Stewart Ellie
Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, England.
Nurs Stand. 2018 May 2;33(2):75-81. doi: 10.7748/ns.2018.e11148. Epub 2018 Apr 20.
Urinary incontinence is a common and usually hidden issue that can affect women of all ages. It is often ignored by the patient because of their misconception that incontinence is an inevitable consequence of ageing and their low expectations of successful treatment. There are various types of incontinence, with symptoms that can significantly affect patients' quality of life. This article aims to enhance nurses' understanding of the types of urinary incontinence affecting women, associated risk factors and continence assessment, as well as the initial investigations and conservative treatments that can be instigated by general nurses. It also discusses some of the advanced treatments offered by specialist services. The article emphasises the importance of undertaking a holistic continence assessment to ensure appropriate continence care is provided, and how tailoring this care to the individual can improve adherence to treatment plans.
尿失禁是一个常见且通常隐匿的问题,可影响各年龄段的女性。由于患者误认为尿失禁是衰老不可避免的后果,且对成功治疗期望不高,所以该问题常常被患者忽视。尿失禁有多种类型,其症状会严重影响患者的生活质量。本文旨在加深护士对影响女性的尿失禁类型、相关风险因素及尿失禁评估的理解,以及对普通护士可开展的初步检查和保守治疗的理解。文章还讨论了专科服务提供的一些先进治疗方法。本文强调了进行全面尿失禁评估以确保提供适当尿失禁护理的重要性,以及如何根据个体情况定制护理以提高对治疗计划的依从性。