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尿失禁的有效与无效管理:疾病轨迹与医疗保健相关问题

Effective and ineffective management of incontinence: issues around illness trajectory and health care.

作者信息

Roe B

机构信息

School of Nursing, University of Washington, USA.

出版信息

Qual Health Res. 2000 Sep;10(5):677-90. doi: 10.1177/104973200129118723.

DOI:10.1177/104973200129118723
PMID:11066872
Abstract

In this article, findings from a study that investigated the impact of incontinence on individuals and the impact of effective and ineffective health interventions for the management of incontinence on patient careers and health care are reported. Twenty-seven participants whose incontinence was judged by health professionals as being successfully managed or unsuccessfully managed were interviewed. The participants were 19 women and 8 men (mean age: 61 years). Twenty-two participants experienced urinary incontinence, 4 people experienced both urinary and fecal incontinence, and 1 woman experienced fecal constipation. The findings have been set in the context of the management of chronic conditions and provide illuminating evidence that may be useful when reviewing health care and health services. People who were actively involved with their care and who were involved with decision making felt that their incontinence was being effectively managed. Multiple referrals and the marshaling and targeting of health professionals and services also appeared to be associated with effective management of incontinence.

摘要

本文报告了一项研究的结果,该研究调查了尿失禁对个体的影响以及有效和无效的尿失禁健康干预措施对患者生活及医疗保健的影响。对27名尿失禁患者进行了访谈,这些患者的尿失禁情况被健康专家判定为成功或未成功得到控制。参与者包括19名女性和8名男性(平均年龄:61岁)。22名参与者有尿失禁问题,4人同时存在尿失禁和大便失禁,1名女性有便秘问题。这些研究结果是在慢性病管理的背景下得出的,为审查医疗保健和健康服务时提供了可能有用的有启发性的证据。积极参与自身护理并参与决策的人认为他们的尿失禁得到了有效控制。多次转诊以及健康专业人员和服务的调配与针对性安排似乎也与尿失禁的有效管理相关。

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Effective and ineffective management of incontinence: issues around illness trajectory and health care.尿失禁的有效与无效管理:疾病轨迹与医疗保健相关问题
Qual Health Res. 2000 Sep;10(5):677-90. doi: 10.1177/104973200129118723.
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