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养老院中的护理依赖和尿失禁管理:一项描述性研究。

Care dependency and management of urinary incontinence in nursing homes: A descriptive study.

机构信息

School of Healthcare, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.

Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

J Adv Nurs. 2021 Apr;77(4):1731-1740. doi: 10.1111/jan.14702. Epub 2020 Dec 4.

Abstract

AIM

To explore the differences in managing urinary incontinence in residents in nursing homes aged 65 years or older in relation to their care dependency.

DESIGN

The 2015 data of the Dutch annual independent (Inter)national Prevalence Measurement of Quality of Care of Maastricht University were used. The design involved a cross-sectional, multi-centre point prevalence measurement in hospitals, care homes, and home care.

METHODS

Secondary data analysis on the data provided by care home organizations.

RESULTS

In the care independent group, the solely use of absorbing material was the mostly applied intervention. In the group of care dependent persons, the combination of absorbing material with toilet on set times and on individual basis was the most common approach.

CONCLUSION

The outcome of this study indicated that the management of urinary incontinence in residents in nursing homes differs depending on their care dependency.

IMPACT

Caregivers in nursing homes should be aware of preferences of residents regarding the management of their urinary incontinence. Researchers should investigate criteria used by caregivers and care receivers into the decision of the application of interventions for urinary incontinence.

摘要

目的

探讨与护理依赖程度相关的 65 岁及以上养老院居民管理尿失禁的差异。

设计

使用了 2015 年荷兰马斯特里赫特大学独立(国际)护理质量年度患病率测量的 2015 年数据。该设计涉及医院、养老院和家庭护理的横断面、多中心时点患病率测量。

方法

对养老院组织提供的数据进行二次数据分析。

结果

在非依赖护理组中,仅使用吸收材料是最常用的干预措施。在依赖护理组中,吸收材料与定时和个人基础上使用厕所相结合是最常见的方法。

结论

本研究结果表明,养老院居民尿失禁的管理因护理依赖程度而异。

影响

养老院的护理人员应了解居民对管理其尿失禁的偏好。研究人员应调查护理人员和护理接受者在决定应用尿失禁干预措施时使用的标准。

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