Shepherd A M, Blannin J P, Feneley R C
Br Med J (Clin Res Ed). 1982 Feb 27;284(6316):645-6. doi: 10.1136/bmj.284.6316.645.
Much interest has been shown recently in the plight of the incontinent patient and how incontinence should be managed. Incontinence has a complex aetiology and may be part of many medical and social problems. Because there is a delay between completing investigations and making a diagnosis we have established a system of nursing care. Initially this was meant to provide the person protective garments and appliances, but it now covers management in both the community and the hospital. The preliminary results show that patient assessment is effective and that specialist nurses and a co-ordinated scheme to educate both doctors and nurses are needed.
近来，人们对大小便失禁患者的困境以及失禁的处理方式表现出了浓厚兴趣。失禁有着复杂的病因，可能是诸多医疗和社会问题的一部分。由于在完成检查和做出诊断之间存在延迟，我们建立了一套护理体系。最初，这一体系旨在为患者提供防护服和器具，但现在它涵盖了社区和医院的管理。初步结果表明，患者评估是有效的，而且需要专科护士以及针对医生和护士的协调教育方案。
