与住院老年人尿失禁恢复诱导后送方案成功相关的因素：试点研究

IF 0.7 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-05-01 DOI:10.1016/j.enfcli.2024.07.006

Laura Martín-Losada , Montserrat Solís-Muñoz , Cristina González-Blázquez , María del Pilar Serrano-Gallardo , Ana Isabel Parro-Moreno , Grupo de investigación en cuidados en Incontinencia Urinaria del Hospital Guadarrama

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引用次数: 0

摘要

目的评价提示排尿方案对住院老年人出院时尿失禁的恢复效果。目的：探讨尿失禁恢复的相关因素。方法采用准实验、干预前后、不设对照组的方法进行研究。参与者年龄在65岁及以上，在瓜达拉玛医院功能恢复科有尿失禁史，目前不到一年。患者在整个住院期间都在进行提示排尿计划，个体化排尿日记。数据收集时间为2019年10月至2020年3月。采用SPSS 25和STATA 15软件进行描述性、干预前后、预测和logistic回归分析。该研究得到了参考伦理委员会的批准。结果纳入57例患者，女性占86% (n = 49)，平均年龄82.1岁（SD = 9.4）。56.1% （n = 32）出现新发混合性尿失禁，平均住院时间为40.5 （SD:14.7）天。35.1% （n = 20）的患者出院后尿失禁，漏尿次数减少（p≤0.001）。与尿失禁恢复相关的因素是出院时的功能能力（p小于0.001）、入院时尿失禁发作的频率（p≤0.001）、入院时使用厕所的频率（p≤0.001）、住院时间缩短（p = 0.041）、出现压疮的风险降低（p≤0.001）。结论提示排尿对超过三分之一的患者恢复尿失禁是有效的。有更好的功能能力和更频繁的上厕所与该计划的成功有关。防止皮肤损伤，降低依赖性。

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Factores asociados al éxito de un programa de evacuación inducida para la recuperación de la continencia urinaria en adultos mayores hospitalizados: estudio piloto

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.

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.