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老年人尿失禁的盆地肌肉训练:一个最佳实践实施项目的项目

Terese Kochuvilayil Sic^1,2, Sunu Alice Cherian^2,3, Saritha Susan Vargese^2,4

¹Bishop Benziger College of Nursing, Quilon, Kerala, India.

JBI evidence implementation

|May 15, 2024

概括

在长期护理设施中实施盆地肌肉训练显著减少了老年妇女的尿失禁. 这种基于证据的实践改善了生活质量,降低了医疗保健成本.

科学领域:

老年学是一门学科.
基于证据的实践实践.
盆地肌肉训练是为了训练盆地肌肉.

背景情况:

尿失禁是老年人,特别是长期护理妇女的常见和令人痛苦的疾病.
它会对生活质量产生负面影响,并增加医疗保健费用.
盆地肌肉训练 (PFMT) 是推的一线治疗方法.

研究的目的:

实施PFMT的最佳实践,以在印度喀拉拉邦的长期护理机构中管理老年妇女的尿失禁.
评估PFMT在减少尿失禁和改善居民福祉方面的有效性.

主要方法:

使用了JBI证据实施框架.
进行了基线,3个月和6个月的后续审计,以评估与最佳实践相比的实践.
确定障碍物和实施战略,包括视频辅助培训和教育材料.

主要成果:

基准审计显示0%符合最佳实践.
确定的障碍包括缺乏知识,未知的认知状态和健康紧急情况.
后续的审计表明,遵守法规的情况有显著改善,尿失禁减少.

结论:

该项目成功地减少了参与者的尿失禁.
利益相关者认识到PFMT对现有和未来居民的重要性.
持续实施PFMT对于长期护理设施至关重要.

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Urinary Bladder

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...