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[作为跌倒筛查一部分的下尿路症状评估:参与老年人管理的医护人员的知识与实践]

[Assessment of lower urinary tract symptoms as part of falls screening : Knowledge and practice of health care workers involved in the management of older people].

作者信息

Gouriou Delumeau M-J, Ly O D, Lefebvre S, Belin C, Orvoën G, Robain G, Haddad R

机构信息

Unité d'hébergement renforcée, hôpital Vaugirard Gabriel-Pallez, AP-HP, université Paris Cité, Paris, France.

Service de rééducation neurologique, hôpital Rothschild, 5, rue Santerre, 75012 Paris, France; Sorbonne université, GRC 001, GREEN Groupe de recherche en neuro-urologie, Assistance Publique-hôpitaux de Paris (AP-HP), hôpital Rothschild, 75012 Paris, France.

出版信息

Prog Urol. 2022 Sep;32(11):769-775. doi: 10.1016/j.purol.2022.07.003. Epub 2022 Aug 5.

DOI:10.1016/j.purol.2022.07.003
PMID:35934582
Abstract

INTRODUCTION

Falling is a public health problem that could be prevented by screening at-risk populations. Several tools exist, some of which assess lower urinary tract symptoms (LUTS). Our aim was to examine knowledge and practice regarding the assessment of LUTS when screening for fall risk in older people.

MATERIALS AND METHODS

The knowledge and practices of geriatric caregivers regarding falls risk screening were surveyed by an online self-administered questionnaire, consisting of 6 to 29 questions depending on the responses. A descriptive analysis of the responses was performed.

RESULTS

Of 120 caregivers approached, 71 responded to the questionnaire (92% female, median age 44 years [40.5-50.7]). Most respondents were nurses (58%). 51 were aware of at least one fall risk screening tool, and 23 felt they assessed at least one LUTS. The 3 most known tools were the Timed up and go test (n=16), the unipodal stance time (n=10) and the Morse scale (n=8). 33 used fall risk screening tools, and 15 felt they assessed at least one SBAU. The 3 most used tools were the Timed up and go test (n=6), the STRATIFY scale (n=5) and the Morse scale (n=4).

CONCLUSION

Most fall risk screening tools known or used by caregivers involved in the care of the older adult do not assess LUTS.

摘要

引言

跌倒是一个可通过筛查高危人群来预防的公共卫生问题。现有多种工具,其中一些可评估下尿路症状(LUTS)。我们的目的是研究在筛查老年人跌倒风险时,关于LUTS评估的知识和实践情况。

材料与方法

通过一份在线自填问卷对老年护理人员关于跌倒风险筛查的知识和实践进行调查,问卷根据回答情况包含6至29个问题。对回答进行描述性分析。

结果

在120名被邀请的护理人员中,71人回复了问卷(92%为女性,年龄中位数44岁[40.5 - 50.7])。大多数受访者是护士(58%)。51人知晓至少一种跌倒风险筛查工具,23人觉得他们评估过至少一种LUTS。最知名的3种工具是计时起立行走测试(n = 16)、单脚站立时间测试(n = 10)和莫尔斯跌倒评估量表(n = 8)。33人使用跌倒风险筛查工具,15人觉得他们评估过至少一种简短膀胱尿道问卷(SBAU)。最常用的3种工具是计时起立行走测试(n = 6)、分层跌倒风险评估量表(STRATIFY)(n = 5)和莫尔斯跌倒评估量表(n = 4)。

结论

参与老年人护理的护理人员知晓或使用的大多数跌倒风险筛查工具并不评估LUTS。

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