The purposes of this study were to develop a program for the institutionalized elderly to manage the hydration and then test its effect in terms of signs or symptoms of physical and physiological in elderly people. Using non-equivalent control group pre & post time-series design, each of 35 and 29el...
The purposes of this study were to develop a program for the institutionalized elderly to manage the hydration and then test its effect in terms of signs or symptoms of physical and physiological in elderly people. Using non-equivalent control group pre & post time-series design, each of 35 and 29elderly participants were recruited from 3 nursing homes located in D city and assigned to control and experimental group respectively. The program for hydration management was developed by based on the ADDIE model (analysis, design, development, implementation, and evaluation) and with input from experts and through the extensive literature review. Data were collected from May 16th to July 24th of 2010, thus, a total of 10 weeks. Outcome variables related to urine properties were PH, specific gravity, osmolality, color, WBC, presence of bacteriuria, and odor and physiological characteristics such as orthostatic systolic and diastolic blood pressure drop, urinary tract infection rate, body weight change, skin moisture, the prevalence of constipation were measured by every two week for 10 weeks of the study period.The data were analyzed with SPSS program using t-test, chi-square test, repeated measure of ANOVA, and GEE (Generalized Estimating Equations). Pre-test result revealed that the elderly participants only drank around 50% of their expected daily water intake both experimental and control group. The testing results of hypothesis of the study were as follows. Hypothesis 1: There was significant difference in the water intake amount between experimental and control group. Hydration management program significantly improved the water intake amount and made elderly could reach 90-100% of expected daily water intake amountin the experimental group. However, control group only reached 40-50% of expected daily water intake amount during the intervention period. Hypothesis 2: elderly who received hydration management program showed significantly better outcomes in the urinalysis results in terms of PH, specific gravity, osmorality, color, WBC, and bacteriuria than elderly in control group. Hypothesis 3: elderly who received hydration management program showed significantly better outcomes in the incidence of urinary tract infection, degree of orthostatic blood pressure drop, body weight reduction, skin moisture, and discomfort level by constipation than elderly in control group. Considering above results, monitoring of hydration level of elderly on daily basis is necessary and hydration management program should be initiated for every possible institutionalized elderly to decrease the number of complications caused by lack of water intake and to enhance the physiological and physical health status of elderly. Also hydration management program will be one of the most effective nursing strategies which can ultimately enhance the quality of life in institutionalized elderly as well as health condition.
The purposes of this study were to develop a program for the institutionalized elderly to manage the hydration and then test its effect in terms of signs or symptoms of physical and physiological in elderly people. Using non-equivalent control group pre & post time-series design, each of 35 and 29elderly participants were recruited from 3 nursing homes located in D city and assigned to control and experimental group respectively. The program for hydration management was developed by based on the ADDIE model (analysis, design, development, implementation, and evaluation) and with input from experts and through the extensive literature review. Data were collected from May 16th to July 24th of 2010, thus, a total of 10 weeks. Outcome variables related to urine properties were PH, specific gravity, osmolality, color, WBC, presence of bacteriuria, and odor and physiological characteristics such as orthostatic systolic and diastolic blood pressure drop, urinary tract infection rate, body weight change, skin moisture, the prevalence of constipation were measured by every two week for 10 weeks of the study period.The data were analyzed with SPSS program using t-test, chi-square test, repeated measure of ANOVA, and GEE (Generalized Estimating Equations). Pre-test result revealed that the elderly participants only drank around 50% of their expected daily water intake both experimental and control group. The testing results of hypothesis of the study were as follows. Hypothesis 1: There was significant difference in the water intake amount between experimental and control group. Hydration management program significantly improved the water intake amount and made elderly could reach 90-100% of expected daily water intake amountin the experimental group. However, control group only reached 40-50% of expected daily water intake amount during the intervention period. Hypothesis 2: elderly who received hydration management program showed significantly better outcomes in the urinalysis results in terms of PH, specific gravity, osmorality, color, WBC, and bacteriuria than elderly in control group. Hypothesis 3: elderly who received hydration management program showed significantly better outcomes in the incidence of urinary tract infection, degree of orthostatic blood pressure drop, body weight reduction, skin moisture, and discomfort level by constipation than elderly in control group. Considering above results, monitoring of hydration level of elderly on daily basis is necessary and hydration management program should be initiated for every possible institutionalized elderly to decrease the number of complications caused by lack of water intake and to enhance the physiological and physical health status of elderly. Also hydration management program will be one of the most effective nursing strategies which can ultimately enhance the quality of life in institutionalized elderly as well as health condition.
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