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Evaluating primary care interventions for incontinence

J O'Brien

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |February 28, 1996
    PubMed
    Summary
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    Urinary incontinence affects many women, but access to care is limited. A primary care-based trial showed that 70% of women gained long-lasting benefits from nurse-led assessment and treatment.

    Area of Science:

    • Urology
    • Public Health
    • Nursing

    Background:

    • Urinary incontinence (UI) affects approximately 16% of adult women.
    • Access to specialized continence services and primary care facilities for UI assessment and treatment remains a significant challenge for most women.
    • Existing healthcare models often lead to delayed or inadequate management of UI in primary care settings.

    Purpose of the Study:

    • To evaluate the effectiveness and long-term outcomes of a nurse-led, primary care-based assessment and treatment service for women with urinary incontinence.
    • To determine the sustainability of benefits gained from this primary care model over a four-year period.
    • To assess the impact of improved primary care management on secondary care specialist services.

    Main Methods:

    • A large-scale randomized trial involving trained nurses was conducted in primary care settings in Somerset.

    Related Experiment Videos

  • The study involved the initial assessment and treatment of women experiencing urinary incontinence.
  • Follow-up assessments were conducted over a four-year period to evaluate long-term efficacy.

    • Main Results:

    • The primary care-based intervention demonstrated significant success, with 70% of women experiencing long-lasting benefits.
    • The nurse-led model proved effective in managing urinary incontinence within a primary care setting.
    • The study indicated a positive impact on secondary care services through appropriate initial patient management.

    Conclusions:

    • A nurse-led, primary care-based approach to urinary incontinence assessment and treatment is highly effective, offering long-term benefits for a majority of women.
    • This model optimizes patient management, potentially reducing the burden on secondary care specialist services.
    • Implementing such services in primary care can improve access to continence care and enhance patient outcomes.