Clinical, functional, and psychosocial characteristics of an incontinent nursing home population.
Clinical, functional, and psychosocial characteristics of an incontinent nursing home population.
复制标题
失禁疗养院人群的临床、功能和心理社会特征。
DOI：
10.1093/geronj/42.6.631
复制
发表时间：
1987
期刊：
影响因子：
--
通讯作者：
Sayre,J
中科院分区：
文献类型：
--
作者：
Ouslander,JG;Morishita,L;Blaustein,J;Orzeck,S;Dunn,S;Sayre,J
尽管尿失禁被认为是疗养院居民中普遍存在的、破坏性的且代价高昂的问题，但与这种情况相关的因素尚未得到仔细研究。我们比较了 50 名失禁疗养院居民和 50 名失禁疗养院居民的临床、功能和心理社会特征。尽管知情同意过程存在选择偏差，导致许多功能受损最严重的失禁居民被排除在外，但失禁研究参与者与如厕相关的功能障碍明显更大，而且平均而言，比失禁对照组花费更长的时间来执行一系列定时的如厕相关任务。除菌尿外，我们没有发现失禁与我们检查的大多数主要临床病症和药物有关，也没有发现失禁和失禁居民之间的士气和大多数社会活动指标存在差异。这些数据强调了疗养院环境中功能障碍和失禁之间的密切关联，并表明对如厕技能的标准功能评估可以为失禁居民的护理做出重要贡献。
Although urinary incontinence is recognized as a prevalent, disruptive, and costly problem among nursing home residents, the factors associated with this condition have not been carefully studied. We compared clinical, functional, and psychosocial characteristics of 50 incontinent and 50 continent nursing home residents. In spite of a selection bias due to the informed consent process that resulted in the exclusion of many of the most functionally impaired incontinent residents, the incontinent study participants had significantly greater impairments in functional abilities related to toileting and, on average, took longer to perform a timed series of toileting-related tasks than did the continent comparison group. With the exception ofbacteriuria, we did not find incontinence to be associated with most of the major clinical conditions and medications we examined, nor did we find differences in morale and most measures of social activities between the incontinent and continent residents. The data highlight the strong association between functional disability and incontinence in the nursing home setting and suggest that a standard functional assessment of toileting skills could make an important contribution to the care of incontinent residents.