Department of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Urology, Tokyo Teishin Hospital, Tokyo, Japan.
Geriatr Gerontol Int. 2020 Apr;20(4):285-290. doi: 10.1111/ggi.13872. Epub 2020 Jan 28.
This study aimed to identify the prevalence of urinary, fecal and double incontinence among Japanese residents aged ≥65 years living in long-term care facilities. Furthermore, the association between baseline characteristics and changes in toileting activity after a 3-month comprehensive care among older individuals was investigated.
We examined the prevalence of incontinence and its significant predictors. The association between the Functional Independence Measure score at baseline and each type of incontinence (urinary, fecal or double incontinence) was examined using a logistic regression model. Similarly, the association between the Functional Independence Measure score at baseline and improvement in toileting activity after a 3-month comprehensive care was examined.
In total, 2517 residents (670 men and 1847 women) were recruited. The prevalence rates of urinary, fecal and double incontinence were 66.9%, 42.8% and 41.1%, respectively. In multivariate analysis, the sum of the motor subscales after removing four continence items and the sum of the cognitive subscales of the Functional Independence Measure score at baseline were significantly associated with all types of incontinence. The sum of the motor subscales after removing four continence items of the Functional Independence Measure score was associated with improved toileting activity.
This study presented the prevalence of urinary, fecal and double incontinence among residents living in long-term care facilities in Japan. The Functional Independence Measure items at baseline were associated with not only continence status, but also improved toileting activity after 3-month comprehensive care. Geriatr Gerontol Int 2020; 20: 285-290.
本研究旨在确定居住在长期护理机构的≥65 岁日本居民中尿失禁、粪便失禁和双重失禁的流行情况。此外，还调查了基线特征与 3 个月综合护理后老年人如厕活动变化之间的关系。
我们检查了失禁的流行情况及其显著预测因素。使用逻辑回归模型检查基线时的功能独立性测量（FIM）评分与每种类型失禁（尿失禁、粪便失禁或双重失禁）之间的关系。同样，还检查了基线时的 FIM 评分与 3 个月综合护理后如厕活动改善之间的关系。
共纳入 2517 名居民（670 名男性和 1847 名女性）。尿失禁、粪便失禁和双重失禁的患病率分别为 66.9%、42.8%和 41.1%。在多变量分析中，去除 4 项控便项目后的运动子量表总和和 FIM 评分的认知子量表总和与所有类型的失禁均显著相关。去除 4 项控便项目后的 FIM 评分运动子量表总和与改善的如厕活动相关。
本研究介绍了居住在日本长期护理机构的居民中尿失禁、粪便失禁和双重失禁的流行情况。基线时的 FIM 项目不仅与控便状态相关，而且与 3 个月综合护理后如厕活动的改善相关。老年医学与老年病学国际 2020;20:285-290。
