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Investigation on the Reality of Nursing Intervention Behaviors to Elderly Patients Requiring Care at Home with Elimination Disorders and Possibility of Transitioning to Spontaneous Elimination Yumi TANAKA 1 , Yoriko WATANABE 1 , Emiko SHINOZAKI 1 1School of Nursing, Seirei Christopher University Keyword: 排泄障害 , 在宅要介護高齢者 , 自然排泄 , 訪問看護師 , 看護介入行動 , elimination disorder , elderly patient requiring care at home , spontaneous elimination , visiting nurse , nursing intervention behavior pp.29-39
Published Date 2014/12/31
DOI https://doi.org/10.11477/mf.7009200096
  • Abstract
  • Reference

Abstract

 Purpose: The aim of this study was to investigate the elimination situation of elderly patients who require care at home with elimination disorders, the reality of nursing intervention behaviors and the possibility of a transition to spontaneous elimination.

 Methods: The subjects were elderly patient requiring care at home who was selected to the visiting nurse. The visiting nurses respond to a self-administered questionnaire that analyzed 191 items.

 Results: The elderly with elimination disorders included 70.7% with no desire to urinate, 59.7% with no desire to defecate, 73.3% with urinary incontinence and constipation, 34.6% with fecal incontinence, 80.6% using diapers and disimpaction was applied for 71.2%. The caregivers were the spouse in 45.5% of cases. Spouses felt more difficulty in performing various types of intervention for such patients related to urination and defecation than did children. Of the nursing interventions related to urination, perineal care was carried out most often, in 93.7% of cases. Defecation was monitor the bowel sounds in 94.2% of cases. The visiting nurse determined that there was a possibility of a transition to spontaneous defecation for 59.7% of cases, spontaneous urination for 29.4% and both urination and defecation for 26.7%. The elderly patients who were determined by visiting nurses possible to spontaneously eliminate demonstrated the following characteristics: they recognized the need to urinate and defecate, they had a high degree of independent living, they were able to use a toilet.

 Conclusion: Our findings suggest that approximately 30% of elderly patients requiring care at home with elimination disorders can achieve spontaneous elimination if they recognize the desire to urinate and defecate, have a high degree of independent living and can use a toilet. In addition, possibility of transitioning to spontaneous defecations is higher than the possibility of transitioning to spontaneous urination.


Copyright © 2014, Japan Society of Nursing and Health Care All rights reserved.

基本情報

電子版ISSN 印刷版ISSN 1345-2606 日本看護医療学会

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