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KMID : 1138720170430010001
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Korean Public Health Research
2017 Volume.43 No. 1 p.1 ~ p.11
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Dehydration and its related factors among older adults admitted in a long-term care hospital
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Kim Sook-Nyeo
Kim Chun-Gill
Hwang Ju-Hee
Jung Duk-Yoo
Shin Dong-Soo
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Abstract
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Objective: This study aimed to identify older patients’ dehydration status by urine specific gravity (USG) which was a non-invasive test. Factors related to dehydration were also identified.
Methods: Participants were 306 older patients aged 65 and over who had been admitted in a LTC hospital between January 1st and December 31st in 2014. Upon the IRB approval, data in medical records were gathered retrospectively. Study variables were gender, age, place before admission, insurance type (demographic characteristics), diagnosis at admission, number of diseases, diuretics, laxatives, number of all medication, K-MMSE and K-ADL (health-related characteristics), and USG. Dehydration status were divided into normal (< 1.020), impending dehydration (1.020? USG <1.029), and dehydration (?1.029).
Results: About 28.4% of the participants were either in impending dehydration or in dehydration. The odds of dehydration among those without a fracture were three times higher than those of their counterparts with a fracture, while those who didn’t take diuretics were 2.9 times likely to be dehydrated than their counterparts on diuretics.
Conclusion: The results of this study implied that older patients without intensive care needs would be at risks of dehydration. Hydration management needs to be included as a routine intervention both LTC hospitals and community health care settings. A muiti-site follow-up study would be beneficial.
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KEYWORD
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Older adults, Long-term care hospital, Dehydration
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