J Gerontol Nurs. 2022 Jul;48(7):38-46. doi: 10.3928/00989134-20220606-06. Epub 2022 Jul 1.
The current study assessed the impact of urinary incontinence (UI) on residents, staff, care processes, and quality measures in long-term care (LTC) settings. A 70-question quantitative online survey was sent to directors of nursing (DONs) who had worked for ≥1 year in a ≥100-bed facility (≥80% LTC beds). Of the 62% of residents with UI, 40% were always incontinent, and 81% used incontinence products for UI. Overall, 59% of DONs reported that UI management contributes to certified nursing assistant turnover. Approximately 36% of resident falls occurred while trying to get to the bathroom. LTC quality measures reported as significantly impacted by UI included urinary tract infection and falls with major injury. Only 14% of residents with UI were treated with medication. Most (75%) DONs were unaware of any link between anticholinergic medications and risk of cognitive side effects. These results highlight the need for improved UI treatment, awareness, and management in this population. [(7), 38-46.].
本研究评估了在长期护理（LTC）环境中，尿失禁（UI）对居民、员工、护理流程和质量措施的影响。一项包含 70 个问题的定量在线调查发给了在≥100 张床位的设施（≥80%的 LTC 床位）工作≥1 年的注册护士主任（DON）。在有 UI 的居民中，40%的人总是失禁，81%的人使用失禁产品来处理 UI。总体而言，59%的 DON 报告说，UI 管理导致认证护理助理的流动率增加。大约 36%的居民跌倒发生在试图去浴室的时候。报告称 UI 显著影响的 LTC 质量措施包括尿路感染和有重大伤害的跌倒。仅有 14%的有 UI 的居民接受了药物治疗。大多数（75%）的 DON 不知道抗胆碱能药物与认知副作用风险之间的任何联系。这些结果强调了需要改善该人群的 UI 治疗、意识和管理。[(7), 38-46.]。
