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Exploring the Use of an Evidence-based Guideline for Urinary Incontinence and Related Outcomes in Older Women During Hospitalization
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Exploring the Use of an Evidence-based Guideline for Urinary Incontinence and Related Outcomes in Older Women During Hospitalization. |
| 개인저자 | Marquez, Celine S. |
| 단체저자명 | The University of North Carolina at Chapel Hill. Nursing. |
| 발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 192 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-03B. Dissertation Abstract International |
| ISBN | 9781085753111 |
| 학위논문주기 | Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Palmer, Mary H. |
| 이용제한사항 | This item must not be sold to any third party vendors.This item must not be added to any third party search indexes. |
| 요약 | Urinary incontinence (UI) is a prevalent condition among hospitalized older women. Despite the availability of the Hartford Institute for Geriatric Nursing (HIGN) UI guideline, UI is often overlooked and undertreated. This study explored HIGN UI guideline use and identified associated patient-level risk factors and outcomes.A random sample of 192 medical records of women 65 years and older who had been discharged from a large teaching hospital between November 2015-June 2016 was examined. A data abstraction form that contained 28 standards was used. The number of standards used per medical record determined HIGN UI guideline use, which was based on a percentage across all medical records. Descriptive statistics and multiple and logistic regression were used.The results showed that 80% of the sample was white, the mean (M) age was 76.6 years, and the standard deviation (SD) = 8.6 (range 65-100). Lengths of stay ranged from 1-62 days (M = 6.2, SD = 6.9), and the documented UI prevalence was 27% (n = 52). On average, 60.5% of the standards were used (SD = 8.6%, range 7-23), with some used more than others, such as the use of a toileting program. Having two or more secondary diagnoses was significantly positively associated with guideline use. HIGN UI guideline use was documented significantly less for patients with transient UI who had higher functional impairment levels, two or more secondary diagnoses, a urinary catheter, and pressure ulcers than for established UI and no UI cases. Cognitive impairment, functional impairment, and fecal incontinence did not correlate with guideline use. Decreased guideline use was not significantly associated with having at least one negative outcome. Moderation analyses did not support that UI moderates the relationship between HIGN UI guideline use and negative outcomes. The above findings were reported in the adjusted model.Qualitative research is needed to understand possible reasons some HIGN UI guideline standards are used instead of/more often than others to prevent, assess, and treat UI in the hospital setting. Further studies are also needed to understand the trajectory of disease for hospitalized older women who develop UI during hospitalization. |
| 일반주제명 | Gerontology. Aging. Nursing. |
| 언어 | 영어 |
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