Factors influencing dignity impairment in elderly patients with incontinence-associated dermatitis: A lasso and logistic regression approach.

objectiveTo understand the current status of dignity impairment in elderly patients with incontinence-associated dermatitis and to systematically analyze the factors influencing it.

methodsThis study employed a cross-sectional survey design. From July 15th to 31st, 2024, a convenience sampling method was used to select elderly patients with incontinence-associated dermatitis (IAD) from 42 tertiary comprehensive medical institutions across 11 provinces and autonomous regions, including Sichuan, Zhejiang, and Guangdong. A general information questionnaire and a dignity assessment scale were used to gather data on participants' demographic characteristics, clinical conditions, and dignity impairment symptoms.

resultsA total of 372 patients were effectively surveyed, of whom 131 exhibited symptoms of dignity impairment, resulting in an incidence rate of 35%. Multifactorial analysis revealed that Employment Status [OR = 4.183, 95% CI (2.233-7.837)], Primary Caregiver [OR = 1.451, 95% CI (1.005-2.095)], Respiratory System Disease [OR = 5.053, 95% CI (2.079-12.279)], and Nervous System Disease [OR = 2.452, 95% CI (1.206-4.985)] were risk factors for dignity impairment symptoms in elderly patients with incontinence-associated dermatitis. Conversely, Gender [OR = 0.488, 95% CI (0.295-0.807)] and Self-Reported Family Harmony [OR = 0.703, 95% CI (0.550-0.898)] were identified as protective factors against dignity impairment symptoms in this patient population.

conclusionAlthough the incidence of dignity impairment symptoms in elderly patients with incontinence-associated dermatitis is relatively low, the psychological trauma it causes cannot be overlooked. Healthcare professionals must actively establish and enhance prevention and management systems for this condition.