Zusman Enav Z, McAllister Megan M, Chen Peggy, Guy Pierre, Hanson Heather M, Merali Khalil, Brasher Penelope M A, Cook Wendy L, Ashe Maureen C
The University of British Columbia, Vancouver, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary.
Gerontol Geriatr Med. 2017 May 17;3:2333721417709578. doi: 10.1177/2333721417709578. eCollection 2017 Jan-Dec.
To test the effect of a follow-up clinic on urinary incontinence (UI) and nocturia among older adults with hip fracture. Fifty-three older adults (≥65 years) 3 to 12 months following hip fracture were enrolled and randomized to receive usual care plus the intervention (B4), or usual care (UC) only. The B4 group received management by health professionals, with need-based referrals. UI, nocturia, and quality of life were measured with questionnaires at baseline, 6 months, and 12 months. There were 48 participants included in this analysis, and at baseline, 44% of study participants self-reported UI. At final assessment, six out of 24 B4 participants and 12 out of 24 UC participants reported UI. Four out of five study participants reported nocturia at baseline; this did not decrease during the study. : Following hip fracture, many older adults report UI and most report nocturia. Health professionals should be aware of the high occurrence of urinary symptoms among older adults post hip fracture.
为测试随访诊所对髋部骨折老年患者尿失禁（UI）和夜尿症的影响。招募了53名髋部骨折后3至12个月的老年人（≥65岁），并将其随机分为两组，一组接受常规护理加干预措施（B4组），另一组仅接受常规护理（UC组）。B4组由健康专业人员进行管理，并根据需要进行转诊。在基线、6个月和12个月时，通过问卷对尿失禁、夜尿症和生活质量进行测量。本分析纳入了48名参与者，在基线时，44%的研究参与者自我报告有尿失禁。在最终评估时，24名B4组参与者中有6名报告有尿失禁，24名UC组参与者中有12名报告有尿失禁。五分之四的研究参与者在基线时报告有夜尿症；在研究期间这一情况并未减少。髋部骨折后，许多老年人报告有尿失禁，大多数人报告有夜尿症。健康专业人员应意识到髋部骨折后老年患者泌尿症状的高发生率。
