Can individual comprehensive continence care for elderly people with lower urinary tract symptoms improve cognitive function?

对有下尿路症状的老年人进行个体化综合失禁护理能否改善认知功能？

• 批准号: 20K23149
• 负责人: 溝口 晶子
• 金额: $ 1.83万
• 依托单位: Oita University (2022)Daiichi University, College of Pharmaceutical Sciences (2020-2021)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Research Activity Start-up
• 财政年份: 2020
• 资助国家: 日本
• 起止时间: 2020-09-11 至 2024-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-20K23149/
• 关键词: 下部尿路症状; 包括的排尿ケア; 認知機能; ケア従事者の意識; 尿失禁; 夜間頻尿; 骨盤底筋訓練; 個別

（目的）本研究は、下部尿路症状(lower urinary tract symptoms:以下 LUTS)のある高齢者への個別の包括的排尿ケアが認知機能を改善するのかを明らかにすることである。（方法）本年度は昨年度に引き続き、回復期リハビリテーション病棟・療養病床入院中および介護老人保健施設に入所中のLUTSのある高齢者のデータを収集した。病院・施設に勤務するケア従事者の抱く排泄ケアの意識について、排尿ケアの講習会や研修等の受講の有無で2群に分類し、排泄ケアに関する意識調査の分析を行った。加えて、夜間の睡眠は認知機能に影響を及ぼすことから夜間頻尿により睡眠の妨げを軽減する非薬物療法として日中の膝丈弾性ストッキングの着用効果の検証を行った。（結果）包括的排尿ケアはLUTSの有意な改善と認知機能の維持・改善が示唆された。加えて、LUTSや認知機能の改善はケア従事者の意識に関係することが示唆された。また、日中の膝丈弾性ストッキング着用により夜間の排尿回数を軽減し生活の質が向上する可能性が示唆された。（まとめ）包括的排尿ケアはLUTSの改善とともに、認知機能を維持・改善とケア従事者の意識に関係することが示唆された。今後は、症例数の蓄積による継続評価とともに、認知機能に影響する夜間の睡眠時の排尿におけるケアの検討をする予定である。

(objective) in this study, the voiding machine included in patients with high incidence of lower urinary tract symptoms (lower urinary tract symptoms) and lower urinary tract symptoms (LUTS) can improve the symptoms of urinary tract symptoms. (methods) this year, during the last year, the hospital was introduced into the hospital to protect the health care facilities for the elderly during the period of last year. (methods) this year, during the period of last year, the hospital was introduced into the hospital to protect the health care for the elderly during the period of last year. (methods) this year, during the period of last year, the hospital was introduced to the hospital for the protection of health care for the elderly. There are no two groups of patients in the hospital, such as the staff of the hospital, and so on. In addition, the night sleep monitor can be used to monitor and monitor the night urine and sleep in the night. It is not necessary to make use of the non-physical method in the middle of the day for the use of health care equipment. (results) the voiding LUTS was intended to improve the ability to maintain and improve the urinary tract function. Add information and LUTS information to improve the awareness of people involved in the accident. Sex workers in Japan, China and Japan show that they are instigated by the number of urination returns during the night and the possibility of an upward trend in daily life. (voiding equipment) including voiding, LUTS, improvement, maintenance, maintenance and improvement. In the future, the number of cases and cases will be increased, and the machine will be able to urinate and urinate during sleep at night.