Adults With Intellectual Disabilities and Incontinence: Assessment and Toileting Issues.

IF 2.1 2区医学 Q1 EDUCATION, SPECIAL Journal of Intellectual Disability Research Pub Date : 2024-11-24 DOI:10.1111/jir.13202

Janet Finlayson, Dawn A Skelton, Paul Ord, Fiona Roche, Audrey Marshall, John Butcher, Nick Gore

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Abstract

Background: Urinary and bowel incontinence are more common in adults with intellectual disability (ID), compared to the general population. Little is known about their incontinence experiences and toileting issues. The aim was to learn about their experiences and toileting issues.

Method: Incontinence and toileting issues assessment was conducted with a community-based sample of 22 adults with ID and urinary incontinence, with or without bowel incontinence. Assessment included the IPSS, ICIQ-UI, and POTI checklists; bladder scans; and urine sample screening for presence of a urinary tract infection.

Results: The majority (19 adults, 86%) developed urinary incontinence during adulthood. Seven adults (32%) also experienced bowel incontinence, and constipation was the most commonly reported health condition (13 adults, 59%), other than urinary incontinence. Fifty per cent (11 adults) had been treated for a urinary tract infection within the previous 12 months.

Conclusion: There is an urgent need to develop accessible and reliable incontinence assessment materials with and for adults with ID and their supporters. These assessments should pay close attention to health conditions that can cause incontinence in this group and factors associated with incontinence which are more commonly experienced by adults with ID. These factors are potentially modifiable.

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智障成人与大小便失禁：评估和如厕问题。

背景：与普通人相比，智障成人更容易发生尿失禁和大便失禁。人们对他们的尿失禁经历和如厕问题知之甚少。本研究旨在了解他们的尿失禁经历和如厕问题：对 22 名患有尿失禁（伴有或不伴有大便失禁）的智障成人进行了尿失禁和如厕问题评估。评估内容包括 IPSS、ICIQ-UI 和 POTI 检查表；膀胱扫描；以及尿液样本筛查，以确定是否存在尿路感染：大多数患者（19 名成人，86%）在成年后出现尿失禁。除尿失禁外，7 名成人（32%）还出现了大便失禁，便秘是最常见的健康问题（13 名成人，59%）。50%的成年人（11 人）在过去 12 个月内接受过尿路感染治疗：当务之急是为智障成人及其支持者开发方便可靠的尿失禁评估材料。这些评估应密切关注可导致该群体尿失禁的健康状况，以及与智障成人更常见的尿失禁相关的因素。这些因素可能是可以改变的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intellectual Disability Research Multiple-

CiteScore

5.60

自引率

5.60%

发文量

期刊介绍： The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.