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EFFECTIVENESS OF DIAPERS AMONG PEOPLE WITH CHRONIC INCONTINENCE IN THAILAND

Published online by Cambridge University Press:  22 July 2015

Yot Teerawattananon ,
Thunyarat Anothaisintawee ,
Sripen Tantivess ,
Ubonwan Wattanadilokkul ,
Pranorn Krajaisri ,
Sudarat Yotphumee ,
Jaraspas Wongviseskarn ,
Utsana Tonmukayakul  and
Roongnapa Khampang
Yot Teerawattananon
Affiliation:
Health Intervention and Technology Assessment Program, Ministry of Public Health
Thunyarat Anothaisintawee
Affiliation:
Department of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol Universitythunyarat.ano@mahidol.ac.th
Sripen Tantivess
Affiliation:
Health Intervention and Technology Assessment Program, Ministry of Public Health
Ubonwan Wattanadilokkul
Affiliation:
Sirindhorn National Medical Rehabilitation Center, Department of medical Services, Ministry of Public Health
Pranorn Krajaisri
Affiliation:
Sirindhorn National Medical Rehabilitation Center, Department of medical Services, Ministry of Public Health
Sudarat Yotphumee
Affiliation:
Sirindhorn National Medical Rehabilitation Center, Department of medical Services, Ministry of Public Health
Jaraspas Wongviseskarn
Affiliation:
Department of Physical Medicine and Rehabilitation, Phramongkutklao College of Medicine
Utsana Tonmukayakul
Affiliation:
Health Intervention and Technology Assessment Program, Ministry of Public Health
Roongnapa Khampang
Affiliation:
Health Intervention and Technology Assessment Program, Ministry of Public Health
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Abstract

Objectives: The aim of this study was to assess effect of adult diapers on health-related quality of life (HRQOL) and the independent level of performing activities of daily living (ADLs) in people with urinary or fecal incontinence. Psychological consequences of patients’ caregivers were also measured.

Methods: This quasi-experimental study was conducted at two rehabilitation centers in Thailand. People aged 15 years or greater with chronic urinary or fecal incontinence were eligible. Study participants received adult diapers for 10 weeks after recruitment. Thai EuroQol Five Dimensions (EQ-5D) and the Barthel Index were measured at baseline and weeks 2, 6, and 10 to evaluate HRQOL and the independent level of performing ADLs, respectively. The Braden Scale was used to assess the risk of having pressure ulcers. Mean differences in the Thai EQ-5D, the Barthel Index, and the Braden Scale, before and after receiving adult diapers, were estimated using a multilevel linear regression model.

Results: There were ninety patients and forty-eight caregivers who took part in this study. HRQOL and independent level of performing ADLs had improved significantly by week 10 after receiving adult diapers with mean differences of 0.102 (95% confidence interval [CI], 0.046–0.158) and 4.40 (95% CI, 1.74–7.07), respectively. The risk of having pressure ulcers had significantly decreased by 67 percent (95% CI, 16 percent–78 percent) by week 10 after receiving adult diapers.

Conclusions: The results indicate a significant improvement of HRQOL and the independent level of performing ADLs among incontinent patients after receiving adult diapers. These results were used to inform the development of the health benefits package under the Universal Health Coverage Scheme in Thailand.

Keywords

Urinary incontinenceFecal incontinenceDiaperQuality of life
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 31 , Issue 4 , 2015 , pp. 249 - 255
Copyright
Copyright © Cambridge University Press 2015 

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