La incontinencia urinaria en las personas mayores de 65 años: visión desde la enfermería geriátrica

Preventing Functional Urinary Incontinence in Hip-Fractured Older Adults Through Patient Education: A Randomized Controlled Trial

“…The prevalence of urinary incontinence (UI) in Spain is estimated to be between 14% (men) and 30% (women) in people older than 65 who live at home (Zunzunegui Pastor et al, 2003). Among its consequences, the most noteworthy are the deterioration in quality of life, appearance of episodes of depression, greater mortality (although the results are not consistent between studies), and risk of pressure-induced lesions (Hernández-Fabà et al, 2007). In addition, it leads to considerable costs corresponding to treatment, the use of absorbent devices and the need for informal care (Prado Villanueva et al, 2011).…”

“…Traditionally, UI was classified into four types (urge, stress, mixed, and overflow) (Hernández-Fabà et al, 2007;Testa, 2015), but in the last few years, consideration has been given to other forms (e.g., transient incontinence) which are related to reduced mobility or cognitive impairment (De Gagne et al, 2013;Prado Villanueva et al, 2011;Testa, 2015). Both the North American Nursing Diagnosis Association (NANDA) and the Society of Urologic Nurses and Associates, among their diagnoses, include "Functional urinary incontinence" (approved 1986; revised 1998, 2017) (Herdman & Kamitsuru, 2018), which is defined as the inability of a usually continent person to reach the appropriate place in time to avoid the unintentional loss of urine.…”