[中风患者尿失禁的护理诊断]
[Nursing diagnoses of urinary incontinence in patients with stroke].
作者信息
Leandro Telma Alteniza, Araujo Thelma Leite de, Cavalcante Tahissa Frota, Lopes Marcos Venícios de Oliveira, Oliveira Tyane Mayara Ferreira de, Lopes Ana Cecília Menezes
机构信息
Universidade Federal do Ceará, Programa de Pós-Graduação em Enfermagem, Fortaleza, CE, Brazil.
Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brazil.
出版信息
Rev Esc Enferm USP. 2015 Dec;49(6):924-32. doi: 10.1590/S0080-623420150000600007.
OBJECTIVE
Identifying the prevalence of Stress urinary incontinence (SUI), Urge urinary incontinence (UUI), Functional urinary incontinence (FUI), Overflow urinary incontinence (OUI) and Reflex urinary incontinence (RUI) nursing diagnoses and their defining characteristics in stroke patients.
METHOD
A cross-sectional study with 156 patients treated in a neurological clinic. Data were collected through interviews and forwarded to nurses for diagnostic inference.
RESULTS
92.3% of the patients had at least one of the studied diagnoses; OUI showed the highest prevalence (72.4%), followed by FUI (53.2%), RUI (50.0%), UUI (41.0%) and SUI (37.8%). Overdistended bladder and reports of inability to reach the toilet in time to avoid urine loss were the most prevalent defining characteristics. A statistically significant association of the defining characteristics with the studied diagnosis was verified.
CONCLUSION
The five incontinence diagnoses were identified in the evaluated patients, with different prevalence.
目的
确定卒中患者中压力性尿失禁（SUI）、急迫性尿失禁（UUI）、功能性尿失禁（FUI）、充溢性尿失禁（OUI）和反射性尿失禁（RUI）护理诊断的患病率及其定义特征。
方法
对一家神经科诊所治疗的156例患者进行横断面研究。通过访谈收集数据并转交给护士进行诊断推断。
结果
92.3%的患者至少有一种所研究的诊断；OUI患病率最高（72.4%），其次是FUI（53.2%）、RUI（50.0%）、UUI（41.0%）和SUI（37.8%）。膀胱过度膨胀和无法及时赶到厕所避免尿液流失的报告是最常见的定义特征。验证了定义特征与所研究诊断之间的统计学显著关联。
结论
在评估的患者中确定了五种尿失禁诊断，患病率不同。
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