Jaekel Anke Kirsten, Rings Theresa Maria, Schmitz Franziska, Knappe Franziska, Tschirhart Alix, Winterhagen Franziska Isabelle, Kirschner-Hermanns Ruth Klara Maria, Knüpfer Stephanie C
Department for Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.
Neuro-Urology, Johanniter Neurological Rehabilitation Center 'Godeshoehe e.V.', 53177 Bonn, Germany.
J Clin Med. 2023 May 9;12(10):3352. doi: 10.3390/jcm12103352.
Urinary or double incontinence in frail elderly people is common and leads to a reduction in quality of life and an increased burden on the patients' caregivers. Up to now, no special instrument has been available to assess the impact of incontinence on cognitively impaired patients and their professional caregivers. Thus, the outcomes of incontinence-specific medical and nursing interventions for cognitively impaired individuals are not measurable. Our aim was to investigate the impacts of urinary and double incontinence on both the affected patients and their caregivers using the newly developed "International Consultation on Incontinence Questionnaire Cognitively Impaired Elderly" (ICIQ-Cog) tool. The severity of incontinence was measured by incontinence episodes per night/per 24 h, the type of incontinence, the type of incontinence devices used, and the proportion of incontinence care out of total care; all these measures were correlated to the ICIQ-Cog. Incontinence episodes per night and the proportion of incontinence care out of total care showed significant correlations with the patient- and caregiver-related ICIQ-Cog scores. Both items have negative effects on patient quality of life and caregiver burden. Improving nocturnal incontinence and reducing the need for incontinence care overall can decrease the incontinence-specific bother of affected patients and their professional caregivers. The ICIQ-Cog can be used to verify the impacts of medical and nursing interventions.
体弱老年人的尿失禁或双重失禁很常见，会导致生活质量下降，并增加患者护理人员的负担。到目前为止，还没有专门的工具来评估失禁对认知障碍患者及其专业护理人员的影响。因此，针对认知障碍个体的特定失禁医疗和护理干预的效果无法衡量。我们的目的是使用新开发的“国际尿失禁咨询认知障碍老年人问卷”（ICIQ-Cog）工具，研究尿失禁和双重失禁对受影响患者及其护理人员的影响。通过每晚/每24小时的失禁发作次数、失禁类型、使用的失禁器具类型以及失禁护理在总护理中所占比例来衡量失禁的严重程度；所有这些指标都与ICIQ-Cog相关。每晚的失禁发作次数以及失禁护理在总护理中所占比例与患者和护理人员相关的ICIQ-Cog评分显著相关。这两个指标都会对患者生活质量和护理人员负担产生负面影响。改善夜间失禁并总体上减少失禁护理需求，可以减轻受影响患者及其专业护理人员因失禁产生的困扰。ICIQ-Cog可用于验证医疗和护理干预的效果。
