Exploring the Priorities of Older Adults in Managing Urinary Incontinence: a Patient-Oriented Research Approach.

IF 1.6 Q4 GERIATRICS & GERONTOLOGY

Canadian Geriatrics Journal Pub Date : 2024-12-01 DOI:10.5770/cgj.27.758

Marina Kirillovich, Saima Rajabali, Adrian Wagg

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引用次数: 0

Abstract

Introduction: Urinary incontinence (UI), the complaint of involuntary leakage of urine, has a substantial impact on the quality of life of older adults. Most UI research is driven by researchers and lacks the patient perspective. The goal of this qualitative study was to gain the perspective of older adults in formulating a research agenda tailored to address their questions and improve their experience with managing UI.

Methods: Implementing a community-based participatory research framework, an advisory group of eight older adults with UI were recruited to be on the research team. An initial focus group was conducted to learn about their research needs. Nominal Group Technique was used to reach saturation of themes and data was analyzed thematically. Employing a Delphi consensus method, a national online questionnaire containing 20 priorities for future UI research and education was developed in collaboration with the advisory group.

Results: 59 older adults with UI rated each priority on a Likert scale. Priorities which advanced to the second round were re-rated, with an 85% response rate. 11 priorities of ≥80% agreement were retained. The highest rated priorities included relationship between physical activity and UI; support for those with UI; causes of UI and its management; sleep and UI; and public restroom accessibility.

Conclusions: Findings from this study will help researchers and health-care professionals understand and address the needs of older adults with UI. Efforts should be made to translate research findings in this area and disseminate them in a medium accessible to older adults.

查看原文本刊更多论文

探索老年人尿失禁管理的优先事项：一种以患者为导向的研究方法。

导读：尿失禁（UI）是一种不自觉的尿漏，对老年人的生活质量有很大的影响。大多数UI研究都是由研究人员推动的，缺乏患者的视角。本定性研究的目的是获得老年人在制定研究议程时的观点，以解决他们的问题并改善他们管理UI的经验。方法：实施以社区为基础的参与性研究框架，招募了一个由8名老年UI患者组成的咨询小组加入研究小组。最初的焦点小组是为了了解他们的研究需求。采用标称组技术达到主题饱和，并对数据进行主题分析。采用德尔菲共识法，与咨询小组合作制定了一份全国在线问卷，其中包含未来UI研究和教育的20个优先事项。结果：59名老年UI患者在李克特量表上对每个优先级进行评分。进入第二轮的优先级被重新排序，回复率为85%。一致性≥80%的11个优先级被保留。排名最高的优先事项包括身体活动与UI之间的关系；支持那些与UI；尿失禁的原因及管理；睡眠和用户界面；以及公共厕所的便利性。结论：本研究的发现将有助于研究人员和卫生保健专业人员了解和解决老年UI患者的需求。应努力翻译这方面的研究结果，并以老年人可以使用的媒介加以传播。

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

Canadian Geriatrics Journal Nursing-Gerontology

CiteScore

5.20

自引率

0.00%

发文量

期刊介绍： The Canadian Geriatrics Journal (CGJ) is a peer-reviewed publication that is a home for innovative aging research of a high quality aimed at improving the health and the care provided to older persons residing in Canada and outside our borders. While we gratefully accept submissions from researchers outside our country, we are committed to encouraging aging research by Canadians. The CGJ is targeted to family physicians with training or an interest in the care of older persons, specialists in geriatric medicine, geriatric psychiatrists, and members of other health disciplines with a focus on gerontology.