Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:7174-7177. doi: 10.1109/EMBC46164.2021.9631032.
Urinary incontinence is prevalent among elderly people. Recent studies have demonstrated the effectiveness of continence care based on urine volume measurement for elderly people who maintain their urinary storage function, but have difficulty feeling bladder fullness owing to dementia or neurological disorders. Electrical impedance measurement is a feasible technique that can be adopted in the diaper or underwear for continuous and unobtrusive urine volume measurements. We developed a small sensor device that can measure electrical impedance with a resolution of 0.017 Ω, which is sufficiently small to capture abdominal impedance alterations triggered by urine accumulation. The results obtained from a preliminary feasibility test in a young healthy volunteer suggested that the 8-electrode electrical impedance measurement with linear regression can estimate urine volume in the bladder in humans for the first time.Clinical Relevance-Continence care for elderly people is essential; however, it is a huge burden for nurses and caregivers, because it involves taking patients to the toilet or changing diapers. This study proposes a continuous and unobtrusive measurement device for urine volume in the bladder. Via continuous monitoring and bladder fullness alert, the device will enable nurses and caregivers to provide personalized continence care without hindering their routine care.
尿失禁在老年人中较为普遍。最近的研究表明,对于那些保留储尿功能但由于痴呆或神经紊乱而难以感知膀胱充盈感的老年人,基于尿量测量的控尿护理是有效的。电阻抗测量是一种可行的技术,可以在尿布或内衣中采用,以实现连续且不引人注目的尿量测量。我们开发了一种小型传感器设备,能够以 0.017 Ω 的分辨率测量电阻抗,其体积足够小,可以捕捉到由尿液积聚引起的腹部阻抗变化。在一名年轻健康志愿者中进行的初步可行性测试结果表明,8 电极电阻抗测量与线性回归首次可用于估计人体膀胱中的尿量。临床相关性-老年人的控尿护理至关重要;然而,这对护士和护理人员来说是一个巨大的负担,因为这涉及带患者去厕所或更换尿布。本研究提出了一种用于测量膀胱中尿量的连续且不引人注目的测量装置。通过连续监测和膀胱充盈警报,该装置将使护士和护理人员能够提供个性化的控尿护理,而不会妨碍他们的日常护理。