管理痴呆症和尿失禁患者的专业实践
Shweta A Chawla1, Krista L Harrison2,3, Louise C Walter2,4
1School of Medicine, University of California, San Francisco, 533 Parnassus Ave, San Francisco, CA, USA. shweta.chawla@ucsf.edu.
International urogynecology journal
|April 29, 2025
概括
在治疗痴呆症 (PLWD) 和尿失禁 (UI) 患者时,医生实践模式不同. 跨专业学习可以改善对PLWD及其照顾者的护理.
科学领域:
- 老年医学 老年医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 患有痴呆症的人 (PLWD) 经常经历尿失禁 (UI).
- 不同专业之间管理PLWD中的UI的医生实践模式尚不清楚.
- 了解这些模式对于优化PLWD及其护理人员的护理至关重要.
研究的目的:
- 评估和比较泌尿科医生,妇科医生和老年医生在治疗PLWD与UI的实践模式.
- 确定跨学科合作的机会,并为PLWD和护理人员提供支持.
主要方法:
- 这是一项横截面研究,使用了分发给SUFU,AUGS和AGS成员的基于图片的问卷.
- 统计分析 (ANOVA,Chi-squared) 用于比较专业之间的反应.
- 用于定性自由文本答案,采用了主题分析.
主要成果:
- 受访者包括55名泌尿科医生,173名妇科医生和45名老年医生.
- 与老年医生相比,泌尿科医生和妇科医生更有可能使用UI的特定药物和治疗方法,并且不太可能停止胆酶抑制剂.
- 老年医生优先考虑减轻护理人员负担,准备照顾具有UI的PLWD因专业而有很大差异 (37%的泌尿科医生,29%的妇科医生,61%的老年医生).
结论:
- 在泌尿科医生,妇科医生和老年医生如何处理PLWD中的UI治疗方面存在显著差异.
- 这些变化凸显了跨学科教育和合作的必要性.
- 改善跨学科沟通可以增强有UI的PLWD的综合护理,并支持他们的护理人员.
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