Back to Search
Start Over
Evaluation of a urinary incontinence unit for community-dwelling older adults in Barcelona: implementation and improvement of the perceived impact on daily life, frequency and severity of urinary incontinence.
- Source :
-
Zeitschrift fur Gerontologie und Geriatrie [Z Gerontol Geriatr] 2008 Aug; Vol. 41 (4), pp. 291-7. Date of Electronic Publication: 2008 Aug 07. - Publication Year :
- 2008
-
Abstract
- Background: Urinary incontinence >(UI) is one of the most important and frequent geriatric syndromes. It is considered a silent but great social problem. Conservative management of UI, in a multidisciplinary and comprehensive approach, has been successful in previous studies, leading to a partial or total remission of the syndrome.<br />Aims: To investigate the acceptance of a geriatric incontinence unit and the effect of a multidimensional intervention on the improvement of UI regarding frequency, severity and perceived impact on daily life of community-dwelling older adults.<br />Methodology: Prospective study with a multifactorial intervention with pre-post analyses. 92 patients aged 60 years and over were assessed for UI at an outpatient geriatric unit. They received an individualized conservative treatment and were followed up for 3 months. The International Consultation on Incontinence modular Questionnaire-Short Form (ICIQ-SF) was translated into Catalan. The difference of the perceived impact on the daily life before and 3 months after treatment was used as a primary outcome. The global score and the subscores on frequency and severity were used as secondary outcomes.<br />Results: 77.2% patients had an improvement in their perceived impact of UI on daily life. Concerning the ICIQ-SF global score, 82.6% improved. There was a significant improvement of about 30% in all dimensions measured. Many patients pointed out that being able to talk about the problem with a healthcare professional, in some cases for the first time, was very important to them.<br />Conclusions: A conservative and multidisciplinary management of UI improved the impact of UI on daily life among comorbid geriatric patients. The Catalan ICIQ-SF was successfully implemented. Outpatient geriatric incontinence units seem to be effective and should be implemented to improve detection and management of this important geriatric syndrome.
- Subjects :
- Adaptation, Psychological
Aged
Aged, 80 and over
Cost of Illness
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prospective Studies
Quality of Life psychology
Spain
Surveys and Questionnaires
Urinary Incontinence diagnosis
Urinary Incontinence etiology
Urinary Incontinence psychology
Activities of Daily Living psychology
Ambulatory Care Facilities organization & administration
Patient Care Team
Urinary Incontinence rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 0948-6704
- Volume :
- 41
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Zeitschrift fur Gerontologie und Geriatrie
- Publication Type :
- Academic Journal
- Accession number :
- 18695974
- Full Text :
- https://doi.org/10.1007/s00391-008-0564-5