Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study
Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study
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持续节制自我管理计划与中风患者排尿行为独立性的关联：一项回顾性队列研究
DOI：
10.1002/nau.24922
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发表时间：
2022
影响因子：
2
通讯作者：
Sai Yoshimichi
中科院分区：
文献类型：
--
作者：
Shogenji Miho;Yoshida Mikako;Sumiya Koyomi;Shimada Tsutomu;Ikenaga Yasunori;Ogawa Yoru;Hirako Kohei;Sai Yoshimichi
许多中风患者由于运动和认知功能障碍而不能独立排尿。本研究探讨了在急性期和恢复期持续的自我管理计划是否与排尿行为的独立性相关。MethodsA回顾性队列研究在2015年至2019年在日本加贺地方中风网络理事会登记的中风患者中进行。在干预组（n= 941）中，一个多学科的康复护理团队和病房护士在急性期提供康复护理，并与康复病房的工作人员分享信息。对照组579例，由病房护士提供传统的排尿护理。主要和次要结局分别为康复病房出院时排尿行为的独立性和住院时间的长短，respectively.ResultsAt出院时，干预组患者在厕所或床边便桶排尿的比例高于对照组（76. 3% vs. 62. 4%，p <0. 001）。持续性排尿自我管理计划与排尿行为的独立性相关（校正比值比：1.801，95%置信区间[CI]：[1.102，2.942];p= 0.019）和住院时间（β：−0.178，95%CI：[−14.320，−7.607]; p< 0.001），调整其他变量后。结论该方案与增加独立排尿行为和缩短住院时间有关，提示由多学科的中风患者康复护理团队促进下尿路症状治疗和康复的重要性。
AimsMany stroke patients cannot urinate independently due to motor and cognitive dysfunctions. This study examined whether a continuous continence self‐management program during acute and convalescent phases is associated with independence in voiding behavior.MethodsA retrospective cohort study was conducted among stroke patients registered in the Council of Kaga Local Stroke Network, Japan, from 2015 to 2019. In the intervention group (n= 941), a multidisciplinary continence care team and ward nurses provided continence care in the acute phase and shared the information with the staff in the convalescent ward. The control group (n= 579) received traditional voiding care from ward nurses. The primary and secondary outcomes were independence in voiding behavior at discharge from the convalescent ward and length of hospital stay, respectively.ResultsAt discharge from the convalescent wards, the proportion of patients who voided at the toilet or bedside commode was higher in the intervention group than in the control group (76.3% vs. 62.4%,p< 0.001). The continuous continence self‐management program was associated with independence in voiding behavior (adjusted odds ratio: 1.801, 95% confidence interval [CI]: [1.102, 2.942];p= 0.019) and length of hospital stay (β: −0.178, 95% CI: [−14.320, −7.607];p< 0.001) after adjusting for other variables.ConclusionsThe program was associated with increasing independent voiding behavior and shortened the length of hospital stay, suggesting the importance of promoting treatments for lower urinary tract symptoms and rehabilitation by a multidisciplinary continence care team for stroke patients.