The use of incontinence devices and urinary/ faecal diversion management devices in hospitalised patients as a possible cause of unwanted immobilization

Czech version

Authors: A. Pokorná ^1,2; V. Štrombachová ²; P. Búřilová ^1,2; M. Pospíšil ^1,2; J. Mužík ^1,2; J. Kučerová ²; D. Dolanová ^1,2
Authors‘ workplace: Ústav zdravotnických věd, LF MU, Brno ¹; Oddělení hodnocení kvality, Ústav, zdravotnických informací a statistiky, Praha ²
Published in: Cesk Slov Neurol N 2022; 85(Supplementum 1): 28-33
doi: https://doi.org/10.48095/cccsnn2022S28

Overview

Backgrounds: The study aims to identify potential adverse patient immobilizations related to inappropriate use of incontinence devices and urinary/faecal diversion devices in the clinical practice of inpatient health care providers (HCPs) in the Czech Republic. Methods: Cross-sectional prevalence study. The data were collected from 14 inpatient HCPs in the Czech Republic (38 wards were involved: seven internal medicine, 15 rehabilitation, two geriatric, and 14 long-term care wards). Results: The data from a total of 1,133 hospitalized patients were analyzed (of which 594; 52.5%) were provided with urinary derivation aids and equipment). Incontinence diaper was the most commonly used in patients in all study wards (N = 251; 22.2%); permanent urinary catheter (PUC) was recorded in 196 (17.3%) patients and incontinence diaper + PUC in 144 (12.7%) patients. According to ICD-10, Diseases of the circulatory system (I00–I99) (N = 132; 22.3%) were the most common principal diagnoses. Most patients monitored for urinary/stool continence using a urinary catheter and/or incontinence diapers were hospitalized in long-term care facilities (N = 331; 55.8%). Diuretics were the most common group of drugs with the potential to affect patient mobility (N = 221; 37.3%). Conclusion: the study results did not support the potential immobilization of patients through inappropriate use of incontinence and urinary management device but identified the documentation errors when using restrictive measures.

Keywords:

immobility – adverse patient immobilizations – incontinence aids – urinary/faecal management

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