Borrie M J, Davidson H A
Division of Geriatric Medicine, University of Western Ontario, London.
CMAJ. 1992 Aug 1;147(3):322-8.
To determine the relative independent contributions of mobility and mental function to the prevalence rate of incontinence in a long-term care hospital and to establish the baseline prevalence rate and cost of incontinence before implementation of a continence program.
Prevalence survey.
Long-term care hospital.
All 457 inpatients (mean age of men 73.6 years, of women 73.8 years) who met the defined criteria for degree of urinary and fecal incontinence, mobility and mental function. Of the 447 questionnaires that were returned 12 were incomplete.
Degree of urinary and fecal incontinence and costs of incontinence as measured by nursing time spent dealing with incontinent patients, laundry and incontinence supplies.
The prevalence rate of urinary incontinence was 62%, fecal incontinence 46% and combined incontinence 44%. The mean time spent each day dealing with incontinence was 52.5 minutes per patient. The total annual cost of incontinence per patient was $9771. Mobility and mental function were independent predictors of frequency of urinary and fecal incontinence. Frequency of incontinent events was the strongest predictor of quantity of linen soiled, but immobility was the strongest predictor of nursing time spent dealing with incontinence.
The prevalence rate of urinary incontinence depends on patient characteristics and the definition of incontinence. A management approach to incontinence could lower laundry and supply costs, and improvements in mobility could reduce nursing time spent dealing with incontinence.
确定在一家长期护理医院中，活动能力和心理功能对失禁患病率的相对独立影响，并在实施一项控尿计划之前确定失禁的基线患病率和成本。
患病率调查。
长期护理医院。
所有457名住院患者（男性平均年龄73.6岁，女性平均年龄73.8岁），他们符合尿失禁和大便失禁程度、活动能力及心理功能的既定标准。在回收的447份问卷中，有12份不完整。
尿失禁和大便失禁程度以及失禁成本，通过护理失禁患者所花费的时间、洗衣费用和失禁用品来衡量。
尿失禁患病率为62%，大便失禁为46%，混合性失禁为44%。每位患者每天处理失禁问题的平均时间为52.5分钟。每位患者每年失禁的总成本为9771美元。活动能力和心理功能是尿失禁和大便失禁频率的独立预测因素。失禁事件的频率是床单弄脏数量的最强预测因素，但活动不便却是护理处理失禁所花费时间的最强预测因素。
尿失禁患病率取决于患者特征和失禁的定义。一种失禁管理方法可以降低洗衣和用品成本，而活动能力的改善可以减少护理处理失禁所花费的时间。
