{"title":"物理治疗师对法国老年患者尿失禁管理的知识、态度和实践：一项横断面研究","authors":"Julie Swiderski, Joëlle Lansonneur Leterme, Fréderic Bloch, François-Régis Sarhan","doi":"10.1111/luts.70022","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Context</h3>\n \n <p>Studies on nurses' and nursing assistants' perceptions of urinary incontinence (UI) in the elderly are well-documented; however, little to no research focuses specifically on physiotherapists. This study aims to explore physiotherapists' perspectives on UI among elderly patients.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To assess the knowledge, attitudes, and practices of physiotherapists in France regarding managing UI in elderly patients, and to explore how training influences their confidence and clinical behaviors.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cross-sectional online survey was conducted among physiotherapists practicing in France. The questionnaire addressed sociodemographic characteristics, experience with elderly patients with UI, and training in pelvic-perineal rehabilitation. Descriptive statistics and <i>χ</i><sup>2</sup> analyses were used to identify associations.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 106 responses were collected. Among respondents, 80 (75.5%) reported knowing UI in elderly patients, but 62 (58.5%) expressed feeling powerless when managing such cases. Only 62 (58.5%) reported having the skills to help patients with UI, and just 10 (9.4%) used validated assessment tools. Physiotherapists who had received prior training—whether through initial education, continuing education, or self-directed study—were significantly more likely to report confidence, satisfaction, and proper use of tools (<i>p</i> < 0.01). A majority, 75 (70.8%), indicated a need for further training, and 60 (56.6%) expressed the need for clinical guidelines.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>This study reveals a gap between physiotherapists' knowledge of UI and their ability to manage it confidently in elderly patients. Training was significantly associated with greater competence and use of recommended practices. The underuse of assessment tools and expressed need for clearer guidelines suggest structural gaps in support and education.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Improving UI training and access to standardized tools could enhance physiotherapists' confidence and quality of care. Although conducted in France, these findings may inform international strategies to address similar gaps in geriatric continence care.</p>\n </section>\n \n <section>\n \n <h3> MESH</h3>\n \n <p>Urinary Incontinence; Aged; Geriatric Assessment; Pelvic Floor; Physical Therapy Modalities; Health Knowledge, Attitudes, Practice; Surveys and Questionnaires; Education, Professional; Education, Continuing; Clinical Competence; France.</p>\n </section>\n </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"17 4","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/luts.70022","citationCount":"0","resultStr":"{\"title\":\"Knowledge, Attitudes, and Practices of Physiotherapists Regarding the Management of Urinary Incontinence in Elderly Patients in France: A Cross-Sectional Study\",\"authors\":\"Julie Swiderski, Joëlle Lansonneur Leterme, Fréderic Bloch, François-Régis Sarhan\",\"doi\":\"10.1111/luts.70022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Context</h3>\\n \\n <p>Studies on nurses' and nursing assistants' perceptions of urinary incontinence (UI) in the elderly are well-documented; however, little to no research focuses specifically on physiotherapists. This study aims to explore physiotherapists' perspectives on UI among elderly patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To assess the knowledge, attitudes, and practices of physiotherapists in France regarding managing UI in elderly patients, and to explore how training influences their confidence and clinical behaviors.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cross-sectional online survey was conducted among physiotherapists practicing in France. The questionnaire addressed sociodemographic characteristics, experience with elderly patients with UI, and training in pelvic-perineal rehabilitation. Descriptive statistics and <i>χ</i><sup>2</sup> analyses were used to identify associations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 106 responses were collected. Among respondents, 80 (75.5%) reported knowing UI in elderly patients, but 62 (58.5%) expressed feeling powerless when managing such cases. Only 62 (58.5%) reported having the skills to help patients with UI, and just 10 (9.4%) used validated assessment tools. Physiotherapists who had received prior training—whether through initial education, continuing education, or self-directed study—were significantly more likely to report confidence, satisfaction, and proper use of tools (<i>p</i> < 0.01). A majority, 75 (70.8%), indicated a need for further training, and 60 (56.6%) expressed the need for clinical guidelines.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>This study reveals a gap between physiotherapists' knowledge of UI and their ability to manage it confidently in elderly patients. Training was significantly associated with greater competence and use of recommended practices. The underuse of assessment tools and expressed need for clearer guidelines suggest structural gaps in support and education.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Improving UI training and access to standardized tools could enhance physiotherapists' confidence and quality of care. Although conducted in France, these findings may inform international strategies to address similar gaps in geriatric continence care.</p>\\n </section>\\n \\n <section>\\n \\n <h3> MESH</h3>\\n \\n <p>Urinary Incontinence; Aged; Geriatric Assessment; Pelvic Floor; Physical Therapy Modalities; Health Knowledge, Attitudes, Practice; Surveys and Questionnaires; Education, Professional; Education, Continuing; Clinical Competence; France.</p>\\n </section>\\n </div>\",\"PeriodicalId\":18028,\"journal\":{\"name\":\"LUTS: Lower Urinary Tract Symptoms\",\"volume\":\"17 4\",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/luts.70022\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"LUTS: Lower Urinary Tract Symptoms\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/luts.70022\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"LUTS: Lower Urinary Tract Symptoms","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/luts.70022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Knowledge, Attitudes, and Practices of Physiotherapists Regarding the Management of Urinary Incontinence in Elderly Patients in France: A Cross-Sectional Study
Context
Studies on nurses' and nursing assistants' perceptions of urinary incontinence (UI) in the elderly are well-documented; however, little to no research focuses specifically on physiotherapists. This study aims to explore physiotherapists' perspectives on UI among elderly patients.
Objectives
To assess the knowledge, attitudes, and practices of physiotherapists in France regarding managing UI in elderly patients, and to explore how training influences their confidence and clinical behaviors.
Methods
A cross-sectional online survey was conducted among physiotherapists practicing in France. The questionnaire addressed sociodemographic characteristics, experience with elderly patients with UI, and training in pelvic-perineal rehabilitation. Descriptive statistics and χ2 analyses were used to identify associations.
Results
A total of 106 responses were collected. Among respondents, 80 (75.5%) reported knowing UI in elderly patients, but 62 (58.5%) expressed feeling powerless when managing such cases. Only 62 (58.5%) reported having the skills to help patients with UI, and just 10 (9.4%) used validated assessment tools. Physiotherapists who had received prior training—whether through initial education, continuing education, or self-directed study—were significantly more likely to report confidence, satisfaction, and proper use of tools (p < 0.01). A majority, 75 (70.8%), indicated a need for further training, and 60 (56.6%) expressed the need for clinical guidelines.
Discussion
This study reveals a gap between physiotherapists' knowledge of UI and their ability to manage it confidently in elderly patients. Training was significantly associated with greater competence and use of recommended practices. The underuse of assessment tools and expressed need for clearer guidelines suggest structural gaps in support and education.
Conclusion
Improving UI training and access to standardized tools could enhance physiotherapists' confidence and quality of care. Although conducted in France, these findings may inform international strategies to address similar gaps in geriatric continence care.
MESH
Urinary Incontinence; Aged; Geriatric Assessment; Pelvic Floor; Physical Therapy Modalities; Health Knowledge, Attitudes, Practice; Surveys and Questionnaires; Education, Professional; Education, Continuing; Clinical Competence; France.
期刊介绍：
LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided.
LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.
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