Adelle Brown, BPT(Hons), Physiotherapy Department, Department of Allied Health, Royal Melbourne Hospital, Parkville, Australia.
Laura Ferguson, BPT(Hons), Physiotherapy Department, Department of Allied Health, Royal Melbourne Hospital, Parkville, Australia.
J Wound Ostomy Continence Nurs. 2024;51(2):146-151. doi: 10.1097/WON.0000000000001057. Epub 2023 Jan 12.
The purpose of this study was to evaluate how bladder care at night correlates to patients' mobility status.
This was an observational study.
The sample comprises 63 aged care subacute patients who were observed over 3 consecutive nights in an inpatient subacute aged care ward located in Melbourne, Australia. Half of the participants were female; their mean age was 82.0 (standard deviation 8.2) years. Data were collected from December 2020 to March 2021.
Outcome variables included demographic and pertinent clinical characteristics, type and timing of toileting and/or bladder care provided, and mobility classification. Descriptive statistics were used to summarize the frequency of nocturnal bladder care provided each night and as a mean over the 3 nights. The relationship between the type of care units provided and other variables was explored using a 1-way analysis of variance; values ≤.05 were deemed statistically significant.
Findings indicate that 27% (n = 17), 41% (n = 26), and 48% (n = 30) of participants required assistance to move in bed, sit up in bed, and stand from sitting, respectively. Care episodes for both incontinence and assistance with voiding were significantly associated with functional mobility in bed ( F = 5.52, P < .001; F = 2.14, P = .02) and with ambulation independence ( F = 3.52, P = .001; F = 2.04, P = .03) but not with age or ambulation distance.
Care provided for urinary incontinence during the night was related to the need for physical support of ambulation and poor mobility in bed. Targeted input from a multidisciplinary team is warranted to facilitate change of practice at night.
本研究旨在评估夜间膀胱护理与患者活动状态的相关性。
这是一项观察性研究。
该样本包括在澳大利亚墨尔本的一家住院亚急性老年护理病房中连续观察 3 个晚上的 63 名老年护理亚急性患者。参与者中有一半是女性；他们的平均年龄为 82.0（标准差 8.2）岁。数据收集于 2020 年 12 月至 2021 年 3 月。
结局变量包括人口统计学和相关临床特征、提供的导尿和/或膀胱护理类型和时间，以及移动能力分类。使用描述性统计来总结每晚和 3 晚平均提供的夜间膀胱护理频率。使用单因素方差分析探讨提供的护理单元类型与其他变量之间的关系；值≤.05 被认为具有统计学意义。
研究结果表明，分别有 27%（n=17）、41%（n=26）和 48%（n=30）的参与者需要帮助在床上移动、在床上坐起和从坐姿站立。失禁护理和协助排尿护理与床上的功能性移动（F=5.52，P<.001；F=2.14，P=.02）和独立步行能力（F=3.52，P<.001；F=2.04，P=.03）显著相关，但与年龄或步行距离无关。
夜间提供的尿失禁护理与身体支持步行和床上活动能力差有关。需要多学科团队的针对性投入，以促进夜间实践的改变。
