一项比较成人失禁用品成本效益的模拟研究。
A simulation comparing the cost-effectiveness of adult incontinence products.
作者信息
Yamasato Kelly, Kaneshiro Bliss, Oyama Ian A
机构信息
Kelly Yamasato, MD, Clinical instructor, Department of Obstetrics, Gynecology, and Women's Health. University of Hawaii John A Burns School of Medicine, Honolulu. Bliss Kaneshiro, MD, MPH, Associate professor, Department of Obstetrics, Gynecology, and Women's Health. University of Hawaii John A Burns School of Medicine, Honolulu. Ian A. Oyama, MD, MBA, Department of Obstetrics, Gynecology, and Women's Health. University of Hawaii John A Burns School of Medicine, Honolulu.
出版信息
J Wound Ostomy Continence Nurs. 2014 Sep-Oct;41(5):467-72. doi: 10.1097/WON.0000000000000045.
PURPOSE
To compare leak point volumes and cost-effectiveness of a variety of adult incontinence products.
METHODS
Adult incontinence products were purchased from local retail stores and categorized into moderate absorbency pads, moderate absorbency briefs, maximum absorbency pads, and maximum absorbent briefs. The leak point for each product was determined by applying fluid to the pad until the first drop of leakage from the pad or brief occurred. Cost-effectiveness was calculated by dividing the cost per product by the amount of fluid absorbed prior to the leak point. The leak points and cost-effectiveness of incontinence products were compared within and between categories.
RESULTS
Significant differences in leak point volumes were present within all product categories except moderate absorbency pads. When comparing product categories, moderate absorbency pads were the least cost-effective, followed by maximum absorbency pads and absorbent briefs (P < .01).
CONCLUSIONS
As a group, absorbent briefs are more cost-effective than incontinence pads, although products of similar absorbency category and design demonstrated varying leak points and cost-effectiveness. These findings may influence physician assessment of urinary incontinence as well as patient selection of incontinence products.
目的
比较多种成人失禁用品的漏点容量和成本效益。
方法
从当地零售商店购买成人失禁用品，并将其分为中等吸收性护垫、中等吸收性内裤、最大吸收性护垫和最大吸收性内裤。通过向护垫施加液体，直至护垫或内裤出现第一滴渗漏，来确定每种产品的漏点。成本效益通过将每种产品的成本除以漏点前吸收的液体量来计算。比较了各类产品内部和不同类别之间失禁用品的漏点和成本效益。
结果
除中等吸收性护垫外，所有产品类别内的漏点容量均存在显著差异。比较产品类别时，中等吸收性护垫的成本效益最低，其次是最大吸收性护垫和吸收性内裤（P <.01）。
结论
总体而言，吸收性内裤比失禁护垫更具成本效益，尽管类似吸收性类别和设计的产品显示出不同的漏点和成本效益。这些发现可能会影响医生对尿失禁的评估以及患者对失禁用品的选择。
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