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老年康复科尿失禁的管理:采用国际尿失禁咨询问卷-尿失禁简表(ICIQ-UI SF)进行全球尿失禁评估

[Management of urinary incontinence in a geriatric rehabilitation department : Global urinary incontinence assessment incorporating the International Consultation on Incontinence Questionnare - Urinary Incontinence Short Form (ICIQ-UI SF)].

作者信息

Ege Sigrid

机构信息

Klinik für geriatrische Rehabilitation, Robert-Bosch-Krankenhaus, Auerbachstr. 110, 70376, Stuttgart, Deutschland.

出版信息

Z Gerontol Geriatr. 2018 Apr;51(3):301-313. doi: 10.1007/s00391-016-1173-3. Epub 2017 Feb 8.

Abstract

Although it is generally agree that older people have a high prevalence of urinary incontinence with a significant influence on health and quality of life, there is no standardized generally accepted assessment. The pathophysiology of urinary incontinence in frail elderly people requires a broad medical and functional scope to address the multifactorial nature of urinary incontinence, especially to identify treatable, potentially reversible conditions. To incorporate the multiple aspects into the daily routine, we developed a global urinary incontinence assessment at the Clinic for Geriatric Rehabilitation of the Robert Bosch Hospital including the validated International Consultation on Incontinence Questionnare - Urinary Incontinence Short Form (ICIQ-UI SF), a symptom score and results of a comprehensive geriatric assessment for mobility and cognition. In the years 2013-2015 this strategy was pursued for 728 geriatric patients and individually adapted interventions were initiated depending on the triggering cause. The experiences are presented.

摘要

虽然人们普遍认为老年人尿失禁的患病率很高,且对健康和生活质量有重大影响,但目前尚无标准化的、被广泛接受的评估方法。体弱老年人尿失禁的病理生理学需要广泛的医学和功能范畴来应对尿失禁的多因素性质,特别是要识别可治疗、潜在可逆的病症。为了将多个方面纳入日常工作,我们在罗伯特·博世医院老年康复诊所开发了一种全面的尿失禁评估方法,包括经过验证的《国际尿失禁咨询问卷 - 尿失禁简表》(ICIQ-UI SF)、症状评分以及针对 mobility 和认知的全面老年评估结果。在2013年至2015年期间,对728名老年患者采用了该策略,并根据触发原因启动了个体化的干预措施。现将经验介绍如下。 需注意,原文中“mobility”可能有误,推测可能是“mobility function”之类的表述,这里暂且按原文翻译。

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