Reducing Use of Less Disposable Diapers to Improve Quality of Life for the Elderly

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  • 高齢者のQOLと紙おむつの使用抑制

Abstract

In our super-aged society, the number of elderly people with lower urinary tract symptoms who require nursing care is increasing, and the demand for disposable diapers is high. Disposable diapers are used not only for urinary incontinence but for various other lower urinary tract symptoms. Although diapers have excellent absorbency, they are extremely likely to cause discomfort and damage to one’s self-esteem when worn, being a detriment to the daily quality of life of the person wearing it. While efforts to stop the use of diapers have been reported, they have not been very far reaching. In this study, hospitalized elderly patients with cranial nerve disease were first assessed to monitor whether they could stop using diapers. Subsequently, comprehensive urinary care was conducted, including toilet guidance, replacing disposable diapers with underwear and liners, rehabilitation, and defecation control. As a result, all of the targeted elderly patients were able to stop wearing disposable diapers. It was found that making the decision to stop using diapers during the period of hospitalization while implementing urinary care in a multidisciplinary and collaborative manner did help to prevent patients from needing to wear diapers after discharge from the hospital. This directly reduces the number of diapers being used.

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