Sørbye Liv Wergeland, Finne-Soveri Harriet, Ljunggren Gunnar, Topinková Eva, Bernabei Roberto
Diakonhjemmet University College, Box 184, 0319 Oslo, Norway.
Age Ageing. 2005 Jul;34(4):377-81. doi: 10.1093/ageing/afi094. Epub 2005 May 18.
To describe possible differences/patterns in the use of indwelling urinary catheters (IUC) in Europe.
A prospective, population-based, assessment study.
The target population was 4,455 (random sample of 405 from each of 11 countries) aged 65+ receiving home care.
The clients were assessed by using the Resident Assessment Instrument MDS-HC; epidemiological and medical characteristics of clients and service utilisation were recorded.
The frequency of use of IUC related to the patients' activities of daily living (ADL) and cognitive functioning.
The sample consisted of 4,010 informants: 74% female, with mean age 82.3 +/-7.3 years; men 80.9 +/-7.5 years and female 82.8 +/-7.3 years. A total of 216 (5.4%) clients were using IUC. In Italy 23% were using a catheter compared with 0% in The Netherlands. Catheter use was more common in men than in women (11.5% versus 3.3%). Use of IUC was significantly correlated to certain diseases and symptoms and increase in care burden and formal services. Twenty-six per cent of the informants with indwelling catheters scored three or more on a hierarchical ADL scale (0-6). The clients using IUC in the Nordic countries were less dependent on care than in the other European countries. Models built on multivariate analysis explained 37% of the use of IUC. Tradition and attitudes may explain the differences between the sites.
Catheter use is associated with formal or family care burden. The need for nursing home placement ought to be considered in some cases. A stricter criterion for using IUC may be considered in the southern European countries.
描述欧洲留置导尿管（IUC）使用方面可能存在的差异/模式。
一项基于人群的前瞻性评估研究。
目标人群为4455名65岁及以上接受居家护理的老年人（从11个国家中每个国家随机抽取405名）。
使用居民评估工具MDS-HC对客户进行评估；记录客户的流行病学和医学特征以及服务利用情况。
IUC的使用频率与患者的日常生活活动（ADL）和认知功能相关。
样本包括4010名受访者：女性占74%，平均年龄82.3±7.3岁；男性平均年龄80.9±7.5岁，女性平均年龄82.8±7.3岁。共有216名（5.4%）客户使用IUC。在意大利，23%的人使用导尿管，而在荷兰这一比例为0%。男性使用导尿管比女性更常见（11.5%对3.3%）。IUC的使用与某些疾病和症状以及护理负担和正规服务的增加显著相关。26%留置导尿管的受访者在ADL分级量表（0-6）上得分达到三分或更高。北欧国家使用IUC的客户比其他欧洲国家的客户对护理的依赖程度更低。多变量分析建立的模型解释了IUC使用情况的37%。传统和态度可能解释了不同地区之间的差异。
导尿管的使用与正规或家庭护理负担相关。在某些情况下，应考虑是否需要安置到养老院。南欧国家可能需要考虑采用更严格的IUC使用标准。
