Efficacy of Prompted Voiding Therapy for Reverse the Urinary Incontinence Status in Elderly Patients Hospitalized in a Functional Recovery Ward.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 158
- 试验地点
- 2
- 主要终点
- Change of Urinary Incontinence status after prompted voiding program (PVP)
研究概览
简要总结
This study evaluates effectiveness to apply prompted voiding in urinary incontinence and dependence patients admitted at functional recovery ward in a mid-stay hospital. This behavioural therapy is recommended in Best Practice Guidelines, and it has good results in elderly living in the community or in nursing home but yet it has not shown his benefits in hospitalized elderly patients for a long time.
详细描述
The increased level of chronic diseases, greater chances of survival and older people hospitalized, place the Urinary Incontinence (UI) problem in a priority position both in hospital and community care. Guadarrama (Public Madrid Health Service) is a medium-stay Hospital. It makes treatment to recover from acute disease and UI has 80% prevalence at admitted patients.
Main objective:To assess the efficacy of Prompted Voiding (PV) therapy for reverse of UI status in elderly patients hospitalized in a Functional Recovery Ward. (FRW) Methods: Experimental research pre/post-Intervention, with 5 repeated measures data: baseline (preintervention); at discharge, at one, three and six months after discharge (post-intervention). Sample size is 212 admitted patients in the FRW with UI. Prompted voiding intervention will be applied by nursing team following the procedure hospital approved and it will be individualized to each patient.
Main Outcome: urinary continence (YES/NO), others outcomes: amount and frequency of urine loss, type of incontinence pads; follow-up: urinary continence at one, three, and six months after discharge.
Applicability: Incorporating Prompted Voiding Therapy in UI patients care, encouraging global care, relevant implications for reduce the morbidity, improvement the quality of life, decrease health costs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •onset of Urinary Incontinence less than 1 year (information extracted from the Patient's Medical History, or provided by the patient or family caregiver)
- •sign the informed consent.
排除标准
- •patient with indwelling urinary catheters at admission
- •irreversible urinary incontinence by disease itself
- •moderate-severe cognitive impairment (Pfeiffer's questionnaire > 4)
- •patients with indication of water restriction.
- •patients who do not collaborate in Prompted Voiding therapy.
结局指标
主要结局
Change of Urinary Incontinence status after prompted voiding program (PVP)
时间窗: at admission, at discharge (about 30 to 60 days), 1 , 3 and 6 month post discharge
To value the efficacy of prompted voiding therapy to recovery urinary continence in elderly hospitalized at functional recovery ward. Data wil be collected from nursing assessment at admission, at discharge and telephone call.
Improve urinary incontinence episodes/symptoms after prompted voiding program.
时间窗: at admission, each 15 days along admission, at discharge (about 30 to 60 days).
To value the efficacy of prompted voiding therapy to improve urinary incontinence episodes/symptoms (episodes frequency, volume loss, type pad used) in elderly hospitalized at functional recovery ward. It Will be measure with assistance nurse record.
次要结局
- Change of Urinary Incontinence status after PVP in admitted patients with Emergency Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Change from Urinary Incontinence status after PVP in admitted patients with Reflects Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with cognitive ability.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with caregiver presence.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related to diagnosis of admission(at admission, at discharge (about 30 to 60 days))
- Change of Urinary Incontinence status after PVP in admitted patients with Mixed Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Change of Urinary Incontinence status after PVP in admitted patients with Functional Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with risk diseases presence.(at admission, at discharge (about 30 to 60 days))
- Change of Urinary Incontinence status after PVP in admitted patients with Stress Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Change of Urinary Incontinence status after PVP in admitted patients with Total Urinary Incontinence(at admission, at discharge.(about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with Functional ability.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with risk drugs.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related to days of hospitalization.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related to risk of Skin Ulcer(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related to fall risk.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with aged.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with overweigth.(at admission, at discharge (about 30 to 60 days))
- Urinary Incontinence (UI) status reached related with time of UI.(at admission, at discharge (about 30 to 60 days))
研究者
Laura Martín Losada
Registered Nurse, Doctoral student.
Guadarrama Hospital