Understanding the Impact of Urinary Incontinence in Persons with Dementia: Development of an Interdisciplinary Service Model.

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2021-06-19 eCollection Date: 2021-01-01 DOI:10.1155/2021/9988056
Patrick Juliebø-Jones, Elizabeth Coulthard, Elizabeth Mallam, Hilary Archer, Marcus J Drake
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引用次数: 2

Abstract

Introduction: Prevalence of urinary symptoms such as incontinence (UI) in patients with dementia is estimated to exceed 50%. The resultant psychological and socio-economic burden can be substantial. Our aim was to develop a dedicated urology service within a cognitive impairment clinic in order to treat and better understand the bothersome urinary symptoms suffered by persons with dementia.

Methods: Patients attending this clinic were invited to be assessed and interviewed by urologist, together with their family and/or carer. In addition, formal history, examination and relevant investigations, themes of importance such as quality of life, and select question items were drawn from validated questionnaires. Multidisciplinary team (MDT) meeting was carried out on the same day. Outcomes of the first 75 patients with UI and dementia have been reported.

Results: Average age was 70 years (range 58-98). Majority of persons had a diagnosis of Alzheimer's disease (n = 43, 57%). Average score for how much urine leakage interferes with everyday life was 7.7/10 (range 2-10). 58.7% (n = 44) revealed some degree of sleep disturbance due to UI. 83% (n = 62) stated daily activities were limited due to UI. Two-thirds of persons with dementia (n = 50) stated their bladder problem makes them feel anxious. 88% (n = 67) felt the topic was socially embarrassing. All carers stated that the person's continence issues affect the care they provide. Less than one-third of carers (30.7%, n = 23) were aware of or had been in contact with any bladder and bowel community service. More than half of the carers (n = 46, 65%) were concerned incontinence may be a principal reason for future nursing home admission.

Conclusion: UI can be distressing for persons with dementia. Care partners were concerned about loss of independence and early nursing home admission. Awareness of bladder and bowel services should be increased.

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了解痴呆症患者尿失禁的影响:跨学科服务模式的发展。
导读:痴呆患者尿失禁(UI)等泌尿系统症状的患病率估计超过50%。由此产生的心理和社会经济负担可能是巨大的。我们的目标是在一个认知障碍诊所内开发一个专门的泌尿科服务,以治疗和更好地了解痴呆症患者所遭受的令人烦恼的泌尿系统症状。方法:邀请来门诊就诊的患者,由泌尿科医生及其家人和/或护理人员进行评估和访谈。此外,正式的历史,考试和相关调查,重要的主题,如生活质量,并从有效的问卷中选择问题项。多学科小组(MDT)会议也在同一天举行。报道了首批75例尿失禁和痴呆患者的结局。结果:平均年龄70岁(58 ~ 98岁)。大多数人被诊断为阿尔茨海默病(n = 43, 57%)。尿漏干扰日常生活的平均得分为7.7/10(范围2-10)。58.7% (n = 44)有不同程度的睡眠障碍。83% (n = 62)的患者表示,由于UI,他们的日常活动受到限制。三分之二的痴呆症患者(n = 50)表示他们的膀胱问题使他们感到焦虑。88% (n = 67)的人认为这个话题在社交上令人尴尬。所有护理人员都表示,患者的自制问题影响了他们提供的护理。不到三分之一的护理人员(30.7%,n = 23)知道或曾经接触过任何膀胱和肠道社区服务。超过一半的护理人员(n = 46,65 %)担心尿失禁可能是未来入住养老院的主要原因。结论:尿失禁对痴呆患者来说是痛苦的。护理伙伴关心的是丧失独立性和过早入住养老院。应该提高对膀胱和肠道服务的认识。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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