2004 Volume 8 Issue 2 Pages 19-28
Aims: The aims of this study were to clarify condition of urinary incontinence of elderly people with dementia, to discuss urinary incontinence management based on evidences corrected by diagnosis machine.
Methods: Condition of urination was evaluated using a diaper perception sensor, and Bladder Scan. HDS-R was used for the cognitive function and DBD was used for the action psychological symptoms(BPSD) of dementia. Creational analysis was carried out between urinary incontinence and the physical function dementia, and the relationship was evaluated according to the urinary incontinence guideline of AHRQ(1996).
Result: 1) The subject were 36 people, who had serious level of dementia and several action obstacles.2) 86.1% of subject had “functional urinary incontinence”,and frequent urination and polyuria were presented at night.3) The result showed strong relationship between “the rate of urinary incontinence” and “the degree of independence for elderly people with dysfunctions”(β=.585), “the degree of independence for elderly people with dementia”(β=.298).
Conclusion: 1) “The degree of plods independence for elderly people with dysfunctions”and “the degree of independence for elderly people with dementia”are an excellent index for planning urinary continence management.
2) “Time scheduled toileting”was suitable for dementia elderly people, since it is desirable in utilizing for an individual care plan.
