Factors influencing dignity impairment in elderly patients with incontinence-associated dermatitis: A lasso and logistic regression approach.

<h4>Objective</h4>To understand the current status of dignity impairment in elderly patients with incontinence-associated dermatitis and to systematically analyze the factors influencing it.<h4>Methods</h4>This study employed a cross-sectional survey design. From July 15th to...

Full description

Saved in:
Bibliographic Details
Main Authors: Jinlei Du, Xiaoling Wu, Ling Lei, Hongxiang Zhao, Qiyu Zhang, Yuanxia Wang, Yao Chen, Chencong Nie, Jiquan Zhang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0320319
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:<h4>Objective</h4>To understand the current status of dignity impairment in elderly patients with incontinence-associated dermatitis and to systematically analyze the factors influencing it.<h4>Methods</h4>This study employed a cross-sectional survey design. From July 15th to 31st, 2024, a convenience sampling method was used to select elderly patients with incontinence-associated dermatitis (IAD) from 42 tertiary comprehensive medical institutions across 11 provinces and autonomous regions, including Sichuan, Zhejiang, and Guangdong. A general information questionnaire and a dignity assessment scale were used to gather data on participants' demographic characteristics, clinical conditions, and dignity impairment symptoms.<h4>Results</h4>A total of 372 patients were effectively surveyed, of whom 131 exhibited symptoms of dignity impairment, resulting in an incidence rate of 35%. Multifactorial analysis revealed that Employment Status [OR = 4.183, 95% CI (2.233-7.837)], Primary Caregiver [OR = 1.451, 95% CI (1.005-2.095)], Respiratory System Disease [OR = 5.053, 95% CI (2.079-12.279)], and Nervous System Disease [OR = 2.452, 95% CI (1.206-4.985)] were risk factors for dignity impairment symptoms in elderly patients with incontinence-associated dermatitis. Conversely, Gender [OR = 0.488, 95% CI (0.295-0.807)] and Self-Reported Family Harmony [OR = 0.703, 95% CI (0.550-0.898)] were identified as protective factors against dignity impairment symptoms in this patient population.<h4>Conclusion</h4>Although the incidence of dignity impairment symptoms in elderly patients with incontinence-associated dermatitis is relatively low, the psychological trauma it causes cannot be overlooked. Healthcare professionals must actively establish and enhance prevention and management systems for this condition.
ISSN:1932-6203