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Nationwide survey of continence status among older adult residents living in long-term care facilities in Japan: The prevalence and associated risk factors of incontinence and effect of comprehensive care on continence status.

日本长期护理机构老年居民节制状况的全国性调查: 失禁的患病率和相关危险因素以及综合护理对节制状况的影响。

  • 影响因子:1.86
  • DOI:10.1111/ggi.13872
  • 作者列表:"Suzuki M","Okochi J","Iijima K","Murata T","Kume H
  • 发表时间:2020-04-01
Abstract

AIM:This study aimed to identify the prevalence of urinary, fecal and double incontinence among Japanese residents aged ≥65 years living in long-term care facilities. Furthermore, the association between baseline characteristics and changes in toileting activity after a 3-month comprehensive care among older individuals was investigated. METHODS:We examined the prevalence of incontinence and its significant predictors. The association between the Functional Independence Measure score at baseline and each type of incontinence (urinary, fecal or double incontinence) was examined using a logistic regression model. Similarly, the association between the Functional Independence Measure score at baseline and improvement in toileting activity after a 3-month comprehensive care was examined. RESULTS:In total, 2517 residents (670 men and 1847 women) were recruited. The prevalence rates of urinary, fecal and double incontinence were 66.9%, 42.8% and 41.1%, respectively. In multivariate analysis, the sum of the motor subscales after removing four continence items and the sum of the cognitive subscales of the Functional Independence Measure score at baseline were significantly associated with all types of incontinence. The sum of the motor subscales after removing four continence items of the Functional Independence Measure score was associated with improved toileting activity. CONCLUSIONS:This study presented the prevalence of urinary, fecal and double incontinence among residents living in long-term care facilities in Japan. The Functional Independence Measure items at baseline were associated with not only continence status, but also improved toileting activity after 3-month comprehensive care. Geriatr Gerontol Int 2020; 20: 285-290.

摘要

目的: 本研究旨在确定居住在长期护理机构中年龄 ≥ 65岁的日本居民的尿失禁、大便失禁和双重尿失禁的患病率。此外,还研究了基线特征与老年人3个月综合护理后如厕活动变化之间的关联。 方法: 我们检查了尿失禁的患病率及其重要的预测因素。使用逻辑回归模型检查基线时的功能独立性测量评分与每种类型的失禁 (尿、粪便或双重失禁) 之间的关联。同样,检查了基线时的功能独立性测量评分与3个月综合护理后如厕活动改善之间的相关性。 结果: 共招募了2517名居民 (670名男性和1847名女性)。尿失禁、大便失禁和双失禁的患病率分别为66.9% 、42.8% 和41.1%。在多变量分析中,去除4个控尿项目后的运动分量表的总和以及基线时功能独立性测量评分的认知分量表的总和与所有类型的失禁显著相关。去除功能独立性测量评分的四个控尿项目后,运动分量表的总和与改善的如厕活动相关。 结论: 本研究显示了日本长期护理机构居民的尿失禁、大便失禁和双重尿失禁的患病率。基线时的功能独立性测量项目不仅与控尿状态相关,而且在3个月的综合护理后改善了如厕活动。Geriatr Gerontol Int 2020; 20: 285-290。

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影响因子:1.46
发表时间:2020-01-01
来源期刊:The Journal of urology
DOI:10.1097/JU.0000000000000461
作者列表:["Lee J","Kim HY","Goh HJ","Heo JE","Almujalhem A","Alqahtani AA","Chung DY","Chang K","Choi YD","Rha KH"]

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翻译标题与摘要 下载文献
影响因子:1.46
发表时间:2020-01-01
来源期刊:The Journal of urology
DOI:10.1097/JU.0000000000000458
作者列表:["McCrery R","Lane F","Benson K","Taylor C","Padron O","Blok B","De Wachter S","Pezzella A","Gruenenfelder J","Pakzad M","Perrouin-Verbe MA","Le Normand L","Van Kerrebroeck P","Mangel J","Peters K","Kennelly M","Shapiro A","Lee U","Comiter C","Mueller M","Goldman HB"]

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排尿障碍方向

因为输尿管阻塞等原因,导致排尿不顺畅或者无法排尿的症状。

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