Self-care practices used by older men and women to manage urinary incontinence: results from the national follow-up survey on self-care and aging.
Self-care practices used by older men and women to manage urinary incontinence: results from the national follow-up survey on self-care and aging.
复制标题
老年男性和女性用于治疗尿失禁的自我护理实践：全国自我护理和老龄化跟踪调查的结果。
DOI：
10.1111/j.1532-5415.2000.tb06885.x
复制
发表时间：
2000
影响因子：
6.3
通讯作者：
DeFriese,GH
中科院分区：
文献类型：
--
作者：
Johnson2nd,TM;Kincade,JE;Bernard,SL;Busby-Whitehead,J;DeFriese,GH
目的：评估老年尿失禁患者自我护理实践的程度;确定人口统计学和功能状态指标与自我护理实践使用的相关性;探索联系医生和一次性护垫使用之间的关系。设计：采用多元逻辑回归对全国概率样本进行横断面分析。来自1993-1994年全国自我护理和老龄化随访调查的UI受试者（n = 787）的回答，这是一项对1990- 1991年美国本土社区内老年医疗保险受益人的随访调查。受试者对UI、大便失禁、穿衣、进食、洗澡、工具性日常生活活动（IADL）、日常生活活动（MADL）、年龄、性别、居住地、种族、教育、调查代理响应的响应，结果：超过25%的UI受访者使用的自我护理实践包括使用一次性护垫、限制旅行和限制液体。在患有尿失禁的老年人中，使用一次性护垫（44.5%; 95% CI，36.9-52.1）和进行锻炼（14.2%; 95% CI，9.7-18.9）的女性多于男性（分别为15.1%; 95% CI，8.1-22.1和4.3%; 95% CI，1.0-7.7）。双变量分析显示，重度UI或大便失禁的受访者报告更多地使用自我护理实践。在三种最常用的自我护理实践的多变量模型中，UI严重程度的测量并不总是与自我护理实践的使用独立相关，而ADL功能状态的测量则是。一次性护垫的使用与（OR 3.36; 95%CI，2.01-5.63）在多变量模型中，即使在控制了年龄、性别、人口统计学和自我报告的医疗状况后，也会联系医生了解失禁情况。在多变量模型中，通过功能状态的测量，如穿衣、进食、洗澡、IADL或MADL，但不是所有UI指标。一次性护垫使用者联系医生的几率增加，这表明自我护理实践和正规医疗护理并不总是负相关的。J Am Geriatr Soc 48：894-902，2000。
OBJECTIVES: To estimate the extent to which self‐care practices are employed by older adults with urinary incontinence (UI); to determine how demographic and functional status measures are associated with self‐care practice use; and to explore the relationship between contacting a doctor and disposable pad use.DESIGN: A cross‐sectional analysis of a national probability sample using multiple logistic regression.SETTING: Responses of subjects with UI (n = 787) from the 1993–1994 National Follow‐up Survey on Self‐Care and Aging, a follow‐up survey of older Medicare beneficiaries living in the community within the contiguous United States drawn in 1990–1991MEASURES: Subject responses about UI, fecal incontinence, dressing, eating, bathing, Instrumental Activities of Daily Living (IADL), Mobility Activities of Daily Living (MADL), age, gender, place of residence, race, education, proxy response to the survey, and self‐reported medical conditions.RESULTS: Self‐care practices used by more than 25% of respondents with UI included using disposable pads, limiting trips, and limiting fluids. Among older adults with incontinence, more women used disposable pads (44.5%; 95% CI, 36.9–52.1) and performed exercises (14.2%; 95% CI, 9.7–18.9) than did men (15.1%; 95% CI, 8.1–22.1; and 4.3%; 95% CI, 1.0–7.7, respectively). Bi‐variate analysis showed respondents with severe UI or fecal incontinence reported greater use of self‐care practices. In multivariate models of the three most commonly used self‐care practices, measures of UI severity were not always associated independently with self‐care practice use, whereas ADL measures of functional status were. Disposable pad use was positively independently associated (OR 3.36; 95% CI, 2.01–5.63) in multivariate models with contacting a doctor about incontinence, even after controlling for age, gender, demographics, and self‐reported medical conditions.CONCLUSIONS: Use by older adults of self‐care practices to manage urinary incontinence is predicted independently in multivariate models by measures of functional status such as dressing, eating, bathing, IADLs or MADLs, but not by all UI measures. Disposable pad users had increased odds of contacting a doctor, suggesting that self‐care practices and formal medical care are not always inversely related.J Am Geriatr Soc 48:894–902, 2000.