Nursing Home Residents’ Level of Knowledge About Urinary Incontinence

Karakaya, İlkim Çıtak; Yenişehir, Semiha; Karakaya, Mehmet Gürhan

doi:10.4235/agmr.19.0003

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…In addition, it creates psychological problems such as embarrassment, anxiety, depression, asociality, and sleep disturbances. Urinary incontinence decreases the quality of life [4,5]. As a result of studies conducted in different countries, urinary incontinence is seen between 25% and 45% in a population on average [1,6].…”

Section: Introductionmentioning

confidence: 99%

Wearable and Flexible Humidity Sensor Integrated to Disposable Diapers for Wetness Monitoring and Urinary Incontinence

et al. 2022

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Disposable diapers are widely used by individuals with urinary incontinence. Diapers should be checked frequently for elderly, disabled, and hospital patients. Wet diapers that are not changed properly can cause health problems. The importance of electronic devices that provide warning in case of wetness is increasing in health monitoring. A disposable and wearable printed humidity sensor was designed and fabricated to detect wetness. The sensor was printed on polyamide-based taffeta label fabric by the inkjet printing method using specifically formulated PEDOT:PSS-based conductive polymer ink. The sensor sensitivity was tested under different relative humidity levels inside a controlled chamber. The resistance of the sensor decreased from 17.05 ± 0.05 MΩ to 2.09 ± 0.06 MΩ as the relative humidity increased from 35 to 100%, while the moisture value of the fabric increased from 4.8 to 23%. The response and recovery times were 42 s and 82 s. This sensor was integrated into the adult diaper to evaluate wetness. The sensor resistance change comparing to the dry state resistance (15.52 MΩ) was determined as 3.81 MΩ to 13.62 MΩ by dripping 0.1 mL to 100 mL salty water on the diaper. Due to its flexible structure and low-cost printability onto fabric, the wearable printed humidity sensor has the potential to be used as a disposable sensor for healthcare applications, particularly for urinary incontinence and capturing wetness in diapers.

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Section: Introductionmentioning

confidence: 99%

Wearable and Flexible Humidity Sensor Integrated to Disposable Diapers for Wetness Monitoring and Urinary Incontinence

et al. 2022

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“…The use of incontinence tools was related to the severity of the complaints, but did not differ between age 60 and over. Patients with UI generally did not use a coping method (72%) and only 28% were using diapers/pads 24 …”

Section: Discussionmentioning

confidence: 99%

“…The findings of Karakaya's study 24 indicate the need to improve the knowledge and awareness of UI among nursing home residents. Educational programs developed for this purpose should focus on the causes, risk factors, coping methods, and treatment options of UI.…”

Section: Educationmentioning

confidence: 99%

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A drop of self‐confidence program about urinary incontinence

Szabó

Szabó²,

Vidor³

2021

Neurourology and Urodynamics

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The aim of our study was to find and map untreated incontinence patients through general practitioner (GP) practices.Methods: General practitioners and their assistants participated in the program (Group A). GPs of all the country were involved in a representative manner. The process of the program was preparing the education program, praxis involvement, participant education, a population screening, and by questionnaire by medical staff. In Group B urological outpatients clinics participated. Results: A total of 2761 GPs, 3015 nurses, and 110 specialists participated in the program between 2011 and 2019. The population participating in the program was 162,871, 86% women and 14% men. The age range was 18-96. 68% had urinary incontinence (UI), 76% of patients had stress, and 49% had urge incontinence. Incontinence is very high (98%) among bedridden patients. On average, 20% had very little information, 40% had little information, 33% had enough information about incontinence, and 7% thought they knew everything about it. 41% reported diabetes mellitus, 33% had frequent cough and sneezing, 31% obesity as a risk factor. 30% of incontinent patients did not go to the GP and 66% to the specialist. 34% of patients who were at GPs received no information, 34% of the patients received symptomatic, and 30% did not receive treatment from the GP. Conclusion:The incidence of UI is similar to that in other countries. Patient recognition care is similar, perhaps worse. The findings of this study clearly indicate that harmful physical and psychosocial effects of UI are significant and require attention of the healthcare system.

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“…The prevalence of UI in a community population ranges from 5% to 45% [1,[3][4][5] and steadily increases with age [5,6]. Furthermore, more than half of nursing home residents have incontinence [7][8][9], which is almost twice as high as the prevalence of community-dwelling individuals. Various treatments for UI, such as behavioral intervention, medication, and surgery, are limited in efficacy and may pose a challenge for frail geriatric patients.…”

Section: Introductionmentioning

confidence: 99%

A Smart Diaper System Using Bluetooth and Smartphones to Automatically Detect Urination and Volume of Voiding: Prospective Observational Pilot Study in an Acute Care Hospital

Cho¹,

Choi²,

Kim³

et al. 2021

J Med Internet Res

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Background Caregivers of patients who wear conventional diapers are required to check for voiding every hour because prolonged wearing of wet diapers causes health problems including diaper dermatitis and urinary tract infections. However, frequent checking is labor intensive and disturbs patients’ and caregivers’ sleep. Furthermore, assessing patients’ urine output with diapers in an acute care setting is difficult. Recently, a smart diaper system with wetness detection technology was developed to solve these issues. Objective We aimed to evaluate the applicability of the smart diaper system for urinary detection, its accuracy in measuring voiding volume, and its effect on incontinence-associated dermatitis (IAD) occurrence in an acute care hospital. Methods This prospective, observational, single-arm pilot study was conducted at a single tertiary hospital. We recruited 35 participants aged ≥50 years who were wearing diapers due to incontinence between August and November 2020. When the smart diaper becomes wet, the smart diaper system notifies the caregiver to change the diaper and measures voiding volume automatically. Caregivers were instructed to record the weight of wet diapers on frequency volume charts (FVCs). We determined the voiding detection rate of the smart diaper system and compared the urine volume as automatically calculated by the smart diaper system with the volume recorded on FVCs. Agreement between the two measurements was estimated using a Bland-Altman plot. We also checked for the occurrence or aggravation of IAD and bed sores. Results A total of 30 participants completed the protocol and 390 episodes of urination were recorded. There were 108 records (27.7%) on both the FVCs and the smart diaper system, 258 (66.2%) on the FVCs alone, 18 (4.6%) on the smart diaper system alone, and 6 (1.5%) on the FVCs with sensing device lost. The detection rate of the smart diaper system was 32.8% (126/384). When analyzing records concurrently listed in both the FVCs and the smart diaper system, linear regression showed a strong correlation between the two measurements (R2=0.88, P<.001). The Bland-Altman assessment showed good agreement between the two measurements, with a mean difference of –4.2 mL and 95% limits of agreement of –96.7 mL and 88.3 mL. New occurrence and aggravation of IAD and bed sores were not observed. Bed sores improved in one participant. Conclusions The smart diaper system showed acceptable accuracy for measuring urine volume and it could replace conventional FVCs in acute setting hospitals. Furthermore, the smart diaper system has the potential advantage of preventing IAD development and bed sore worsening. However, the detection rate of the smart diaper system was lower than expected. Detection rate polarization among participants was observed, and improvements in the user interface and convenience are needed for older individuals who are unfamiliar with the smart diaper system.

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Nursing Home Residents’ Level of Knowledge About Urinary Incontinence

Cited by 7 publications

References 24 publications

Wearable and Flexible Humidity Sensor Integrated to Disposable Diapers for Wetness Monitoring and Urinary Incontinence

Wearable and Flexible Humidity Sensor Integrated to Disposable Diapers for Wetness Monitoring and Urinary Incontinence

A drop of self‐confidence program about urinary incontinence

A Smart Diaper System Using Bluetooth and Smartphones to Automatically Detect Urination and Volume of Voiding: Prospective Observational Pilot Study in an Acute Care Hospital

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