Schultz A, Dickey G, Skoner M
Maine Medical Center, Portland, USA.
Urol Nurs. 1997 Mar;17(1):23-8.
Acute care nurses are in good position to identify patients with bladder and rectal control problems, inform physicians, provide initial interventions, and make appropriate referrals. Do nurses assess and document these problems?
Two hundred forty-seven patients (123 men; 124 women) aged 22 to 92 years were interviewed before admission. Charts were reviewed for documentation.
One hundred three patients (32 men; 71 women) reported urinary incontinence. Only 10 patients had urinary incontinence documented on admission. Of 53 individuals who reported fecal incontinence, only nine had the symptoms documented.
The incontinence rate was 42% in this acute care population, significantly higher than the incidence reported in studies of community dwellers and lower than the incidence reported in studies of nursing homes. However, ages, definitions of incontinence, and methods of data collection varied among the studies. Documentation of incontinence was reported as low in all of the studies. Based on findings, nurses are advised to assess and document incontinence on men and women of all ages (not just older adults) and to ask direct questions to get information. Strategies for increased awareness of urinary and fecal incontinence issues at the authors' institution after this study's results are included.
急症护理护士很适合识别存在膀胱和直肠控制问题的患者，通知医生，提供初步干预措施，并进行适当的转诊。护士会评估并记录这些问题吗？
在入院前对247名年龄在22至92岁之间的患者（123名男性；124名女性）进行了访谈。查阅病历以查看相关记录。
103名患者（32名男性；71名女性）报告有尿失禁。入院记录中仅有10名患者被记录有尿失禁。在53名报告有大便失禁的患者中，仅有9名患者的症状被记录。
在这个急症护理人群中，失禁率为42%，显著高于社区居民研究报告的发病率，低于养老院研究报告的发病率。然而，各项研究中的年龄、失禁定义和数据收集方法各不相同。所有研究中失禁记录情况均较低。根据研究结果，建议护士对所有年龄段（不仅仅是老年人）的男性和女性评估并记录失禁情况，并直接提问以获取信息。本文还纳入了在本研究结果公布后，作者所在机构提高对尿失禁和大便失禁问题认识的策略。
