THE EFFECT OF HYDRATION MANAGEMENT PROGRAM CARRIED OUT AT NURSING HOME ON THE FLUID CONSUMPTION OF ELDERLY PEOPLE
Project no. 677 · Status: Kapanmış · 2017
Summary
Dehydration is the most common fluid electrolyte imbalance in the elderly. The aim of this study is to test the effect of hydration management program on the fluid consumption and dehydration parameters of elderly people. It is pre-test-posttest, with a control group, quasi-experimental study. The sample of the study consisted of 42 elderly in the intervention group, 37 elderly in the control group in live different two nursing home elderly. Dependent variables of the study: the knowledge and awareness of the elderly on fluid consumption, daily fluid consumption, dehydration risk scores, urine specific gravity and urine color. The independent variable of the study: hydration management program. The mean age of the patients was 75.27 ± 7.5. After the interventions the knowledge and awareness of the intervention group regarding fluid consumption increased (p = 0.001) and there was no change in the control group. There was a significant difference between urine specific gravity value (Z = -2.591, p = 0.01), urine color scale score (Z = -4.164, p = 0.0001) and three-day water consumption averages (t = 4.323; p = 0.0001) in the intervention group between first and the last follow-up. The urine specific gravity and urine color values did not differ between the intervention and control groups, while the dehydration risk score of the experimental group was higly significantly lower than the control group (MWU = 378.00; p = 0.0001). As a result; the hydration management program applied to elderly individuals provided a significant improvement in the dehydration risk score and increased the knowledge and awareness of the elderly about the importance of fluid intake. It is recommended that the hydration management program be tested in randomized controlled trials and generalized in nursing homes and clinical settings that provide services to elderly individuals. Keywords: Elderly, dehydration, hydration, fluid intake