Changing UI practice.
Changing UI practice.
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改变 UI 实践。
DOI：
10.1097/00000446-200303000-00048
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Palmer,MaryH
中科院分区：
文献类型：
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作者：
Mason,DianaJ;Newman,DianeK;Palmer,MaryH
（黛安纽曼），开发他们。不幸的是，几乎没有证据表明护士和其他临床医生使用了该指南。正如AHRQ和其他专业组织所发现的那样，改变临床实践说起来容易做起来难。虽然UI的临床管理进展停滞，但UI的患病率正在上升。至少有1700万美国人患有UI;它是老年人机构化的第二大原因，并且发生在超过50%的养老院居民中。根据1987年的一项调查，多达53%的住在自己家里的人可能患有UI。据估计，大多数患有UI的人从未向医生或护士提及这种情况。护理研究提供了大量的证据表明，非侵入性的治疗方案可以在长期护理环境中有效。但是这些环境中的临床医生仍然不熟悉这项研究，而且在很大程度上不使用创新技术。一些养老院坚持认为，他们缺乏工作人员意味着他们所能做的就是通过使用吸收性产品来控制问题，但示范项目对这一说法提出了质疑。对于某些失禁患者，使用吸收性产品是最合适的干预措施;对于其他人，恢复性干预措施（如膀胱再训练或促进排尿）更合适。尽管如此，使用吸收性产品往往是适用于每个人的干预措施。未提供UI的个性化护理。
(Diane Newman), developed them. Unfortunately, there’s little evidence suggesting that nurses and other clinicians have used the guidelines. As the AHRQ and other professional organizations have discovered, changing clinical practice is easier said than done. While progress in the clinical management of UI has stalled, the prevalence of UI is rising. At least 17 million Americans have UI; it’s the second leading cause of institutionalization of the elderly and occurs in more than 50% of nursing home residents. According to a 1987 survey, as many as 53% of people living in their own homes may have UI. It’s estimated that a majority of people with UI never mention the condition to a physician or nurse. Nursing research has provided substantial evidence that noninvasive toileting programs can be effective in long-term—care settings. But clinicians in these settings remain unfamiliar with the research and largely don’t use innovative techniques. Some nursing homes maintain that their lack of staff means all they can do is contain the problem through the use of absorbent products, but demonstration projects have disputed this assertion. For some people with incontinence, use of absorbent products is the most appropriate intervention; for others, a restorative intervention such as bladder retraining or prompted voiding is more appropriate. Nonetheless, use of absorbent products is often the intervention applied to everyone. Individualized care for UI isn’t provided.