School of Health and Society, University of Salford, Greater Manchester, UK
School of Health and Society, University of Salford, Greater Manchester, UK.
BMJ Open. 2023 Oct 29;13(10):e067937. doi: 10.1136/bmjopen-2022-067937.
Urinary incontinence (UI) is associated with increasing age and is more frequently experienced by women. Despite 40% prevalence in the community, little is known about the prevalence/incidence of UI in older women during hospital admission. UI during hospital admissions, within this group, has also been under-researched in terms of its relationship to specific clinical conditions and mortality rates. Given that UI has serious implications for both patient care and women's general health and well-being on discharge, this protocol describes a planned research project which aims to determine mortality, morbidity, prevalence and incidence of UI in older women (≥55 years) during hospital admission to inform nursing practice. Additionally, it aims to explore the experience of nurses who deliver women's care.
This is an explanatory mixed-methods study consisting of two phases: (1) retrospecitive analysis of electronic patient care records (EPCR) to determine prevalence/incidence of UI, clinical conditions most likely associated with UI and any associations between UI and death, (2) nurse interviews to explore views, knowledge and perceptions of performing the nursing assessment and providing care for older women (≥55 years) with UI during admission. EPCR will be gained from a National Health Service (NHS) teaching hospital. Nurse interviews will be conducted with nurses from an alternative but similar-sized NHS hospital.
Ethical approval is provided by the University of Salford Ethics Committee and regulatory approval by the NHS Health Research Authority (Integrated Research Application System project ID: 303118). Local NHS trust approval to access electronic care records for the purposes of analysis of anonymised data has been provided by one of the two collaborating NHS hospitals. Findings will be disseminated through open-access geriatric or urogynaecology journals and presented to relevant stakeholders at local, national and international meetings including scientific meetings such as the UK Continence Society and International Continence Society.
尿失禁（UI）与年龄增长有关，女性更为常见。尽管社区中有 40%的患病率，但对于住院期间老年女性 UI 的患病率/发病率知之甚少。在这一群体中，住院期间的 UI 在特定临床状况和死亡率方面的研究也很少。鉴于 UI 对患者护理以及女性出院后的整体健康和福祉都有严重影响，本方案描述了一个计划中的研究项目，旨在确定住院老年女性（≥55 岁）的死亡率、发病率、患病率和尿失禁的发病率，为护理实践提供信息。此外，它还旨在探讨为女性提供护理的护士的经验。
这是一个解释性混合方法研究，包括两个阶段：（1）回顾性分析电子患者护理记录（EPCR），以确定 UI 的患病率/发病率、最可能与 UI 相关的临床状况以及 UI 与死亡之间的任何关联，（2）护士访谈，以探讨对执行护理评估和为住院期间患有 UI 的老年女性（≥55 岁）提供护理的看法、知识和看法。EPCR 将从一家国民保健服务（NHS）教学医院获得。护士访谈将在另一家类似但规模较小的 NHS 医院的护士中进行。
索尔福德大学伦理委员会提供伦理批准，NHS 健康研究管理局（综合研究应用系统项目 ID：303118）提供监管批准。为了分析匿名数据，两所合作 NHS 医院中的一所已提供对电子护理记录进行访问的当地 NHS 信托批准。研究结果将通过开放获取的老年病学或尿失禁学期刊传播，并在当地、国家和国际会议上向相关利益攸关方介绍，包括英国尿控学会和国际尿控学会等科学会议。
