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老年住院患者尿失禁的护理管理

Nursing management of urinary incontinence in geriatric inpatients.

作者信息

McCormick K A, Scheve A A, Leahy E

机构信息

Gerontology Research Center, National Institute on Aging, Baltimore, Maryland.

出版信息

Nurs Clin North Am. 1988 Mar;23(1):231-64.

PMID:3347579
Abstract

The management and treatment of incontinence represent two interrelated areas--providing enough providers of care and describing the types of management and treatment options available to the incontinent patient. This article has stressed that adequate staffing underlies any successful program of continence management and treatment. In addition, many options for the management and treatment of incontinence in the elderly have been presented. Of importance are the specific nursing implications that will make many continence protocols successful. These guidelines can provide the basis for planning patient care through the nursing process. This article has also addressed management and treatment strategies for incontinence that not only improve incontinence in patients but may cure it. These include behavioral management strategies which nurses should be encouraged to use in treating incontinent patients in the community. These same behavioral management strategies are being studied in inpatient settings, and the results indicate that nurses in inpatient settings and long-term care facilities should implement behavioral treatment programs for incontinent patients.

摘要

尿失禁的管理与治疗涵盖两个相互关联的领域——提供足够的护理人员以及描述可供尿失禁患者选择的管理与治疗方式。本文强调,充足的人员配备是任何成功的尿失禁管理与治疗项目的基础。此外,文中还介绍了针对老年人尿失禁的多种管理与治疗选择。重要的是那些能使许多尿失禁治疗方案取得成功的具体护理要点。这些指南可为通过护理程序规划患者护理提供依据。本文还探讨了尿失禁的管理与治疗策略,这些策略不仅能改善患者的尿失禁状况,甚至可能治愈尿失禁。其中包括行为管理策略,应鼓励护士在社区中治疗尿失禁患者时采用这些策略。目前正在住院环境中研究这些相同的行为管理策略,结果表明,住院环境及长期护理机构中的护士应为尿失禁患者实施行为治疗项目。

相似文献

1
Nursing management of urinary incontinence in geriatric inpatients.老年住院患者尿失禁的护理管理
Nurs Clin North Am. 1988 Mar;23(1):231-64.
2
Behavioral management in the inpatient geriatric population.老年住院患者的行为管理
Nurs Clin North Am. 1988 Mar;23(1):265-77.
3
Do nurses promote urinary continence in hospitalized older people?: An exploratory study.护士是否能促进住院老年人的尿失禁康复?一项探索性研究。
J Clin Nurs. 2006 Oct;15(10):1276-86. doi: 10.1111/j.1365-2702.2006.01381.x.
4
Educating nurses to care for the incontinent patient.
Nurs Clin North Am. 1988 Mar;23(1):279-89.
5
Matching patient safety goals to the nursing specialty: using wound, ostomy, continence nursing services.将患者安全目标与护理专业相匹配:使用伤口、造口、失禁护理服务。
J Nurs Adm. 2010 Jan;40(1):26-31. doi: 10.1097/NNA.0b013e3181c47d19.
6
Nursing assessments in the inpatient geriatric population.
Nurs Clin North Am. 1988 Mar;23(1):219-30.
7
General practitioners' opinions of continence care training.全科医生对尿失禁护理培训的看法。
N Z Med J. 1996 Sep 13;109(1029):340-3.
8
Nursing evaluation and treatment of geriatric outpatients with urinary incontinence. Geriatric day hospital model: a case study.老年尿失禁门诊患者的护理评估与治疗。老年日间医院模式:一项案例研究。
Nurs Clin North Am. 1988 Mar;23(1):189-206.
9
Incontinence in nursing homes. Research and treatment issues from the nursing perspective.养老院中的失禁问题。从护理角度看研究与治疗问题。
Clin Geriatr Med. 1986 Nov;2(4):873-85.
10
The maximizing urinary functioning program: an innovative approach to managing incontinence in long term care.最大化尿液功能计划:长期护理中管理失禁的创新方法。
Perspectives. 1992 Summer;16(2):6-11.

引用本文的文献

1
Adult urinary incontinence: Assessment, intervention, and the role of clinical health psychology in program development.成人尿失禁:评估、干预以及临床健康心理学在项目开发中的作用。
J Clin Psychol Med Settings. 1994 Dec;1(4):339-61. doi: 10.1007/BF01991078.
2
Minimising the cost of urinary incontinence in nursing homes.
Pharmacoeconomics. 1995 Mar;7(3):191-7. doi: 10.2165/00019053-199507030-00002.