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http://dx.doi.org/10.5953/JMJH.2019.26.2.90

Older Adults' Experiences of Living with and Using Diapers for Urinary Incontinence in Long-term Care Facilities  

Lim, Kyung-Choon (College of Nursing, Sungshin University)
Kim, Myoungsuk (College of Nursing, Kangwon National University)
Publication Information
Journal of muscle and joint health / v.26, no.2, 2019 , pp. 90-101 More about this Journal
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
Urinary incontinence; Aged; Diapers; Adult; Long-term care;
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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   DOI
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   DOI
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   DOI
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.   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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.   DOI
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.   DOI
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   DOI
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   DOI
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   DOI
26 Sandelowski, M. (2000). Whatever happened to qualitative description?. Research in Nursing & Health, 23(4), 334-340. https://doi.org/10.1002/nur.20362.   DOI
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   DOI