Prevention of urinary incontinence in adults: population-based strategies.
Prevention of urinary incontinence in adults: population-based strategies.
复制标题
预防成人尿失禁：基于人群的策略。
DOI：
10.1097/00006199-200411006-00010
复制
发表时间：
2004
期刊：
影响因子：
2.5
通讯作者：
Wooldridge,Leslie
中科院分区：
文献类型：
--
作者：
Sampselle,CarolynM;Palmer,MaryH;Boyington,AliceR;O'Dell,KatharineK;Wooldridge,Leslie
背景：尿失禁（UI）影响着大量的成年人，尤其是老年人，估计全球有2亿成年人有这种改变生活的conditions.Objectives：To确定关键人群的风险尿失禁，并提出基于人群的战略，以促进尿失禁与实质性重点对UI prevention.Methods：现有文献的批判性审查和迭代合成进行了产生一个行动计划，以指导未来的UI prevention research.Results：确定的关键人群是在选定的职业，育龄妇女，老年人的生活方式的危险因素，老年人的共病条件，和疗养院居民的风险。建议开展基于人口的研究活动。越来越多的证据支持骨盆底肌肉训练的好处，以防止分娩和子宫切除术相关的UI。膀胱训练已经证明了预防capability.Conclusions：由于其高患病率和慢性，但可预防的性质，UI是最适当的公共卫生问题。护理研究是必要的，以测试预防计划UI使用人口为基础的公共卫生的重点。
Background:Urinary incontinence (UI) affects large numbers of adults, especially older adults, with an estimated 200 million adults worldwide having this life-altering condition.Objectives:To identify key populations at risk for urinary incontinence and propose population-based strategies to promote continence with a substantive focus on UI prevention.Methods:Critical review of extant literature and iterative synthesis were undertaken to generate an action plan to guide future UI prevention research.Results:Key populations identified to be at risk for UI are women in selected occupations, childbearing women, older adults with lifestyle risk factors, older adults with comorbid conditions, and nursing home residents. Population-based research activities are proposed. Growing evidence supports the benefit of pelvic floor muscle training to prevent childbirth and prostatectomy-related UI. Bladder training has demonstrated preventive capacity.Conclusions:Because of its high prevalence and chronic but preventable nature, UI is most appropriately considered a public health problem. Nursing research is needed to test prevention programs for UI using a population-based public health focus.