What characteristics predispose to continence in nursing home residents?: A population‐based cross‐sectional study

Abstract

AimsTo compare characteristics of both continent and incontinent residents in Nursing Homes (NHs) and to explore what predicts continence and severity of incontinence.MethodsA population-based cross-sectional study was performed in nursing homes in one Norwegian municipality. Registered nurses filled in a questionnaire on behalf of the patients.ResultsWe found that 25.4% of the NH residents were continent, 31.8% had urinary incontinence alone, 2.6% had fecal incontinence alone and 40.2% had double incontinence. Continent residents were characterized by being in short-term care, shorter stay in NH, less cognitive and physical impairment, less Parkinson's disease, stroke, constipation, and less diarrhea and more independence in activities of daily living (ADL). Residents with fecal incontinence alone were characterized by more diarrhea, less cognitive impairment and less dependency in ADL such as feeding and grooming. Residents with urinary incontinence alone were characterized by having some degree of ADL dependency, less diarrhea, and less diabetes. Residents with double incontinence were characterized by being in long-term care, a longer length of stay in NH, cognitive impairment, stroke, constipation, diarrhea, and dependency in ADL. Severity of incontinence was associated with dependency in ADL and cognitive impairment, diarrhea, length of stay in NH and lower age.ConclusionsAbout 25% of NH residents were continent. Double incontinence and urinary incontinence only were prevalent conditions in NHs, while FI alone was rarer. With the exception of diarrhea as a cause of FI, it appears that FI alone, UI alone, and DI may have common causes and development. Neurourol. Urodynam. 34:362–367, 2015. © 2014 The Authors. Neurourology and Urodynamics published by Wiley Periodicals, Inc.

Acidente vascular encefálico como fator de risco para incontinência urinária em: idosos institucionalizados

“…Estudo desenvolvido no Brasil por Jerez-Roig et al (2014 a ) em dez instituições de longa permanência, esta mesma prevalência foi de 42,7%, evidenciando que grande parte dos idosos institucionalizados convivem com a perda involuntária de urina, decorrente das comorbidades e ao perfil de maior vulnerabilidade ( JEREZ-ROIG et al,2014a, SAGA et al, 2015.…”

“…Tuong, Klausner e Hampton (2016) revelam que 28 a 79% dos sobreviventes de acidente vascular encefálico experimentam incontinência urinária com hiperatividade do detrusor, sendo o tipo mais comum de incontinência avaliada por estudos urodinâmicos. Estes idosos apresentaram maior ocorrência de incontinência urinária em relação aos idosos que nunca haviam apresentado esta intercorrência.…”

“…A prática do exercício físico e a adoção de hábitos saudáveis, como a diminuição da quantidade de sal na alimentação, dispensa de alimentos gordurosos, minimização da utilização do álcool e do abandono ao tabagismo, poderia diminuir a prevalência da incontinência urinária, principalmente em idosos menos ativos ( VIRTUOSO; MENEZES; MAZO, 2015). Saga et al (2015), descreveram em seu estudo, que as características dos idosos institucionalizados continentes eram diferentes dos idosos incontinentes. Os idosos incontinentes apresentavam maior comprometimento cognitivo e físico, além de maior dependência funcional.…”

“…Ser residente em uma instituição de longa permanência, geralmente é caracterizado por fragilidade, um grande número de comorbidades, comprometimento cognitivo e dependência funcional (SAGA et al, 2015). Quanto maior a dependência funcional que o idoso apresenta, maior a prevalência da incontinência, o que pode piorar com o envelhecimento (MARQUES et al, 2015).…”

An automatic urine disposal system for urinary incontinence: A pilot study with long-term users for effectiveness and safety

“…The prevalence of UI among nursing home residents is reported to be between 50% and 65% [3][4][5][6], and the high prevalence of UI in nursing home residents has been attributed to advancing age and senile dementia that leads to impairment of activities of daily living [6]. Other than conventional urine absorbing products, the indwelling catheter is the most commonly used urinary incontinence aid, but the catheterization has a high risk of urinary tract infection (UTI), 3-7% a day [7].…”