Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, P.O. Box 3995, Atlanta, GA 30302, United States; School of Nursing, Clemson University, 605 Grove Rd. Greenville, SC 29605, United States.
Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, P.O. Box 3995, Atlanta, GA 30302, United States.
Geriatr Nurs. 2020 Jul-Aug;41(4):411-420. doi: 10.1016/j.gerinurse.2020.01.002. Epub 2020 Jan 25.
Urinary incontinence (UI) is a highly prevalent condition, burdening older adults and their informal caregivers. This study explored the development and feasibility of a 6-week evidence-based, educational/skill building program delivered via tablet-personal computer aimed at developing informal caregiver UI knowledge; and enhancing informal caregiver skill set in prompted voiding and toileting strategies. Caregivers also received individualized weekly coaching sessions from a nurse expert. Feasibility and preliminary efficacy were tested in three caregiver/care-recipient dyads. Recruitment of eligible participants through community-based resources was a challenge to feasibility. Most caregivers found the technology acceptable, but adherence to prompted voiding was inconsistent. All caregivers rated the intervention highly, reported improvements in their care-recipient's urine leakage, found access to a UI expert beneficial, and would recommend it to a friend. The results suggest that the tablet-facilitated intervention was feasible and acceptable to informal caregivers and showed promise for improving both caregiver and care recipient outcomes.
尿失禁（UI）是一种高发疾病，给老年人及其非专业照护者带来沉重负担。本研究旨在探讨通过平板电脑提供为期 6 周的基于证据的教育/技能培训计划，以开发非专业照护者 UI 知识并增强其提示性排尿和如厕策略技能的可行性。照护者还接受了来自护士专家的每周个体化辅导。在三个照护者/被照护者的配对中，对可行性和初步疗效进行了测试。通过社区资源招募合格参与者对可行性构成挑战。大多数照护者认为技术可以接受，但提示性排尿的依从性不一致。所有照护者都对干预措施给予高度评价，报告称他们的被照护者的尿漏情况有所改善，认为能够接触到 UI 专家很有帮助，并愿意向朋友推荐。结果表明，平板电脑辅助干预措施对非专业照护者来说是可行和可接受的，并有望改善照护者和被照护者的结局。
