Colborne Marnie, Dahlke Sherry
J Gerontol Nurs. 2017 Oct 1;43(10):46-55. doi: 10.3928/00989134-20170515-02. Epub 2017 May 30.
Urinary incontinence (UI) is a geriatric syndrome affecting older adults in long-term and acute hospital care. Most research has focused on nurses' perceptions of UI in long-term care and community settings rather than acute hospital settings. The purpose of the current integrative review was to understand nurses' perceptions and use of continence strategies for hospitalized older adults. Literature published from 1996-2016 was reviewed. Critical appraisal of the articles by two researchers yielded 10 articles that described nine studies. Findings revealed that nurses lack knowledge or motivation to thoroughly assess UI in older adults, often focusing on containment strategies (e.g., adult briefs) rather than conducting an assessment and promoting continence. More education about UI assessment, management, and research is needed to improve nursing care of hospitalized older adults. [Journal of Gerontological Nursing, 43(10), 46-55.].
尿失禁（UI）是一种老年综合征，影响长期和急性医院护理中的老年人。大多数研究集中在护士对长期护理和社区环境中尿失禁的看法，而非急性医院环境。当前综合综述的目的是了解护士对住院老年人尿失禁的看法以及失禁管理策略的使用情况。对1996年至2016年发表的文献进行了综述。两名研究人员对文章进行严格评估后得到了10篇描述9项研究的文章。研究结果显示，护士缺乏对老年人尿失禁进行全面评估的知识或动力，往往侧重于控制策略（如成人纸尿裤），而不是进行评估和促进控尿。需要开展更多关于尿失禁评估、管理和研究的教育，以改善对住院老年人的护理。[《老年护理杂志》，43(10)，46 - 55。]
