Abstract
Purpose
The aim of this study was to investigate nursing home caregivers’ knowledge and practice of urinary incontinence in Muğla-Turkey.
Methods
Knowledge and practice of urinary incontinence of 34 nursing home caregivers were assessed by a form originated from knowledge and practice instrument and urinary incontinence knowledge scale. Incontinence quiz was also used to assess knowledge about UI.
Results
According to the analysis of the items from the knowledge and practice instrument, 20.6% of caregivers never control the amount of urinary incontinence in residents with dementia, document the amount of urinary incontinence and set up a toilet plan for residents with no or slight mental incapacity. According to the analysis of the items from the urinary incontinence knowledge scale, majority of caregivers considered urinary incontinence as a normal result of aging. The mean incontinence quiz score of all participants was 5.5 ± 2.0, indicating poor knowledge about UI.
Conclusion
Findings indicate the need of developing strategies for improving knowledge and effective practice of urinary incontinence of nursing home caregivers.
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References
Abrams P, Cardozo L, Fall M et al (2003) The standardisation of terminology in lower urinary tract function. Report from the standardization of the subcommittee of the International Continence Society. Urology 61:37–49
Ueda T, Tamaki M, Kageyama S, Yoshimura N, Yoshıda O (2000) Urinary incontinence among community-dwelling people aged 40 years or older in Japan: prevalence, risk factors, knowledge and self-perception. Int J Urol 7(3):95–103
Arıkan E, Özcan E, Bardak A, Ketenci A (2002) Urinary incontinence in women living in a rest home. Turk J Geriatr 5(1):7–10
Olgun N, Eti Aslan F, Yücel N, Kan Öntürk Z, Laçin Z (2013) Assessment of health status of the elderly. ACU Sağlık Bil Derg 4(2):72–78
Cankurtaran F, Soyuer F, Akın S (2015) Urinary incontinence problem in elderly people living in rest home and its relationship with mobility. Gümüşhane Univ J Health Sci 4(4):594–603
Çuhadar D, Sertbaş G, Tutkun H (2006) Relationship between level of cognitive functions and activities of daily life at elderly people who live in rest home. Anadolu Psikiyatri Derg 7(4):232–239
Veronese N, Soysal P, Stubbs B, Marengoni A, Demurtas J, Maggi S et al (2018) Association between urinary incontinence and frailty: a systematic review and meta-analysis. Eur Geriatr Med 9:1–8
Jerez-Roig J, Santos MM, Souza DLB, Amaral FLJS, Lima KC (2016) Prevalence of urinary incontinence and associated factors in nursing home residents. Neurourol Urodyn 35(1):102–107
Rijal C, Hakim S (2014) Urinary incontinence in women living in nursing homes: prevalence and risk factors. INAJOG 2(4):193–198
Skotnes LH, Hellzen O, Kuhry E (2013) Perceptions and barriers that influence the ability to provide appropriate incontinence care in nursing home residents: statements from nursing staff. Open J Nurs 3:437–444
Kang Y (2009) Knowledge and attitudes about urinary incontinence among community-dwelling Korean American women. J Wound Ostomy Cont Nurs 36(2):194–199
Kubik K, Blackwell L, Heit M (2004) Does socioeconomic status explain racial differences in urinary incontinence knowledge? Am J Obstet Gynecol 191(1):188–193
Yuan H, Williams BA (2010) Knowledge of urinary incontinence among Chinese community nurses and community-dwelling older people. Health Soc Care Community 18(1):82–90
Saxer S, de Bie RA, Dassen T, Halfens RJ (2008) Nurses’ knowledge and practice about urinary incontinence in nursing home care. Nurse Educ Today 28:926–934
Resnick B, Keilman LJ, Calabrese B, Parmelee P, Lawhorne L, Pailet J et al (2006) Nursing staff beliefs and expectations about continence care in nursing homes. J Wound Ostomy Cont Nurs 6:610–618
Offermans MP, Du Moulin MF, Hamers JP, Dassen T, Halfens RJ (2009) Prevalence of urinary ıncontinence and associated risk factors in nursing home residents: a systematic review. Neurourol Urodyn 28(4):288–294
De Gagne J, So A, Wu B, Palmer MH, McConnell ES (2015) The effect of a urinary incontinence self management program for older women in South Korea: a pilot study. IJNSS 2(1):39–46
Jang Y, Kwon BE, Kim HS, Lee YJ, Lee S, Kim SJ et al (2015) Knowledge and practice behaviors regarding urinary incontinence among Korean healthcare providers in long-term care hospitals. Int Neurourol J 19:259–264
Kara KC, Çıtak Karakaya İ, Tunalı N, Karakaya MG (2018) Reliability and validity of the Turkish version of incontinence quiz. J Obstet Gynaecol Res 44(1):144–150
Branch LG, Walker LA, Wetle TT, DuBeasu CE, Resnick NM (1994) Urinary incontinence knowledge among community dwelling people 65 years of age and older. J Am Geriatr Soc 42:1257–1262
Ehlman K, Wilson A, Dugger R, Eggleston B, Coudret N, Mathis S (2012) Nursing home staff members’ attitudes and knowledge about urinary incontinence: the impact of technology and training. Urol Nurs 32(4):205–213
Turkish Ministry of National Education, Lifelong Learning General Directorate [T.C. Milli Eğitim Bakanlığı, Hayat Boyu Öğrenme Genel Müdürlüğü]. Self-Care Support Staff Training Course Program for Patient and Elderly Services Area [Hasta ve Yaşlı Hizmetleri Alanı Öz Bakıma Destek Elemanı Eğitimi Kurs Programı]. Ankara: 2018. http://hbogm.meb.gov.tr/modulerprogramlar/?q=29&alan=Hasta%20ve%20Ya%C5%9Fl%C4%B1%20Hizmetleri. Accessed 20 Sept 2018
Acknowledgements
The authors thank Ömer Günay (physical trainer—Abide Hasan Nuri Öncüer Nursing Home) and İsmail Uysal (physiotherapist—Fethiye Nursing Home) for their valuable help in collecting data for the study.
Funding
This study was funded by Muğla Sıtkı Koçman University Research Projects Coordination Office (Project Grant number 17/092 and the title “Knowledge and Practice of Nursing Home Caregivers about Urinary Incontinence”).
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All authors were responsible for critical revisions of the manuscript and for important intellectual content. All authors approved the final contents of the manuscript.
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This study was performed in accordance with the ethical standards as laid down in the 1964 Helsinki Declaration of Ethics Principles and its later amendments or comparable ethical standards. Administrative and ethical approvals for the study were obtained from Muğla Family and Social Policies Provincial Directorate and Scientific Research Ethical Board of Muğla Sıtkı Koçman University, respectively.
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Informed consent was obtained from all individual participants included in the study.
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Yenişehir, S., Çıtak Karakaya, İ. & Karakaya, M.G. Knowledge and practice of nursing home caregivers about urinary incontinence. Eur Geriatr Med 10, 99–105 (2019). https://doi.org/10.1007/s41999-018-0129-0
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DOI: https://doi.org/10.1007/s41999-018-0129-0