Development of urination care model for elderly people with dementia using a portable urodynamic data recorder

• Project/Area Number: 15K12609
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Rehabilitation science/Welfare engineering
• Research Institution: University of Shizuoka
• Principal Investigator: WATANABE Yoriko 静岡県立大学, 看護学部, 教授 (00175134)
• Co-Investigator(Kenkyū-buntansha): 武田 啓子 日本福祉大学, 健康科学部, 教授 (70548685)
• Research Collaborator: SUGA Kyoko ; KURAMOTO Naoki ; MIYAZAKI Sayaka
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: 排尿障害 / 認知症高齢者 / 尿動態測定 / 排尿ケア / 排泄ケア / 残尿測定 / 夜間頻尿 / 排尿ケアモデル

Outline of Final Research Achievements

In order to investigate the cause of the excretion disorder of elderly people with dementia, we observed the 24-hour urination situation using a portable urodynamic data recorder. As a result, elderly people with dementia had lower maximum bladder capacity than normal elderly people and had more frequent day and night voiding and voiding volume. As these factors, elderly people with dementia take diuretics and laxatives that affect excretion, and drugs and mental stabilizers that alleviate sleep disorders, because they are complicated by hyperemia, diabetes, and heart failure. It is thought that it was because It has been suggested that adverse events caused by many drugs are associated with excretion problems. In the future, it will be possible to propose appropriate urination care by strengthening the review of the side effects of oral medications prescribed for the elderly with dementia.

Academic Significance and Societal Importance of the Research Achievements

認知症高齢者に処方されている不必要な薬剤の副作用を見直すことにより、医療費の軽減だけでなく、多剤併用による有害事象の改善が適切な排泄ケアを促進し、排泄ケアの介護軽減につながる。

Research Products

• [Presentation] Change of Night-Day of the Urinary Volume Insaide the Bladder in the Elderly Women (2017)
  • Author(s): Yoriko Watanabe
  • Organizer: 28th International Nursing Research Congress(STTI)
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 2017-07-28
  • Int'l Joint Research
• [Presentation] Change of Night-Day of the Urinary Volume Inside the Bladder in the Elderly Women (2017)
  • Author(s): Yoriko Watanabe, Keiko Takeda, Kyoko Suga, Naoki Kuramoto
  • Organizer: 28th International Nursing Research Congress(STTI), Dublin, Ireland
  • Int'l Joint Research