尿失禁是护理院安置的独立风险因素,在辅助生活居民中.
Divya Ajay1, Shubing Cai2, Wenhan Guo2
1Division of Urology, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Journal of the American Medical Directors Association
|January 30, 2025
概括
尿失禁 (UI) 是在辅助生活 (AL) 居民中安置在养老院 (NH) 的独立风险因素. 早期识别和治疗UI可能有助于AL居民避免或延迟NH安置.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 以前的研究表明,尿失禁 (UI) 可能会增加社区居住的老年人入住养老院 (NH) 的风险.
- 辅助生活 (AL) 居民代表了一个独特的人群,有可能与UI相关的NH过渡.
研究的目的:
- 确定UI是否是AL居民中永久NH安置的独立预测因素.
- 分析UI对不同种族和族群的NH安置的影响.
主要方法:
- 使用2019-2021年医疗保险入学和索赔数据的回顾性队列研究.
- 确定了新的UI诊断的AL居民,并跟踪他们永久的NH安置 (≥90天).
- 使用了具有个人和AL随机效应的后勤回归模型,包括种族/种族的共同变量和相互作用效应.
主要成果:
- 在247010名AL居民中,20.45%的人患有UI. 永久的NH安置发生在所有居民的15.7% (14.2%没有UI,21.7%有UI).
- 在控制混杂因子后,UI显著增加了14%的NH放置概率 (P < .01).
- 与没有UI的同行相比,UI增加了白人的1.93pp,黑人的3.43pp和西班牙裔居民的3.68pp的NH安置风险.
结论:
- 尿失禁是永久NH安置在AL设置的一个独立风险因素.
- 在AL居民中早期识别和管理UI可能可以预防或推迟NH过渡.
- 调查结果强调需要针对性干预来解决AL社区的UI问题,考虑到种族和种族差异.
相关概念视频
Current Trends in Nursing I
1.4K
Current trends in nursing include:
1.4K
Disorders of the Urinary System
223
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
223
Documentation in Long-Term and Home Healthcare Setting
869
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
869
Healthcare Associated Infections II: Preventive Measures
2.4K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.4K
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K


