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. 2021 Mar 26;6(2):34.
doi: 10.3390/geriatrics6020034.

Continence Status and Presence of Pressure Skin Injury among Special Elderly Nursing Home Residents in Japan: A Nationwide Cross-Sectional Survey

Motofumi Suzuki  1 , Megumi Kodaira  2 , Keiko Suyama  3 , Taro Murata  4 , Haruki Kume  5
Affiliations

Continence Status and Presence of Pressure Skin Injury among Special Elderly Nursing Home Residents in Japan: A Nationwide Cross-Sectional Survey

Motofumi Suzuki et al. Geriatrics (Basel). .

Abstract

Urinary and fecal incontinence as well as skin pressure injury are common healthcare problems in nursing homes; however, the prevalence and related risk factors were not well understood in the Japanese special elderly nursing home settings. We surveyed the prevalence of urinary, fecal and double incontinence, and skin pressure injury among the elderly living in special elderly nursing homes in Japan. A nationwide cross-sectional epidemiological survey was conducted with a total of 4881 residents. The prevalence of urinary, fecal and double incontinence was 82.9%, 68.9% and 64.9%, respectively. Skin pressure injury was found in 283 residents (283/4881, 5.8%). Age, Care-Needs level, loss of voiding desire, and fecal incontinence were significant risk factors for urinary incontinence. Residential period, Care-Needs level, loss of voiding and defecation desires, and urinary incontinence were significant risk factors for fecal incontinence. Only male sex was a significant risk factor for skin pressure injury. Our study revealed continence status and the prevalence of pressure skin injury among older adult residents who receive end-of-life care in special elderly nursing homes in Japan. Further studies should be conducted to examine whether recovery of urinary and fecal sensations improves continence status.

Keywords: double incontinence; fecal incontinence; pressure skin injury; special elderly nursing home; urinary incontinence.

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Conflict of interest statement

The authors declare no conflict of interest.

Comment in

  • Geriatrics.
    Griebling TL. Griebling TL. J Urol. 2021 Dec;206(6):1493-1496. doi: 10.1097/JU.0000000000002217. Epub 2021 Sep 8. J Urol. 2021. PMID: 34494455 No abstract available.

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