Predictors of successful prompted voiding among incontinent nursing home residents.
- To develop a simple, noninvasive assessment strategy that will enable nursing home staff to identify incontinent residents who respond well to prompted voiding.
- 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.
- Seven nursing homes.
- 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).
- 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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0340566
Code Inist : 002B30A03B. Création : 01/03/1996.