Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals

요양병원의 서비스 질 평가를 위한 요실금 결과 지표 개발

  • Yoon, Ju-Young (School of Nursing, University of Wisconsin-Madison) ;
  • Lee, Ji-Yun (Department of Nursing, Hoseo University)
  • 윤주영 (위스콘신대학교 간호대학.건강보험심사평가원 심사평가정책연구소) ;
  • 이지윤 (호서대학교 간호학과)
  • Published : 2010.02.28
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Abstract

Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

Keywords

References

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