{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:35:04Z","timestamp":1789079704263,"version":"build-2803163510"},"reference-count":29,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Key Science and Technology Program of Zigong Science and Technology Bureau","award":["2022ZCYGY30"],"award-info":[{"award-number":["2022ZCYGY30"]}]},{"DOI":"10.13039\/501100017592","name":"Key Science and Technology Program of Shaanxi Province","doi-asserted-by":"publisher","award":["2023-YGY-3-02"],"award-info":[{"award-number":["2023-YGY-3-02"]}],"id":[{"id":"10.13039\/501100017592","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Sichuan Vocational College Project Topic","award":["CWKY-2024Y-08"],"award-info":[{"award-number":["CWKY-2024Y-08"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To understand the current status of dignity impairment in elderly patients with incontinence-associated dermatitis and to systematically analyze the factors influencing it.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This 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\u2019 demographic characteristics, clinical conditions, and dignity impairment symptoms.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A 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 [<jats:italic>OR<\/jats:italic>\u2009=\u20094.183, 95% CI (2.233-7.837)], Primary Caregiver [<jats:italic>OR<\/jats:italic>\u2009=\u20091.451, 95% CI (1.005-2.095)], Respiratory System Disease [<jats:italic>OR<\/jats:italic>\u2009=\u20095.053, 95% CI (2.079-12.279)], and Nervous System Disease [<jats:italic>OR<\/jats:italic>\u2009=\u20092.452, 95% CI (1.206-4.985)] were risk factors for dignity impairment symptoms in elderly patients with incontinence-associated dermatitis. Conversely, Gender [<jats:italic>OR<\/jats:italic>\u2009=\u20090.488, 95% CI (0.295-0.807)] and Self-Reported Family Harmony [<jats:italic>OR<\/jats:italic>\u2009=\u20090.703, 95% CI (0.550-0.898)] were identified as protective factors against dignity impairment symptoms in this patient population.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Although 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.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0320319","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T17:24:54Z","timestamp":1744305894000},"page":"e0320319","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Factors influencing dignity impairment in elderly patients with incontinence-associated dermatitis: A lasso and logistic regression 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