Older Persons and Nursing Staff's Perspectives on Continence Care in Rehabilitation: A Qualitative Study.

IF 1.1 4区 医学 Q3 NURSING
Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg
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引用次数: 2

Abstract

Purpose: The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.

Design: This is a qualitative descriptive study.

Methods: Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.

Findings: Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.

Conclusions: Continence care approaches that engage older persons during rehabilitation are needed.

Clinical relevance: Restoration of continence through patient-centered care is core to older person rehabilitation.

老年人及护理人员对康复中失禁护理的看法:一项质性研究。
目的:从老年人和护理人员的角度了解老年康复中的失禁护理。设计:这是一项定性描述性研究。方法:对10名患者和10名护理人员进行半结构化访谈。护理观察记录在现场笔记中。内容分析用于发展患者和护理人员观点的主题。研究发现:研究发展了三个主题:认知评估、失禁管理和康复:修复店。患者对护理人员的尿失禁评估和管理的了解有限。对于老年人,尿失禁是令人尴尬的,并产生依赖性;独立如厕意味着获得控制权。工作人员认为自制是康复护理的重要组成部分,但重点是控制和定期如厕,患者通常建议使用吸收垫。结论:需要在康复过程中采用老年人参与的失禁护理方法。临床相关性:通过以患者为中心的护理来恢复失禁是老年人康复的核心。
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来源期刊
Rehabilitation Nursing
Rehabilitation Nursing 医学-护理
CiteScore
1.90
自引率
7.70%
发文量
68
审稿时长
>12 weeks
期刊介绍: Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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