Practice of use of diapers in hospitalized adults and elderly: cross-sectional study

Abstract

Objective: analyze the practice of use of diapers in adults and elderly in hospital. Method: observational cross-sectional study, with a sample of 105 participants assigned according to the data collection period, from September 2013 to January 2014, in the surgical clinic wards in a University Hospital. Results: it was observed that 38% of the 105 participants of the study did not need the use of diapers. 18% used it because they were disabled and 16% had their cognitive system damaged. As they were hospitalized, it was identifi ed that 51.4% of patients were there ranging from 02 to 10 days, and 60% used diapers for the same period. It is also identifi ed that long term urinary catheter (24.8%), as technology associated to diapers in the urinary control and to pressure ulcers (12.4%), being the main complication. Conclusion: the use of diapers did not have specifi c criteria to be selected. For this, it was proposed an "Evaluation Scale of Diapers Use in Adults", as for indication as for its monitoring to help the study transposal for the nursing practice. Descriptors: Adults Diapers; Geriatric Nursing; Nursing Care; Biomedical Technology; Elderly. RESUMO Objetivo: analisar a prática do uso de fraldas em adultos e idosos no cenário hospitalar. Método: estudo do tipo observacional, transversal, com amostra por conveniência de 105 participantes, alocados segundo o período de coleta dos dados, de setembro de 2013 a janeiro de 2014, nas enfermarias de clínica cirúrgica de um Hospital Universitário. Resultados: observou-se que 38% dos 105 participantes do estudo não apresentavam motivos para usar fraldas. 18% utilizavam devido à mobilidade prejudicada e 16% por cognitivo prejudicado. No tempo de internação, identifi cou-se 51,4% dos pacientes estavam internados de 02 a 10 dias, e 60% utilizavam fraldas pelo mesmo período. Identifi ca-se ainda o cateter vesical de demora (24,8%), como tecnologia associada às fraldas no controle urinário e, a úlcera por pressão (12,4%), como complicação principal. Conclusão: o uso de fraldas se mostrou com critérios inespecífi cos na seleção do seu uso. Por isso, propõe-se uma "Escala de Avaliação do Uso das Fraldas para Adultos" tanto para indicação, como para o seu acompanhamento, para auxiliar na transposição do estudo para a prática de enfermagem. Descritores: Fraldas para Adultos; Enfermagem Geriátrica; Cuidados de Enfermagem; Tecnologia Biomédica; Idoso. RESUMEN Objetivo: analizar la práctica del uso de pañales en adultos y ancianos en el escenario hospitalario. Método: estudio del tipo observacional, transversal, con muestra por conveniencia de 105 participantes, asignados según el período de recolección de los datos de septiembre de 2013 a enero de 2014, en las enfermerías de clínica quirúrgica de un Hospital Universitario. Resultados: fue observado que el 38% de los 105 participantes del estudio no presentaban motivos para usar pañales. El 18% utilizado fue debido a la movilidad perjudicada y el 16% al cognitivo perjudicado. En el tiempo de la hospitalización, fue id...

Hospital care and urinary incontinence in the elderly

“…-High incidence and prevalence of UI in hospitalized elderly people (4)(5)(6)(7)(8)(13)(14)(15)20) .…”

“…Authors cited low illumination, lack of support bars, non-slip flooring and high beds as an example of this adverse structure (4,7) . -Lack of institutional protocols and validated scales to guide the practice of using absorbent urinary devices such as diapers, used, most of the time, indiscriminately and without justification recorded in medical records (5)(6)(7)(8)(14)(15)20) . -Institutional routine that favors the use of diaper and permanent bladder catheter, in detriment to encouragement of autonomy with the use of toilets, urinals and trimers (4)(5)(6)8,(13)(14)(15)(16)20) .…”

“…-Non-recognition of the problem, resulting in lack of actions to promote continence and prevention of UI by the care team (7,13,(15)(16)(17)(18)20) . -Deficit of professional knowledge and misconceptions about UI in the elderly (4,7,(16)(17)(18) .…”

“…-Installation of diapers and devices after the problem already installed, as the only strategy used by the nursing team to manage UI during hospitalization of the elderly (5)(6)(7)(8)(13)(14)(15)(16)20) . -Subregistration, underreporting and lack of screening of the problem by the nursing team (4,7,13,(15)(16)(19)(20) .…”

The significance of overlooked objects: Materiality and care at home for people with dementia

“…The family care-giver as well as the person who requires these products needs to fit the body of the wearer into the normativity of Brazilian policy standards about the type of diaper and the number available-even though studies show that in managing incontinence, most people need to change the diaper five to eight times per day, rather than the four times allowed by policy(Bitencourt, Alves, & Santana, 2018). So, a lot of work can be involved.When diapers are part of the care network, families must organize their daily routines according to the rules of the system.…”