Predicting success using individualized scheduled toileting for memory-impaired elders at home.
The purpose of this research was to evaluate the effectiveness of an individualized scheduled toileting (IST) program on incontinent, memory-impaired elders being cared for at home. Using a 2 x 2 mixed design analysis of variance (group by time), 118 patients were randomly assigned to experimental or control groups. Caregivers in the experimental group were taught the IST procedure. Urinary incontinence (UI) was measured at baseline and at 6 months. Weeklong voiding records were kept by caregivers and were used to calculate the percentage of times the incontinence occurred. UI significantly decreased in the experimental group, whereas in the control group it did not. The baseline cognitive ability, mobility, and consistency of implementing IST were entered into a discriminant function equation and significantly predicted patients who would improve with IST. Cognitive ability was the best predictor, with mobility also emerging as a meaningful predictor. Candidates for IST should be selected based on elders' cognitive ability and their ability to cooperate with toileting. Moderately cognitively impaired elders and ones able to cooperate with toileting protocols are prime candidates for IST.
Wayne State University, College of Nursing, 5557 Cass Avenue, Detroit, MI 48202, USA.
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Jirovec
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Templin
D000203:Activities of Daily Living; D000368:Aged; D000704:Analysis of Variance; D017028:Caregivers / Q000193:education; D016002:Discriminant Analysis; D005190:Family; D005260:Female; D015577:Geriatric Assessment; D006699:Home Care Services; D006701:Home Nursing / Q000193:education; D006801:Humans; D008297:Male; D008569:Memory Disorders / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods*; D015403:Nursing Evaluation Research; D009737:Nursing Records; D010347:Patient Care Planning / Q000458:organization & administration*; D010349:Patient Compliance / Q000523:psychology; D018579:Patient Selection; D011237:Predictive Value of Tests; D012307:Risk Factors; D014039:Toilet Training; D014549:Urinary Incontinence / Q000145:classification / Q000209:etiology* / Q000451:nursing* / Q000503:physiopathology / Q000523:psychology