Factors associated with the success of a prompted voiding programme for restoring urinary continence upon discharge among hospitalised older adults: pilot study.

Abstract

Aim: To assess the success of a prompted voiding programme for restoring urinary continence at discharge among older adults hospitalized. To identify associated factors with the recovery of urinary continence.

Methods: A quasi-experimental, pre-/post-intervention, without control group study was conducted. Participants were aged 65 and over with a history of urinary incontinence less than one year of current from the Functional Recovery Unit of Guadarrama Hospital throughout a convenience sampling. Patients were on a prompted voiding programme throughout their hospitalisation, individualizing for a voiding diary. Data were collected from October 2019 to March 2020. A descriptive, pre-post intervention, prediction and logistic regression analysis were conducted using SPSS 25 and STATA 15 software. The study was approved by the reference Ethics Committee.

Results: 57 patients were included, 86% of them were female (n = 49) who were 82.1 age mean (SD = 9.4). The 56.1% (n = 32) experienced new-onset mixed urinary incontinence and the mean hospital stay was 40.5 (SD:14.7) days. 35.1% (n = 20) achieved urinary continence and reduced the number of urine leaks in those patients who remained incontinent upon discharge (p ≤ 0.001). Factors associated with the recovery of urinary continence were functional ability upon discharge (p < 0.001), frequency of the episodes of urinary incontinence on admission (p ≤ 0.001), frequency of toilet use on admission (p ≤ 0.001), lessened hospital stays (p = 0.041), reduction of the risk of the appearance of pressure wounds (p ≤ 0.001).

Conclusion: Prompted voiding has been shown to be effective in restoring urinary continence in more than a third of the patients studied. Having better functional ability and more frequency of toilet use on admission were associated with the programme's success. It prevents skin wounds and reduces dependency level.