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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。

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