Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Medicine and Dentistry, Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, Canada.
Rehabil Nurs. 2021;46(6):305-314. doi: 10.1097/RNJ.0000000000000313.
The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.
This is a qualitative descriptive study.
Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.
Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.
Continence care approaches that engage older persons during rehabilitation are needed.
Restoration of continence through patient-centered care is core to older person rehabilitation.
本研究旨在从老年人和护理人员的角度了解老年康复中的失禁护理。
这是一项定性描述性研究。
10 名患者和 10 名护理人员参加了半结构化访谈。护理观察记录在现场笔记中。采用内容分析法对患者和护理人员的观点进行主题开发。
确定了三个主题：评估认知、控尿管理和康复：修复车间。患者对护理人员的失禁评估和管理知之甚少。对老年人来说，尿失禁令人尴尬，并产生依赖性；如厕自理意味着获得控制。工作人员认为控尿是康复护理的重要组成部分，但侧重于控制和定期如厕，而患者则认为使用吸收垫是常见的建议。
需要在康复期间采取让老年人参与的控尿护理方法。
通过以患者为中心的护理恢复控尿是老年人康复的核心。
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