Petrilli C O, Traughber B, Schnelle J F
Department of Psychology, Middle Tennessee State University, Murfreesboro.
Nurs Clin North Am. 1988 Mar;23(1):265-77.
Urinary incontinence is a reversible problem in many nursing home patients. The types of patients that respond to nursing management procedures have been identified in this article. Specific diagnostic and rehabilitative assessments, as well as treatment procedures, have been described in a fashion that makes them usable by most nursing professionals in long-term care facilities. Two key issues remain to be addressed. The foremost issue is that, once patients are taught to request toileting assistance, the challenge remains to motivate staff to render that assistance over long periods of time. Second, a number of patients with urologic conditions (most notably, high residual urine volumes and low bladder capacities) do not respond well to nursing management. The type of medical or nursing treatment best suited for these patients has not yet been resolved. Nevertheless, this article has detailed techniques that positively affect incontinence in nursing home patients. Nursing implementation of prompted voiding can dramatically improve continence within the geriatric inpatient population.
尿失禁在许多养老院患者中是一个可逆转的问题。本文已确定了对护理管理程序有反应的患者类型。文中以一种大多数长期护理机构的护理专业人员都能使用的方式描述了具体的诊断和康复评估以及治疗程序。仍有两个关键问题有待解决。首要问题是，一旦教会患者请求如厕协助，长期激励工作人员提供这种协助仍是一项挑战。其次，一些患有泌尿系统疾病的患者（最显著的是高残余尿量和低膀胱容量）对护理管理反应不佳。最适合这些患者的医疗或护理治疗类型尚未确定。尽管如此，本文详细介绍了对养老院患者尿失禁有积极影响的技术。提示排尿的护理实施可显著改善老年住院患者的控尿能力。
