Health literacy, cognition, and urinary incontinence among geriatric inpatients discharged to skilled nursing facilities

Cohn, Joshua A.; Shah, A.; Goggins, Kathryn; Simmons, Sandra F.; Kripalani, Sunil; Dmochowski, Roger R.; Schnelle, John F.; Reynolds, W. Stuart

doi:10.1002/nau.23368

Cited by 13 publications

(7 citation statements)

References 23 publications

(37 reference statements)

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“…According to a systematic review of studies, various factors affect the incidence of urinary incontinence in older women, the most important of which are the age of women [ 25 , 26 , 38 , 49 , 50 , 58 – 64 ], obesity based on BMI index [ 25 , 37 , 48 , 49 , 52 , 58 , 59 , 62 , 63 , 65 – 67 ], diabetes [ 25 , 26 , 37 , 49 , 52 , 58 , 62 , 66 – 68 ], women’s education [ 26 , 30 , 36 , 48 , 52 , 58 , 61 ], delivery rate [ 23 , 37 , 59 , 60 , 62 , 67 ], hypertension [ 26 , 66 , 67 ], smoking [ 30 , 36 , 37 , 52 , 60 , 62 ] as well as urinary tract infections [ 23 , 49 , 52 ]. Based on the results reported in Table 3 , all these factors have a significant difference in the incidence of urinary incontinence in older adults’ women ( p < 0.05).…”

Section: Resultsmentioning

confidence: 99%

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

et al. 2021

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Background Urinary incontinence is a common condition in the general population and, in particular, the older adults population, which reduces the quality of life of these people, so this study aims to systematically examine and meta-analyse the overall prevalence of urinary incontinence in older women around the world and the related and influential factors. Methods This report is a comprehensive systematic review and meta-analysis of the findings of research on urinary incontinence in older adults people across the world through looking for MEDLINE, Cochrane Library Sciencedirect, Embase, Scopus, ProQuest and Persian databases, namely iranmedex, magiran, and SID from January 2000 to April 2020, the heterogeneity of the experiments was measured using the I2 index and the data processing was done in the Systematic Meta-Analysis programme. Results In 29 studies and the sample size of 518,465 people in the age range of 55–106 years, urinary incontinence in older adults’ women in the world based on a meta-analysis of 37.1% (95% CI: 29.6–45.4%) was obtained. The highest prevalence of urinary incontinence was reported in older adults’ women in Asia with 45.1% (95% CI: 36.9–53.5%). Meta-regression also showed that with increasing the sample size and year of the study, the overall prevalence of urinary incontinence in the older adults women of the world decreased and increased, respectively, which were statistically significant differences (P < 0.05). According to studies, the most important factors influencing the incidence of urinary incontinence in older women are women’s age (p < 0.001), obesity (p < 0.001), diabetes (p < 0.001), women’s education (p < 0.001), delivery rank (p < 0.001), hypertension (p < 0.001), smoking (p < 0.001). They also have urinary tract infections (p < 0.001). Conclusion Given the high prevalence of urinary incontinence in older women around the world, health policy makers must consider control and diagnostic measures in older women and prioritize treatment and rehabilitation activities.

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Section: Resultsmentioning

confidence: 99%

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

et al. 2021

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“…Cohn and colleagues measured health literacy in a hospitalised population with a mean age of 75 years and noted significantly lower scores in those patients with nurse or self-reported urinary incontinence compared with individuals who were continent. 24 Nocturia was overwhelmingly believed to be a normal phenomenon attributable to age, health status and bladder fullness. This is similar to beliefs held by community-dwelling women who also identified excessive fluid intake as causing nocturia.…”

Section: Ta B L Ementioning

confidence: 99%

The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

Besien

Shire

Decalf

et al. 2021

Int J Clinical Practice

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Objective This study aimed to describe the characteristics of nocturia in older hospitalised patients and to explore knowledge, beliefs and experiences associated with night toileting while in hospital in order to identify unmet care needs. Methods A multisite mixed methods cross‐sectional study of older hospitalised adults who were admitted for ≥2 days was conducted using a standardised researcher‐administered questionnaire. An additional cohort 16 older hospitalised adults with nocturia >twice per night were interviewed to understand the experience and impact of nocturia during hospitalisation. Results Nocturia was experienced by 260 out of 308 participants. In‐hospital nocturia was significantly correlated with nocturia in the month preceding admission, high diurnal voiding frequency and nocturnal urinary urgency. Bother was attributed to multiple nocturia episodes. Participants had poor knowledge and understanding of nocturia and believed the symptom to be a normal occurrence; only 20% had discussed management with staff. Disrupted sleep and fear of falling were common in older immobile participants with nocturia. Conclusion Nocturia is highly prevalent in hospitalised older people. Toileting multiple times at night bothers patients, disrupts sleep, heightens a fear of falling yet is rarely addressed in ward management plans. A screening process to identify, assess, provide education and intervene for nocturia has the potential to improve wellbeing, safety at night and to address risk factors.

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“…A evidência científica aponta um conjunto de fatores de risco à IU na pessoa idosa, designadamente: baixo nível de escolaridade e de literacia em saúde (Bolina et al, 2013;Cohn et al, 2018), infeção do trato urinário (Nazarko, 2013), depressão e défice cognitivo (Furnaletto & Emond, 2016;Kessler et al, 2018;Kwak et al, 2015;Schumpf et al, 2017), risco de quedas e fraturas (Soliman et al, 2016), limitações funcionais, limitação de mobilidade ou dependência, comorbilidade e fragilidade (Omli et al, 2013). Mais acresce que a IU pode ser considerada como um fator de risco de mortalidade, institucionalização e hospitalização (Gibson & Wagg, 2014).…”

Section: Incontinência Urinária Na Pessoa Idosaunclassified

A intervenção educativa do enfermeiro na promoção do autocuidado da pessoa idosa com incontinência urinária

Nascimento¹,

Ferrão²,

Santos³

2022

JIM

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Resumo Enquadramento: A incontinência urinária é um fenómeno extremamente comum na pessoa idosa, considerada uma síndrome geriátrica devido à sua elevada prevalência e impacto na qualidade de vida. Enquanto condição pouco relatada e subdiagnosticada, decorrente do estigma social muitas vezes existente ou por ser percecionada como consequência inevitável do processo natural de envelhecimento, requer uma atenção particular na intervenção do enfermeiro. Objetivos: Descrever a incontinência urinária como um problema de saúde na pessoa idosa; Identificar a intervenção educativa do enfermeiro enquanto estratégia facilitadora do autocuidado da pessoa idosa com incontinência urinária. Metodologia: Revisão narrativa da literatura sobre incontinência urinária na pessoa idosa, com enfoque na intervenção do enfermeiro. Conclusão: A intervenção de enfermagem apoio-educação parece ser uma estratégia facilitadora do autocuidado da pessoa idosa com incontinência urinária.

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Health literacy, cognition, and urinary incontinence among geriatric inpatients discharged to skilled nursing facilities

Cited by 13 publications

References 23 publications

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

A intervenção educativa do enfermeiro na promoção do autocuidado da pessoa idosa com incontinência urinária

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