Marron K R, Fillit H, Peskowitz M, Silverstone F A
J Am Geriatr Soc. 1983 May;31(5):278-81. doi: 10.1111/j.1532-5415.1983.tb04871.x.
A survey of all patients in a 527-bed skilled nursing facility was carried out to determine the prevalence of bladder catheterization. The institution surveyed is a teaching nursing home and rehabilitation center comprising three intermediate-stay and rehabilitation units of 126 beds and nine long-term care units. The institutional prevalence of recurrent urinary incontinence was 46 per cent, or 243 patients. The prevalence of chronic indwelling urethral catheters was 2.5 per cent, or 13 patients. The prevalence of urethral catheterization was further reduced to 1.5 per cent on the long-term care units, where the rate of recurrent urinary incontinence exceeded 60 per cent. The results of our survey were then compared with similar surveys at the institution during the years 1975 through 1980. Despite a fluctuating but increasing prevalence of incontinence over the years studied, a favorable trend was shown toward a reduction in the number of patients with indwelling urethral catheters. This study indicates that unless specific complicating factors are present, urinary incontinence in all but a very few of the elderly can be successfully managed without chronic indwelling catheterization. The authors believe that the introduction and growth of an education and research program in the nursing home environment has led to improvement in the standards of medical and nursing care.
对一家拥有527张床位的专业护理机构中的所有患者进行了一项调查，以确定膀胱插管的患病率。接受调查的机构是一家教学疗养院和康复中心，包括三个拥有126张床位的中期护理和康复单元以及九个长期护理单元。机构中复发性尿失禁的患病率为46%，即243名患者。慢性留置尿道导管的患病率为2.5%，即13名患者。在长期护理单元中，尿道插管的患病率进一步降至1.5%，而这些单元中复发性尿失禁的发生率超过60%。然后将我们的调查结果与该机构在1975年至1980年期间进行的类似调查进行了比较。尽管在研究的这些年里尿失禁的患病率波动但呈上升趋势，但在留置尿道导管的患者数量减少方面呈现出有利趋势。这项研究表明，除非存在特定的复杂因素，除了极少数老年人外，所有尿失禁患者都可以在不进行慢性留置导管的情况下得到成功管理。作者认为，疗养院环境中教育和研究项目的引入和发展导致了医疗和护理标准的提高。
