The influences of prompted voiding for urinary incontinence among older people in nursing homes

Abstract

Research question: What are the influences of prompted voiding (PV) for urinary incontinence (UI) among older people in nursing homes? Research problem: This study aims to evaluate the effects of PV for UI of older people's subjects in nursing homes. Management of UI among older people is needed to overcome the possibility of new problem for older people. A randomized controlled study was performed of pre‐test post‐test design for 12 subjects (6 of control and 6 of intervention group). An intervention group followed PV instructions for 24 hours during 28 days, while the control group was instructed to urinate in toilet or to use diapers. Outcome variables were measured using incontinence severity index (ISI). There was statistically significant main effect across ISI among intervention group pre‐ (8.67 ± 1.97) and post‐ (6.67 ± 2.73) intervention of PV (P = .007). While there was statistically significant differenced ISI between control and intervention group (9.67 ± 1.86 vs 6.67 ± 2.73) post‐intervention of PV (P = .005). There was higher reduced ISI in the intervention group (∆M −2.00 ± 1.09) after 28 days of PV (P = .001). PV could be used to increase the older people's initiative to go to toilet and decrease incontinence episodes during a short time by their self in the nursing home.

Efficacy of Behavioral Interventions for Urinary Incontinence Among Women Residing in Nursing Homes

“…In a similarly designed study, Siswoyo and colleagues16 evaluated a prompted voiding intervention for UI in a single nursing home in Indonesia. The study was a randomized controlled trail, but the sample size was comparatively small: 6 participated in the control arm and 6 received the prompted voiding intervention.…”

“…In addition, all were assessed according to the initial allocation to groups, had between-group statistical comparisons, and had inclusion of point and variability estimates. Nevertheless, 1 study had a small sample size (n = 12) and lacked homogeneity of groups at baseline 16…”

“…Nevertheless, 1 study had a small sample size (n = 12) and lacked homogeneity of groups at baseline. 16…”

“…Only 2 studies included residents with marked cognitive impairment. 18,19 Physical or occupational therapists were the primary implementers of the interventions focused on strengthening and physical functioning to improve UI 17,18 ; study investigators (with assistance from nursing home staff) implemented the interventions that emphasized voiding regimens 15,16 ; and RN and other trained nursing home staff implemented the bundled interventions. 19 Intervention durations ranged from 1 to 6 months.…”