Abstract：Objective To investigate the nursing efficacy of men's adult diapers in patients with urinary incontinence following stroke. Methods We retrospectively analyzed 97 male patients with stroke admitted to Neurovascular Surgery Department of General Hospital of Armed Police Forces between July 2013 and December 2014. The patients were divided into treatment group (48 cases) and control group (49 cases), in whom urinary incontinence was managed with men’s adult diapers and traditional care devices, respectively. We discussed the pros and cons of different urine collection devices by comparing urinary tract infections bed sores, genital skin swelling and ulceration and life quality of patients. Results There was statistically significant difference between the two groups in terms of urine leukocyte count (71.4% for control group and 33.3% for treatment group, respectively, P<0.05). We also compared the urine culture positive rate. The difference was not significant prior to treatment, but 7,14, and 21 days after the treatment, urine culture positive rates were 16.3%, 24.5%, 34.7% for control group, and 6.3%, 14.6%, 18.8% for treatment group, respectively (P<0.05). Besides, adverse events of urine leakage, bed sores, genital swelling and ulceration were observed 7, 14 and 21 days after treatment. The difference was not significant 7 days after treatment; in control group, the occurrence rates after 14, 21 days were 24.1%, 32.6% (urine leakage), 10.2%, 16.3% (bed sores), 14.6%,24.5% (penis swelling), and 2.1%, 6.3% (genital skin ulceration). All the differences were statistically significant. 14 days after treatment, we conducted a questionnaire (Incontinence quality of life, I-QOL) to the patients, and found statistically significant differences. Conclusions New type of men’s adult diapers help reduce the incidence of urinary tract infections, bed sores, penile swelling, ulceration, and some other complications, as well as improve life quality of patients. It is worthy of clinical popularization
Thomas L H, French B, Burton C R, et al. Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase[J]. Int J Nurs Stud,2014,51(10):1308-1320.
[2]
Thomas L H, French B, Burton C R, et al. Evaluating a systematic voiding programme for patients with urinary incontinence after stroke in secondary care using soft systems analysis and Normalisation Process Theory: findings from the ICONS case study phase[J]. Int J Nurs Stud,2014,51(10):1308-1320.
[3]
杨期东.神经病学[M].北京:人民卫生出版社,2002:104-107.
[3]
杨期东.神经病学[M].北京:人民卫生出版社,2002:104-107.
[4]
孙乐栋,周再高.生活质量问题研究[J].医学与哲学,2001,22(6):56-57.
[4]
孙乐栋,周再高.生活质量问题研究[J].医学与哲学,2001,22(6):56-57.
[5]
Marciniak C, O’Shea S A, Lee J, et al. Urinary incontinence in adults with cerebral palsy: prevalence, type, and effects on participation[J]. PM R,2014,6(2):110-120.
[5]
Marciniak C, O’Shea S A, Lee J, et al. Urinary incontinence in adults with cerebral palsy: prevalence, type, and effects on participation[J]. PM R,2014,6(2):110-120.
[6]
Booth J, Kumlien S, Zang Y, et al. Rehabilitation nurses practices in relation to urinary incontinence following stroke: a cross-cultural comparison[J].JClin Nurs,2009,18(7):1049-1058.
[6]
Booth J, Kumlien S, Zang Y, et al. Rehabilitation nurses practices in relation to urinary incontinence following stroke: a cross-cultural comparison[J].JClin Nurs,2009,18(7):1049-1058.
2015, Vol. 26 
