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脑血管意外后不可预测的尿失禁:跨学科康复团队观点的定性分析

Post-Cerebrovascular Accident Unpredictable Incontinence: A Qualitative Analysis of an Interdisciplinary Rehabilitation Team's Perspective.

作者信息

Kohler Myrta, Mayer Hanna, Kesselring Juerg, Saxer Susi

机构信息

University of Applied Sciences St. Gallen, Switzerland.

Rehabilitation Centre Clinic Valens, Valens, Switzerland.

出版信息

Rehabil Nurs. 2019 Mar/Apr;44(2):69-77. doi: 10.1097/rnj.0000000000000097.

DOI:10.1097/rnj.0000000000000097
PMID:30830882
Abstract

PURPOSE

This study investigates experiences of the interdisciplinary rehabilitation team in the treatment of patients with urinary incontinence after stroke.

DESIGN

A qualitative approach was chosen. Ten members of an interdisciplinary treatment team were interviewed in a neurological inpatient rehabilitation setting.

METHODS

Data were obtained via focus groups with nurses, physicians, physiotherapists, and occupational therapists in a rehabilitation clinic. The analysis followed the principles of qualitative content analysis.

FINDINGS

According to the interdisciplinary treatment team, professionals and patients prioritize incontinence treatment differently. Challenges surrounding collaboration, communication, structural conditions, and the perception of intervention success were identified as barriers to promoting continence.

CONCLUSION

To overcome this discrepancy in treatment priority, awareness of poststroke urinary incontinence must be improved.

CLINICAL RELEVANCE

A key component is communication about urinary incontinence with patients and among team members.

摘要

目的

本研究调查跨学科康复团队在治疗中风后尿失禁患者方面的经验。

设计

采用定性研究方法。在神经科住院康复环境中,对一个跨学科治疗团队的10名成员进行了访谈。

方法

通过在康复诊所与护士、医生、物理治疗师和职业治疗师进行焦点小组讨论来获取数据。分析遵循定性内容分析的原则。

结果

根据跨学科治疗团队的说法,专业人员和患者对尿失禁治疗的优先级有所不同。围绕协作、沟通、结构条件和干预成功认知等方面的挑战被确定为促进控尿的障碍。

结论

为了克服治疗优先级上的这种差异,必须提高对中风后尿失禁的认识。

临床意义

关键在于与患者以及团队成员之间就尿失禁进行沟通。

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