Status and influencing factors of impaired dignity in elderly incontinence-related dermatitis patients
10.3760/cma.j.cn211501-20240531-01402
- VernacularTitle:老年失禁相关性皮炎患者尊严受损现况及影响因素分析
- Author:
Weifang ZHANG
1
;
Jinlei DU
;
Yulian WU
;
Gutao PENG
;
Qun YE
;
Yuanxia WANG
Author Information
1. 宁波市第二医院护理部,宁波 315000
- Publication Type:Journal Article
- Keywords:
Aged;
Incontinence related dermatitis;
Dignity;
Influencing factor
- From:
Chinese Journal of Practical Nursing
2025;41(11):808-815
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of dignity impairment in elderly incontinence-related dermatitis patients, and to systematically analyze the influencing factors in order to provide reference opinions for the formulation of medical strategies by clinical medical staff.Methods:Using the cross-sectional survey method, from April 15 to April 30, 2024, aged incontinence-related dermatitis patients were selected from 37 tertiary comprehensive hospitals in 10 provinces and municipalities, including Zhejiang Province, Sichuan Province, Guangdong Province, etc. by convenient sampling method. The general data questionnaire and Patient Dignity Inventory were used to investigate their current situation.Results:A total of 315 questionnaires were collected, 307 were valid, and the effective rate was 97.5%. Among 307 cases, 146 cases were males, 161 cases were females, aged (71.46 ± 9.35) years old. The incidence of impaired dignity in elderly patients with incontinence-related dermatitis was 49.5%(152/307). The average score of Patient Dignity Inventory was (45.50 ± 20.17). The results of multivariate regression analysis showed that farming ( OR = 2.405, 95% CI 1.108-5.217), individual industrial and commercial households ( OR = 5.680, 95% CI 2.504-12.888), the primary disease were respiratory diseases ( OR = 2.716, 95% CI 1.018-7.246) and nervous system diseases ( OR = 6.117, 95% CI 2.572-14.551) were risk factors for impaired dignity in elderly incontinence-related dermatitis (both P<0.05). Not living alone ( OR = 0.381, 95% CI 0.184-0.790) and self-rated family relationship harmony ( OR = 0.630, 95% CI 0.449-0.882) were protective factors for dignity impairment in elderly incontinence-related dermatitis patients (both P<0.05). Conclusions:There are many factors that affect the dignity of patients with incontinence-related dermatitis in the elderly, and medical staff should comprehensively consider a variety of factors and establish and improve a prevention and management mechanism suitable for the dignity of patients with incontinency-related dermatitis in the elderly.