Development of a Urinary Incontinence Care Program for Elderly Individuals Requiring Care

为需要护理的老年人制定尿失禁护理计划

• 批准号: 17592287
• 负责人: KOIZUMI Misako
• 金额: $ 1.6万
• 依托单位: Gunma University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592287/
• 关键词: urinary incontinence; elderly individuals requiring care; urinary incontinence care program; voiding pattern monitoring; 尿失禁ケア; 機能性尿失禁; 切迫性尿失禁; アクション・リサーチ; パターン排尿誘導

We developed a urinary incontinence care program for elderly individuals requiring care who were admitted to hospitals and nursing homes, in which nurses diagnosed the type of urinary incontinence, and then implemented management and care based on the diagnosis and coordinated medical treatment as necessary. In addition, we elucidated the usefulness of the program through case studies.The urinary incontinence care program is summarized as follows: 1. referral of patients from wards, 2. assessment using an originally created assessment form for urinary incontinence, 3.monitoring of voiding pattern on three consecutive days, 4. nursing diagnosis regarding voiding, based on assessment and monitoring data, 5.preparation of care plan by convening a care conference, 6.implementation of plan, and 7.evaluation. For monitoring of voiding pattern, the timing of incontinence was determined using diaper sensors with a urine leakage alarm system, and voided volume was measured. In addition, for each episode, residual urine volume was measured using an ultrasound bladder capacity measurement instrument (BladderScana^[O!R] Bladder Volume Instrument), and a monitoring method was developed in which these data were recorded in a voiding diary. These objective data are useful for diagnosis of urinary incontinence, establishment of toileting assistance schedule, and evaluation of urinary incontinence improvement outcomes. The efficacy of the care program was elucidated based on the following case studies.Case 1: An 80-year-old woman with diabetes and cerebral infarction who was unable to express the desire to go to the bathroom due to motor aphasia.Case 2: A 58-year-old man who developed urinary incontinence following onset of cerebral infarction. He was judged to have frequent urination, urge incontinence, and functional incontinence secondary to cerebral infarction.

我们为需要护理的老年人制定了一项尿失禁护理计划，这些人被送往医院和疗养院，其中护士诊断出尿失禁的类型，然后根据诊断和协调医疗来实施管理和护理。 In addition, we elucidated the usefulness of the program through case studies.The urinary incontinence care program is summarized as follows: 1. referral of patients from wards, 2. assessment using an originally created assessment form for urinary incontinence, 3.monitoring of voiding pattern on three consecutive days, 4. nursing diagnosis regarding voiding, based on assessment and monitoring data, 5.preparation of care plan by convening a care conference, 6.计划的实施和7.评估。为了监测空隙模式，使用带有尿液泄漏警报系统的尿布传感器确定尿失禁的时机，并测量了无效的体积。此外，对于每个发作，使用超声膀胱容量测量仪器（bladerscana^[o！r]膀胱体积仪器）测量残留的尿量，并开发了一种监测方法，其中将这些数据记录在缺失的日记中。这些客观数据可用于诊断尿失禁，建立厕所援助时间表以及评估尿失禁改善结果。案例1：一名80岁的糖尿病和脑梗死的妇女阐明了护理计划的功效。由于运动失常而无法表达出去洗手间的愿望。case2：一名58岁男性在脑梗塞发作后出现了尿液性不适。他被判断为尿液频繁，敦促尿失禁和继发于脑梗塞的功能性尿失禁。

项目成果

「研究成果報告書概要(欧文)」より

摘自《研究结果报告摘要（欧洲）》

• 发表时间: 2006
• 期刊: Seibutsu Butsuri 46(1)
• 作者: Yasushi Shigeri;Keiko Shimamoto
• 通讯作者: Keiko Shimamoto

尿失禁患者に対する排尿モニタリングの有用性と排尿自立に向けた援助-脳梗塞患者の1事例を通して-

尿液监测对尿失禁患者的作用以及对排尿独立性的支持 - 通过脑梗塞患者的案例研究 -

• 发表时间: 2007
• 期刊: THE KITAKANTO MEDICAL JOURNAL 57・1
• 作者: Akiko Yoneda;Miyako Wada;Yuki Mase;Mariko Shiramizu;間瀬由紀;新井明子
• 通讯作者: 新井明子