了解文化在塑造对尿失禁的态度和信念方面的作用：一项范围综述方案。

Understanding the role of culture in shaping attitudes and beliefs on urinary incontinence: a scoping review protocol.

作者信息

Panesar Simran, Rajabali Saima, Kennedy Megan, Wagg Adrian

机构信息

Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

出版信息

BMJ Open. 2025 Feb 16;15(2):e091092. doi: 10.1136/bmjopen-2024-091092.

DOI:10.1136/bmjopen-2024-091092

PMID:39956591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831291/

Abstract

INTRODUCTION

Urinary incontinence (UI) is a common condition among older adults with adverse consequences to health and well-being. Shame, stigma and cultural perspectives can prevent treatment-seeking behaviour. Although there is an abundance of studies in the health research literature that explore the physiological basis of UI, there is limited evidence on the role culture plays in shaping knowledge of, attitudes to and beliefs about UI. This review aims to answer what is known about the role of culture in shaping the attitudes and beliefs on UI to identify gaps in the literature and direct future research.

METHODS AND ANALYSIS

The Joanna Briggs Institute method for scoping reviews will be used to conduct the review, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The MEDLINE, Embase, PsycINFO, Cumulated Index in Nursing and Allied Health Literature, EBSCOhost, Scopus databases and WHO Index Medicus databases will be searched, without any restriction on language and publication date, enhancing the comprehensiveness and inclusivity of the review. A preliminary search of MEDLINE was conducted (09 February 2024) to identify articles. The screening and analysis of the search results from the databases will be managed using Covidence software. Two authors will screen articles, with a third involved as needed to resolve any differences. Findings will be organised using tables and key themes will be identified.

ETHICS AND DISSEMINATION

Formal ethics approval is not required for this review as it does not involve any human or animal participants. Findings will be disseminated in a high-impact peer-reviewed journal with a focus on open-access publication at conferences and used to inform studies on the development of culturally sensitive management programmes for UI with the full involvement of patients.

TRIAL REGISTRATION

Open Science Framework https://osf.io/3d97f.

摘要

引言

尿失禁（UI）在老年人中很常见，会对健康和幸福产生不良影响。羞耻感、污名化和文化观念可能会阻碍寻求治疗的行为。尽管健康研究文献中有大量研究探讨了尿失禁的生理基础，但关于文化在塑造对尿失禁的认识、态度和信念方面所起的作用，证据有限。本综述旨在回答关于文化在塑造对尿失禁的态度和信念方面的作用的已知情况，以找出文献中的空白并指导未来的研究。

方法与分析

将采用乔安娜·布里格斯研究所的范围综述方法进行本综述，符合系统评价和Meta分析扩展的范围综述的首选报告项目（PRISMA-ScR）。将检索MEDLINE、Embase、PsycINFO、护理及相关健康文献累积索引、EBSCOhost、Scopus数据库和世界卫生组织医学索引数据库，对语言和出版日期不做任何限制，以提高综述的全面性和包容性。于2024年2月9日对MEDLINE进行了初步检索以识别文章。将使用Covidence软件管理数据库检索结果的筛选和分析。两名作者将筛选文章，必要时第三名作者将参与解决任何分歧。研究结果将用表格整理，并确定关键主题。