Newman Diane K
J Gerontol Nurs. 2019 Feb 1;45(2):14-26. doi: 10.3928/00989134-20190111-03.
Urinary incontinence (UI) is one of the most common conditions among residents of post-acute and long-term care facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of older adults. UI has been shown to be an independent risk factor for unplanned hospitalization of home care individuals. Prompted voiding (PV) is a toileting program that combines scheduled voiding with "prompting" from a caregiver and is appropriate for older adults with all types of UI and in individuals who may have impaired cognitive function. The current article summarizes a guideline on the evidence for PV in individuals with UI in reducing the frequency and severity of UI episodes, increasing self-initiated requests to toilet, and preventing complications associated with UI in older adults in their homes and acute and extended care facilities. [Journal of Gerontological Nursing, 45(2), 14-26.].
尿失禁(UI)是急性后期和长期护理机构居民中最常见的病症之一。至少55%的养老院居民存在尿失禁,这是老年人入住机构护理的第二大主要原因。尿失禁已被证明是家庭护理人员意外住院的独立危险因素。定时排尿(PV)是一种排便计划,它将定时排尿与护理人员的“提示”相结合,适用于所有类型尿失禁的老年人以及认知功能可能受损的个体。本文总结了一项关于定时排尿对尿失禁患者的证据的指南,该指南涉及减少尿失禁发作的频率和严重程度、增加自主如厕需求,以及预防居家、急性和长期护理机构中的老年人尿失禁相关并发症。[《老年护理杂志》,45(2),14 - 26。]