Hoedl Manuela, Bauer Silvia, Eglseer Doris, Everink Irma, Gordon Adam L, Lohrmann Christa, Saka Bülent, Schols Jos M G A, Osmancevic Selvedina
Institute of Nursing Science, Medical University of Graz, Universitätsplatz 4, Graz 8010, Austria.
Care and Public Health Research Institute, Department Health Services Research, Maastricht University, Minderbroedersberg 4-6, LK Maastricht 6211, the Netherlands.
Arch Gerontol Geriatr. 2022 Nov-Dec;103:104779. doi: 10.1016/j.archger.2022.104779. Epub 2022 Jul 14.
The aim of this study is to describe and compare the prevalence rates of urinary incontinence as well as the management of urinary incontinence in the nursing home setting in Austria, the Netherlands, Turkey and the UK.
This study is a secondary analysis of the 2017 and 2018 data from a multi-site, cross-sectional study which is performed annually in the nursing home setting in Austria, the Netherlands, Turkey and the UK.
A total of 23,334 nursing home residents was included in this study, most of whom were female. The urinary incontinence prevalence rates ranged from 13.8% in Turkey to 35.1% in Austria. In all countries, the most frequently used intervention for urinary incontinence management was the use of absorbent products and/or catheters (ranging from 81% in Turkey to 94.5% in Austria). The countries differed with regard to the methods used to assess the type of urinary incontinence, scheduled individual bathroom visits and medication evaluation. In the UK (77.1%), scheduled individual bathroom visits were a more frequent measure than in Austria (51.3%), the Netherlands (24.4%) and Turkey (10.2%).
The most frequently used nursing intervention in all countries was the use of absorbent products and/or catheters. Future studies on the over- or misuse of these products are warranted. In order to avoid the over- or misuse of these products in the nursing home setting, the use of the evidence- and consensus-based algorithm provided by the Wound, Ostomy and Continence Nurses Society™ is recommended.
本研究旨在描述和比较奥地利、荷兰、土耳其和英国养老院环境中尿失禁的患病率以及尿失禁的管理情况。
本研究是对2017年和2018年数据的二次分析，这些数据来自一项在奥地利、荷兰、土耳其和英国养老院环境中每年进行的多地点横断面研究。
本研究共纳入23334名养老院居民，其中大多数为女性。尿失禁患病率从土耳其的13.8%到奥地利 的35.1%不等。在所有国家，用于尿失禁管理的最常用干预措施是使用吸收性产品和/或导尿管（从土耳其的81%到奥地利的94.5%不等）。各国在评估尿失禁类型、安排个人浴室探访和药物评估的方法上存在差异。在英国（77.1%），安排个人浴室探访比在奥地利（51.3%）、荷兰（24.4%）和土耳其（10.2%）更为常见。
所有国家最常用的护理干预措施是使用吸收性产品和/或导尿管。有必要对这些产品的过度使用或滥用进行进一步研究。为避免在养老院环境中过度使用或滥用这些产品，建议使用伤口、造口和失禁护理护士协会™提供的基于证据和共识的算法。
