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  1. Predictors of successful prompted voiding among incontinent nursing home residents.

    Article - En anglais

    Objective

    - To develop a simple, noninvasive assessment strategy that will enable nursing home staff to identify incontinent residents who respond well to prompted voiding.

    Design

    - Incontinent nursing home residents underwent an extensive clinical and functional assessment and then 7 days of prompted voiding.

    Data from the assessment and the first 3 days of prompted voiding were used to predict responsiveness to the intervention.

    Setting

    - Seven nursing homes.

    Patiente

    - A cohort of 191 incontinent, long-stay nursing home residents who passed a simple behavioral screen (able to state their name or reliably point to one of two named objects).

    Intervention

    - Prompted voiding was carried out by trained research nurse's aides from 7 AM to 7 PM for 7 days.

    The intervention was maintained in responsive residents 5 days per week for an additional 9 weeks.

    Main Outcome Measures

    - Physical checks for wetness were done by research staff hourly from 7 AM to 7 PM for 3 days in a baseline condition, during days 5 through 7 of the 7-day prompted voiding intervention, and for 3 days at the end of 9 weeks of prompted voiding in the responsive group.

    Outcome measures were percentage of checks wet and response to prompted voiding, with « responders » defined as residents with an average of one or fewer wet episode per day on days 5 through 7 of prompted voiding.

    Mots-clés Pascal : Incontinence urinaire, Miction, Déclenchement, Evaluation performance, Prédiction, Etablissement troisième âge, Gériatrie, Epidémiologie, Vieillard, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Micturition, Triggering, Performance evaluation, Prediction, Homes for the aged, Geriatrics, Epidemiology, Elderly, Human, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0340566

    Code Inist : 002B30A03B. Création : 01/03/1996.