以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (6): 7-10.doi: 10.16460/j.issn1008-9969.2022.06.007

Previous Articles     Next Articles

Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence

REN Peng-na1, HU Xiao-yi2a, TANG Ai-ling2b, ZHANG Yue2c, XU Fang-lei2a   

  1. 1. Medical College of Tongji University, Shanghai 200082, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Urinary Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
  • Received:2021-04-23 Online:2022-03-25 Published:2022-04-08

PDF (PC)

346

Like

Abstract: Objective To construct a nursing plan of discharge preparation for elderly patients with urinary incontinence and to provide reference for improving the quality of discharge guidance. Methods With evidence-based method, we retrieved the Chinese and foreign databases to collect the literature related to the discharge preparation for elderly patients with urinary incontinence and evaluate the quality of the literature. The draft of nursing plan of discharge preparation for elderly patients with urinary incontinence was formed by group discussion, and the draft was revised through two rounds of Delphi expert consultation. Results In the two rounds of expert consultation, the positive coefficient was 100%; expert authority coefficient 0.86 and 0.82, and the Kendall harmony coefficient 0.29 and 0.34 respectively. The final nursing plan for discharge preparation of elderly patients with urinary incontinence consisted of 21 items in 5 dimensions including urination, disease knowledge, psychological status, assessment of discharge nursing needs and daily lifestyle. Conclusion The constructed nursing plan of discharge preparation for elderly patients with urinary incontinence is scientific and reliable, which provides reference for the management of urinary incontinence in clinical practice.

Key words: elder patient, urinary incontinence, discharge preparation, evidence-based nursing

CLC Number: 

  • R47
[1] Falah-Hassani K,Reeves J,Shiri R,et al.The Pathophysiology of Stress Urinary Incontinence:A Systematic Review and Meta-analysis[J].Int Urogynecol J, 2021, 32(3):501-552. DOI:10.1007/s00192-020-04622-9.
[2] 刘媛,陈菲菲,费文海,等.老年慢性病患者出院准备服务的研究进展[J].中华护理杂志,2021,56(9):1420-1425. DOI:10.3761/j.issn.0254-1769.2021.09.024.
[3] 高莉莉,周宇,刘梦雅,等.患者出院准备度干预策略的国内外研究进展[J].护理学报,2020,27(10):28-31.DOI:10.16460/j.issn1008-9969.2020.10.028.
[4] Moroni RM,Magnani PS,Haddad JM,et al.Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of RandomizedControlled Trials[J]. Rev Bras Ginecol Obstet, 2016, 38(2):97-111. DOI:10.1055/s-0035-1571252.
[5] 王春青,胡雁. JBI证据分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[6] Syan R,Brucker BM.Guideline of Guidelines: Urinary Incontinence[J]. BJU Int,2016,117(1):20-33. DOI:10.1111/bju.13187.
[7] Nambiar AK,BoschR,CruzF,et al.EAU Gudelines on Assessment and Nonsurgical Management of Urinary Incontinence[J].Eur Urol, 2018, 73(4):596-609.DOI:10.1016/j.eururo.2017.12.031.
[8] National Institute for Health and Care Excellence(NICE).Urinary Incontinence in Neurological Disease: Assessment and Management[EB/OL].(2019-02-01)[2021-09-12].https://www.nice.org.uk/guidance/cg148.
[9] Martín-Losada L, Huerta M, González N, et al.Managing Urinary Incontinence in Older People in Hospital: A Best Practice Implementation Project[J]. JBI Evid Synth.2020,18(1):243-255. DOI: 10.11124/JBISRIR-2017-003920.
[10] Davis NJ, Wyman JF, Gubitosa S, et al.Urinary Incontinence in Older Adults[J]. Am J Nurs,2020,120(1):57-62. DOI:10.1097/01.NAJ.0000652124.58511.24.
[11] Wu ML, Wang CS, Xiao Q, et al.The Therapeutic Effect of Ppelvic floor Muscle Exercise on Urinary Incontinence After Radical Prostatectomy: A Meta-analysis[J].Asian J Androl,2019,21(2):170-176. DOI:10.4103/aja.aja_89_18.
[12] 孙超,奚桓,李峥,等.老年患者出院准备服务专家共识(2019版)[J].中华护理杂志,2020,55(2):220-227. DOI:10.3761/j.issn.0254-1769.2020.02.011.
[13] 张丽亚,任鹏娜,林梦月,等.自我管理干预在老年尿失禁患者中应用效果的Meta分析[J].中国医药导报, 2021,18(33):151-155.
[14] Kilpatrick KA,Paton P,Subbarayan S,et al.Non-pharmacological, Non-surgical Interventions for Urinary Incontinence in Older Persons: A Systematic Review[J].Maturitas,2020,133:42-48. DOI:10.1016/j.maturitas.2019.12.010.
[15] Cheng S, Lin D, Hu T, et al.Association of Urinary Incontinence and Depression or Anxiety: A Meta-analysis[J].J Int Med Res, 2020,48(6):300060520931348.DOI:10.1177/0300060520931348.
[16] Mabire C,Dwyer A,Garnier A,et al.Meta-Analysis of the Effectiveness of Nursing Discharge Planning Interventions for Older Inpatients Discharged Home[J]. J Adv Nurs,2018,74(4):788-799. DOI:10.1111/jan.13475.
[17] 高连第,胡李芳.生物反馈联合盆底肌锻炼治疗压力性尿失禁的疗效观察[J].中国妇幼保健,2020,35(3):424-427. DOI:10.19829/j.zgfybj-issn.1001-4411.2020.03.012.
[18] Córcoles MP, Candel-Parra E, Del Egido-Fernández Má, et al. Preventing Functional Urinary Incontinence in Hip-Fractured Older Adults Through Patient Education: A Randomized Controlled Trial[J].J Appl Gerontol, 2021,40(8):890-901. DOI:10.1177/0733464820952608.
[19] Namavar AA, Huey L, Busuttil A, et al.Impact of an Enhanced Transition Process on Patient Readiness for Discharge[J]. Am J Med Qual, 2016,31(6):604-605. DOI:10.1177/1062860616649437.
[20] 杨琳琳,高玉芳,李正红,等.硕士学历护士规范化培训方案的构建[J].护理学杂志,2019,34(8):81-85. DOI:10.3870/j.issn.1001-4152.2019.08.081.
[1] CAO Mi, ZHANG Jun, YUE Shao-ting. Best Evidence Summary for Post-hospital Neurodevelopmental Supportive Care for Preterm Infants [J]. Journal of Nursing, 2022, 29(6): 44-49.
[2] CAI Ying-ying, ZHANG Jun-feng, CAI Ai-fang, ZENG Ya-yan, LI Ling, HUANG Qiong-shan, LIU Xing-ling. Development of Evidence-based Core Competence-oriented Nursing Round Model [J]. Journal of Nursing, 2022, 29(6): 50-54.
[3] LIN Qiao, LIU Mei-juan, ZHANG Guang-qing, ZHAO Xin-mei, XIA Yan-fei, SHI Yan, ZENG Yi-ting, LAI Nv-zhen, ZHOU Li-hua, LI Xiu-mei. Evidence-based Practice of Diet and Nutrition Programs for Adults with Inflammatory Bowel Disease [J]. Journal of Nursing, 2022, 29(4): 27-33.
[4] JIAO Zi-shan, ZHANG Xin-yue, SHA Kai-hui. Value of Risk Assessment Models Based on Decision Tree C5.0 or Logistic Regression in Predicting Postpartum Stress Urinary Incontinence [J]. Journal of Nursing, 2022, 29(3): 12-18.
[5] YANG Li, YE Hong-fang, SUN Qian-qian, FANG Jin-lin. Status Quo of Innovative Behavior of Clinical Nurses and Its Influence Factors: A 1,386-case Study [J]. Journal of Nursing, 2022, 29(2): 57-61.
[6] XU Zhi-juan, LI Xiu-qing, KONG Ye-hong, SHI Lei, QIAO Qiu-ge, LING Dong-lan. Best Evidence Summary of Indwelling and Maintenance of Midline Catheters in Adult Patients [J]. Journal of Nursing, 2022, 29(1): 41-46.
[7] YIN Qing-xia, WANG Li-hui, OU Jie-xia, WEN Hong, LUO Xiao-ting, LIU Sai-jun, HUANG Xin-mei, Liu Can-can. Evidence Summary of Dietary Management in Patients with Crohn's Disease [J]. Journal of Nursing, 2022, 29(1): 47-52.
[8] LI Ping, JIN Xiao-wen, LI Yan-ling, XU Yu-lan, YU Jiao-hua, LI Zhuo-ying, LI Ying, DENG Rui. Evidence Summary for Prevention and Management of Poor Bowel Preparation of Adult Patients with Colorectoscopy [J]. Journal of Nursing, 2021, 28(9): 22-28.
[9] GAO Xing-lian, YU Wen-jing, XIAO Yao, HU Juan-juan, ZHAO Shi-yu, YANG Ying. Best Evidence Summary for Prevention and Management of Perioperative Stress Injury [J]. Journal of Nursing, 2021, 28(6): 22-26.
[10] ZHU Wei-wei, XU Yang-zi, HUO Wan-jun, CHEN Ci-yu, LI Yuan-tian, LING Dong-lan. Best Evidence Summary for Assessment and Management of Pain in Elderly Patients with Dementia [J]. Journal of Nursing, 2021, 28(5): 32-37.
[11] WANG Ya-ling, WANG Bing-han, ZHANG Yan, YIN Xue, JIANG Xin, XIONG Xiao-ming, LI Hua-li. Best Evidence Summary for Prevention of Hemorrhagic Transformation after Thrombolysis in Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(3): 46-52.
[12] CAI Ying-ying, ZHANG Jun-feng, ZHENG Ke-xin, ZHANG Lan-fang, YU Lu-ping, ZENG Wen, CHEN Meng-yun, HUANG Qiong-shan. Best Evidence Summary for Assessment and Management of Falls in Elderly Cancer Patients [J]. Journal of Nursing, 2021, 28(18): 22-27.
[13] XIONG Zhao-yu, LI Su-yun, YANG Sai, KE Hui, HUANG Hai-yan, ZHOU Hui-Min, YAN Rong, LIU Yun-Fang, LIU Tian-Yi. Construction of Evidence-based Early Warning Grading Standard and Interventions for Enteral Nutrition-related Constipation in Inpatients [J]. Journal of Nursing, 2021, 28(17): 70-75.
[14] SHEN Yan, CHEN Lan, FEI Kai-hong, PAN Heng-de, YU Jia-qi, WANG Ying, JIANG Yan-hua, ZHANG Jie, YAO Ye-ying. Best Evidence Summary of Early Mobilization after Liver Transplantation [J]. Journal of Nursing, 2021, 28(16): 16-21.
[15] KANG Li, WANG Cui-ling, TIAN Jia, XU Chen-li. Best Evidence Summary for Prevention and Management of Enteral Feeding Intolerance in Patients after Upper Gastrointestinal Surgery [J]. Journal of Nursing, 2021, 28(16): 22-26.
Viewed
Full text


Abstract

Cited
  Shared   
[1] CHEN Jing-wen, XU Lin-xia, WU Xiu-li, LI Xian-rong. Risk Factors of Unplanned Readmission in Postoperative Patients with Colorectal Cancer: An Analysis Based on Logistic Regression and Decision Tree[J]. Journal of Nursing, 2022, 29(2): 1 -6 .
[2] LI Jing-wen, MEI Jin-jin, WANG Yi-ying, GUO Jian, REN Bin-bin, FENG Xiao-dong, LI Rui-qing. Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm[J]. Journal of Nursing, 2022, 29(3): 1 -6 .
[3] WANG Qiu-ting, WEI Lin, LIU Yang-chen, LIN Jing-xia, LIN Li-jun, HU Ping, ZHU Li-jia, LIN Mei-zhen. Development of Core Competence Evaluation Index System of Nursing Specialists of Chinese Medicine[J]. Journal of Nursing, 2022, 29(4): 1 -6 .
[4] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors[J]. Journal of Nursing, 2022, 29(6): 1 -6 .
[5] WU Xiao-yun, BI Qing-quan, ZHOU Gui-qin, PAN Hai-feng. Mediating Effect of Psychological Resilience between Emotional Creativity and Post-traumatic Growth in Patients with Cornea Transplant[J]. Journal of Nursing, 2022, 29(6): 11 -14 .
[6] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission[J]. Journal of Nursing, 2022, 29(6): 15 -19 .
[7] . [J]. Journal of Nursing, 2022, 29(6): 20 -25 .
[8] RUAN An-ran, HU Hao-ran, REN Ya-hao, YANG Xue-ting, CHENG Kang-yao, TENG Wen-zhe. Visual Analysis of Research Hotspots in Psychological Care for Inflammatory Bowel Disease from 2010 to 2020[J]. Journal of Nursing, 2022, 29(6): 26 -31 .
[9] . [J]. Journal of Nursing, 2022, 29(6): 32 -36 .
[10] ZHANG Hui-chao, WHANG Nan-nan, ZHANG Yu-xi. Emotional Labor Experience of Hospice Nurses: A Systematic Review of Qualitative Studies[J]. Journal of Nursing, 2022, 29(6): 37 -43 .