Du Moulin M F M T, Hamers J P H, Paulus A, Berendsen C L, Halfens R
Department of Health Care and Nursing Science, Maastricht University, The Netherlands.
J Wound Ostomy Continence Nurs. 2007 Nov-Dec;34(6):631-40. doi: 10.1097/01.WON.0000299814.98230.13.
Urinary incontinence (UI) often remains inadequately treated. In the literature, there are indications that continence nurses' diagnoses and treatment advices are beneficial in terms of clinical outcomes. However, the precise short-term and long-term effects are unclear. This study investigates the short-term and long-term effects of the introduction of a continence nurse in the care of community-dwelling women suffering from UI.
In a cluster randomized study, 38 women were referred to the continence nurse who, guided by a protocol, assessed and advised the patients about therapy, lifestyle, or medication. If progress was disappointing, therapy was revised. Results were compared to a group of 13 women who received "usual care" by the general practitioner. Data on frequency and volume of incontinence, quality of life, and patient satisfaction were collected at baseline and after 3, 6, and 12 months.
After 6 months, women in the intervention group reported a greater reduction in "moderate" incontinent episodes when compared to women in the control group. No treatment effect was found after 12 months. Although there was a stronger improvement in scores as regards to quality of life in the intervention group, with the exception of the dimension "physical," no treatment effect was found.
The introduction of a continence nurse demonstrates short-term benefit to community-dwelling women suffering from UI. However, the long-term effects should be further explored with larger study populations.
ISRCTN15553880.
尿失禁（UI）的治疗往往仍不充分。文献表明，尿失禁护理人员的诊断和治疗建议在临床结果方面是有益的。然而，确切的短期和长期效果尚不清楚。本研究调查了引入尿失禁护理人员对社区居住的尿失禁女性患者护理的短期和长期效果。
在一项整群随机研究中，38名女性被转介给尿失禁护理人员，该护理人员按照一份方案对患者进行评估，并就治疗、生活方式或药物治疗提供建议。如果进展令人失望，则对治疗方案进行修订。将结果与一组由全科医生提供“常规护理”的13名女性进行比较。在基线以及3个月、6个月和12个月后收集关于尿失禁频率和尿量、生活质量以及患者满意度的数据。
6个月后，与对照组女性相比，干预组女性报告“中度”失禁发作次数减少得更多。12个月后未发现治疗效果。尽管干预组在生活质量评分方面有更强的改善，但除了“身体”维度外，未发现治疗效果。
引入尿失禁护理人员对社区居住的尿失禁女性患者有短期益处。然而，长期效果应通过更大规模的研究人群进一步探索。
ISRCTN15553880。
