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What characteristics predispose to continence in nursing home residents?: a population-based cross-sectional study.
Neurourol Urodyn. 2015 Apr; 34(4):362-7.NU

Abstract

AIMS

To compare characteristics of both continent and incontinent residents in Nursing Homes (NHs) and to explore what predicts continence and severity of incontinence.

METHODS

A population-based cross-sectional study was performed in nursing homes in one Norwegian municipality. Registered nurses filled in a questionnaire on behalf of the patients.

RESULTS

We found that 25.4% of the NH residents were continent, 31.8% had urinary incontinence alone, 2.6% had fecal incontinence alone and 40.2% had double incontinence. Continent residents were characterized by being in short-term care, shorter stay in NH, less cognitive and physical impairment, less Parkinson's disease, stroke, constipation, and less diarrhea and more independence in activities of daily living (ADL). Residents with fecal incontinence alone were characterized by more diarrhea, less cognitive impairment and less dependency in ADL such as feeding and grooming. Residents with urinary incontinence alone were characterized by having some degree of ADL dependency, less diarrhea, and less diabetes. Residents with double incontinence were characterized by being in long-term care, a longer length of stay in NH, cognitive impairment, stroke, constipation, diarrhea, and dependency in ADL. Severity of incontinence was associated with dependency in ADL and cognitive impairment, diarrhea, length of stay in NH and lower age.

CONCLUSIONS

About 25% of NH residents were continent. Double incontinence and urinary incontinence only were prevalent conditions in NHs, while FI alone was rarer. With the exception of diarrhea as a cause of FI, it appears that FI alone, UI alone, and DI may have common causes and development.

Authors+Show Affiliations

Faculty of Nursing, Sør-Trøndelag University College, Norway, Trondheim; Department of Public Health and General Practice, Norwegian University of Science and Technology, Norway, Trondheim.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24470319

Citation

Saga, Susan, et al. "What Characteristics Predispose to Continence in Nursing Home Residents?: a Population-based Cross-sectional Study." Neurourology and Urodynamics, vol. 34, no. 4, 2015, pp. 362-7.
Saga S, Vinsnes AG, Mørkved S, et al. What characteristics predispose to continence in nursing home residents?: a population-based cross-sectional study. Neurourol Urodyn. 2015;34(4):362-7.
Saga, S., Vinsnes, A. G., Mørkved, S., Norton, C., & Seim, A. (2015). What characteristics predispose to continence in nursing home residents?: a population-based cross-sectional study. Neurourology and Urodynamics, 34(4), 362-7. https://doi.org/10.1002/nau.22563
Saga S, et al. What Characteristics Predispose to Continence in Nursing Home Residents?: a Population-based Cross-sectional Study. Neurourol Urodyn. 2015;34(4):362-7. PubMed PMID: 24470319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What characteristics predispose to continence in nursing home residents?: a population-based cross-sectional study. AU - Saga,Susan, AU - Vinsnes,Anne Guttormsen, AU - Mørkved,Siv, AU - Norton,Christine, AU - Seim,Arnfinn, Y1 - 2014/01/28/ PY - 2013/09/04/received PY - 2014/01/06/accepted PY - 2014/1/29/entrez PY - 2014/1/29/pubmed PY - 2016/1/7/medline KW - characteristics KW - cross sectional study KW - epidemiologic study KW - fecal incontinence KW - homes for the aged KW - incontinence KW - nursing homes KW - prevalence studies KW - residential facilities KW - urinary incontinence SP - 362 EP - 7 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 34 IS - 4 N2 - AIMS: To compare characteristics of both continent and incontinent residents in Nursing Homes (NHs) and to explore what predicts continence and severity of incontinence. METHODS: A population-based cross-sectional study was performed in nursing homes in one Norwegian municipality. Registered nurses filled in a questionnaire on behalf of the patients. RESULTS: We found that 25.4% of the NH residents were continent, 31.8% had urinary incontinence alone, 2.6% had fecal incontinence alone and 40.2% had double incontinence. Continent residents were characterized by being in short-term care, shorter stay in NH, less cognitive and physical impairment, less Parkinson's disease, stroke, constipation, and less diarrhea and more independence in activities of daily living (ADL). Residents with fecal incontinence alone were characterized by more diarrhea, less cognitive impairment and less dependency in ADL such as feeding and grooming. Residents with urinary incontinence alone were characterized by having some degree of ADL dependency, less diarrhea, and less diabetes. Residents with double incontinence were characterized by being in long-term care, a longer length of stay in NH, cognitive impairment, stroke, constipation, diarrhea, and dependency in ADL. Severity of incontinence was associated with dependency in ADL and cognitive impairment, diarrhea, length of stay in NH and lower age. CONCLUSIONS: About 25% of NH residents were continent. Double incontinence and urinary incontinence only were prevalent conditions in NHs, while FI alone was rarer. With the exception of diarrhea as a cause of FI, it appears that FI alone, UI alone, and DI may have common causes and development. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/24470319/What_characteristics_predispose_to_continence_in_nursing_home_residents:_a_population_based_cross_sectional_study_ L2 - https://doi.org/10.1002/nau.22563 DB - PRIME DP - Unbound Medicine ER -