion: The findings suggest that using diapers should not be mandatory to manage older adults' urinary incontinence in long-term care facilities. It is also critical to establish policies to address issues of nursing shortage and financial support for qualitative care to manage urinary incontinence in long-term care settings.

Keywords

Table 1. General Characteristics of Informants

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Table 2. Themes and Categories Derived From the Experiences of Older Adults Wearing Diapers and Urinary Incontinence

DGGJBW_2019_v26n2_90_t0002.png 이미지

References

  1. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the standardisation sub-committee of the international continence society. American Journal of Obstetrics and Gynecology, 187(1), 116-126. https://doi.org/10.1067/mob.2002.125704
  2. Aggazzotti, G., Pesce, F., Grassi, D., Fantuzzi, G., Righi, E., De Vita, D., et al. (2000). Prevalence of urinary incontinence among institutionalized patients: A cross-sectional epidemiologic study in a midsized city in northern Italy. Urology, 56(2), 245-249. https://doi.org/10.1016/S0090-4295(00)00643-9
  3. Cho, G. Y., & Park, J. S. (2009). A study on the characteristics of urinary incontinence, related problems, and management in elderly women in nursing homes. Journal of Korean Gerontological Nursing, 11(2), 162-172.
  4. Coyne, K. S., Kvasz, M., Ireland, A. M., Milson, I., Kopp, Z. S., & Chapple, C. R. (2012). Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and United States. European Urology, 61(1), 88-95. https://doi: 10.1016/j.eururo.2011.07.049
  5. Dan, M., Segal, R., Marder, V., & Leibovitz, A. (2006). Candida colonization of the vagina in elderly residents of a long-term-care hospital. European Journal of Clinical Microbiology and Infectious Diseases, 25(6), 394-396. https://doi.org/10.1007/s10096-006-0150-y
  6. Graneheim, U. M., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  7. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687
  8. Kang, H., & Hong, G. S. (2015). Effect of muscle strength training on urinary incontinence and physical function: A randomized controlled trial in long-term care facilities. Journal of Korean Academy of Nursing, 45(1), 35-45. https://doi.org/10.4040/jkan.2015.45.1.35
  9. Kang, Y. S., & Oh, J. J. (2018). Development and effects of an educational program for caregivers on hygienic care for diapers. The Journal of the Korea Contents Association, 18(3), 421-431. https://doi.org/10.5392/JKCA.2018.18.03.421
  10. Kim, H. J. (2017). Management of urinary incontinence in geriatric hospitals. Journal of the Korean Medical Association, 60(7), 542-549. https://doi.org/10.5124/jkma.2017.60.7.542
  11. Kim, J., Kim, N., & Hong, G. S. (2011). The effects of a urinary incontinence control program for elderly women in Kyungrodang on their self efficacy and quality of life. Korean Journal of Clinical Social Work, 8(2), 1-22.
  12. Kim, K. H. (2015). The role of primary care of voiding dysfunction in rehabilitation and convalescent hospitals. Journal of the Korean Medical Association, 58(76), 557-562. https://doi.org/10.5124/jkma.2015.58.6.557
  13. Kim, M., & Lee, S. (2008). Prevalence rate and associated factors of urinary incontinence among nursing home residents. Journal of Korean Academy of Nursing, 38(1), 92-100. https://doi.org/10.4040/jkan.2008.38.1.92
  14. Lee, J. W., & Song, M. S. (2015). Associated factors of urinary incontinence among community dwelling women beneficiaries of long-term care insurance. Journal of the Korean Gerontological Society, 35(1), 119-133.
  15. Lee, J. Y., & Yoon, J. Y. (2010). Predictors for incidence of urinary incontinence after admission of long-term care hospitals in Korea. Journal of the Korean Gerontological Society, 30(2), 343-353.
  16. Lee, Y. S., Lee, K. S., Jung, J. H., Han, D. H., Oh, S. J., Seo, J. T., et al. (2011). Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: Results of Korean EPIC study. World Journal of Urology, 29(2), 185-190. https://doi.org/10.1007/s00345-009-0490-1
  17. Lee. S. H., Suh, J., Kim, H. S., Lee, Y. J., Lee, S. R., Kim, K. H., et al. (2017). Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research. Investigative & Clinical Urology, 58(1), 70-76. https://doi.org/10.4111/icu.2017.58.1.70
  18. MacDonald, C. D. M. N., & Butler, L. P. (2007). Silent no more: Elderly women's stories of living with urinary incontinence in long-term care. Journal of Gerontological Nursing, 33(1), 14-20. https://doi.org/10.3928/00989134-20070101-05
  19. Mason, J. (2002). An introduction to qualitative researching. London: Sage.
  20. Moon, S. W., & Son, G. R. (2014). Predictors of depression among older adults in long-term care facility. Journal of Korean Gerontology Nursing, 17(2), 65-75. https://doi.org/10.17079/jkgn.2015.17.2.65
  21. Offermans, M., Du Moulin, M., Hamers, J., Dassen, T., & Halfens, R. (2009). Prevalence of urinary incontinence and associated risk factors in nursing home residents: A systematic review. Neurourology and Urodynamics, 28(4), 288-294. https://doi.org/10.1002/nau.20668
  22. Omli, R., Skotnes, L. H., Romild, U., Bakke, A., Mykletun, A., & Kuhry, E. (2010). Pad per day usage, urinary incontinence and urinary tract infections in nursing home residents. Age & Ageing, 39(5), 549-554. https://doi.org/10.1093/ageing/afq082
  23. Park, H. J. (2014). Association between sarcopenia and urinary incontinence in Korean women aged 65 years or older. Unpublished master's thesis, Seoul National University, Seoul.
  24. Park, J. K. (2017). Frailty and its related factors in the vulnerable elderly woman by urinary incontinence. Journal of the Korean Gerontological Society, 37(4), 893-907.
  25. Reeves, P., Irwin, D., Kelleher, C., Milsom, I., Kopp, Z., Calvert, N., et al. (2006). The current and future burden and cost of overactive bladder in five European countries. European Urology, 50(5), 1050-1057. https://doi.org/10.1016/j.eururo.2006.04.018
  26. Sandelowski, M. (2000). Whatever happened to qualitative description?. Research in Nursing & Health, 23(4), 334-340. https://doi.org/10.1002/nur.20362.
  27. Song, H. J., Kim, S. M., & Kim, N. C. (2003). A study of voiding patterns and pressure ulcer for the residents of long term care facilities. International Neurourology Journal, 7(2), 91-97. https://doi.org/10.5213/jkcs.2003.7.2.91
  28. Yang, N. Y., Yoo, Y. K., & Song, M. S. (2018). Effects of leg strength exercise on muscle strength, flexibility and symptoms of urinary incontinence of elderly women. Korean Journal of Adult Nursing, 30(4), 417-425. https://doi.org/10.7475/kjan.2018.30.4.417