Determinants of Bladder Care at Night in a Subacute Ward for Aged Patients: An Observational Study.

IF 1.7 3区 医学 Q2 NURSING
Adelle Brown, Laura Ferguson, Jasper Castillo, Huong Xuan Thi Nguyen, Claire Ervin, David Michael Whishaw, Wendy Bower
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Abstract

Purpose: The purpose of this study was to evaluate how bladder care at night correlates to patients' mobility status.

Design: This was an observational study.

Subjects and setting: The sample comprises 63 aged care subacute patients who were observed over 3 consecutive nights in an inpatient subacute aged care ward located in Melbourne, Australia. Half of the participants were female; their mean age was 82.0 (standard deviation 8.2) years. Data were collected from December 2020 to March 2021.

Methods: Outcome variables included demographic and pertinent clinical characteristics, type and timing of toileting and/or bladder care provided, and mobility classification. Descriptive statistics were used to summarize the frequency of nocturnal bladder care provided each night and as a mean over the 3 nights. The relationship between the type of care units provided and other variables was explored using a 1-way analysis of variance; values ≤.05 were deemed statistically significant.

Results: Findings indicate that 27% (n = 17), 41% (n = 26), and 48% (n = 30) of participants required assistance to move in bed, sit up in bed, and stand from sitting, respectively. Care episodes for both incontinence and assistance with voiding were significantly associated with functional mobility in bed ( F = 5.52, P < .001; F = 2.14, P = .02) and with ambulation independence ( F = 3.52, P = .001; F = 2.04, P = .03) but not with age or ambulation distance.

Conclusions: Care provided for urinary incontinence during the night was related to the need for physical support of ambulation and poor mobility in bed. Targeted input from a multidisciplinary team is warranted to facilitate change of practice at night.

亚急性病房老年患者夜间膀胱护理的决定因素:观察研究
目的:本研究旨在评估夜间膀胱护理与患者行动状况的相关性:设计:这是一项观察性研究:样本包括 63 名亚急性老年护理患者,他们在澳大利亚墨尔本的一家亚急性老年护理住院病房接受了连续 3 个晚上的观察。半数参与者为女性,平均年龄为 82.0 岁(标准差为 8.2)。数据收集时间为 2020 年 12 月至 2021 年 3 月:结果变量包括人口统计学特征和相关临床特征、如厕和/或膀胱护理的类型和时间以及活动能力分类。使用描述性统计来总结每晚提供夜间膀胱护理的频率,并将其作为 3 晚的平均值。使用单因素方差分析探讨了所提供的护理单元类型与其他变量之间的关系;数值≤.05 视为具有统计学意义:结果表明,分别有 27% (n = 17)、41% (n = 26) 和 48% (n = 30) 的参与者在床上移动、从床上坐起和从坐姿站立时需要帮助。尿失禁护理和协助排尿护理均与床上功能移动能力(F = 5.52,P < .001;F = 2.14,P = .02)和独立行走能力(F = 3.52,P = .001;F = 2.04,P = .03)显著相关,但与年龄或行走距离无关:结论:夜间尿失禁护理与需要物理支持下床活动和床上活动能力差有关。需要多学科团队提供有针对性的建议,以促进夜间护理方式的改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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