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Article ; Online: Diaper-zero program (prompted voiding care) improves diaper use in nursing home residents.

Kohno, Kazuyo / Umemoto, Nobuhiko / Tsutsumi, Rie / Kawakami, Ayuka / Sakaue, Hiroshi / Tamura, Kyousuke / Morishita, Teruhiro / Taketani, Yutaka / Uyama, Kimihito / Takeda, Eiji

The journal of medical investigation : JMI

2023  Volume 70, Issue 1.2, Page(s) 221–225

Abstract: With an aging population, the number of older adults admitted to nursing homes has increased. Diapers are often used to manage nursing home resident urinary incontinence, yet only one-third of these required assistance from caregivers to urinate. ... ...

Abstract With an aging population, the number of older adults admitted to nursing homes has increased. Diapers are often used to manage nursing home resident urinary incontinence, yet only one-third of these required assistance from caregivers to urinate. Unnecessary diaper use was reported in 23.9% of peop1e, mostly for precautionary purposes. In this study, the Diaper-zero program caregivers asked residents regularly (every 2-3 h) whether they required voiding and prompted them to void. Over 11 months, the effects on 38 nursing home residents' diaper use, nursing care level, physical activity, daily energy, and water intake were measured. A higher rate of diaper wearing was initially observed with lower daily energy and water intakes at the beginning of the Diaper-zero program, but this association was not observed after 11 months of the program. The diaper usage rate decreased significantly from 71.1% to 47.4% after 11 months. During this period, for all subjects, nursing care level, physical activity, and total daily intakes of energy and water were unchanged. In conclusion, this program enhances the desire to void, minimizing diaper usage, thus protecting the human dignity of nursing home residents. J. Med. Invest. 70 : 221-225, February, 2023.
MeSH term(s) Humans ; Aged ; Nursing Homes ; Urinary Incontinence
Language English
Publishing date 2023-05-11
Publishing country Japan
Document type Journal Article
ZDB-ID 1435233-3
ISSN 1349-6867 ; 1343-1420
ISSN (online) 1349-6867
ISSN 1343-1420
DOI 10.2152/jmi.70.221
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