Cuidado hospitalario y surgimiento de incontinencia urinaria en personas ancianas

Nº	Title	Year	Level of evidence/Degree of recommendation	Language	Journal	Database
1	L'incontinence urinaire chez des personnes âgées hospitalisées en unité de gériatrie: est-ce vraiment une priorité pour les infirmières?⁽¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... ⁾	2013	2B/B	French	Recherche en soins infirmiers	Scopus
2	Adecuación del uso de absorbentes de incontinencia urinaria en pacientes adultos ingresados en un hospital ⁽ ¹⁴14 Blanc BFL, Granados GL, Burillo JMT, Montealegre ALR, Octavio IA, León AG. Appropriateness of the use of incontinence absorbent products in hospitalized adults. Enferm Clín. 2015;25(4):198-203. doi: 10.1016/j.enfcli.2015.06.001 https://doi.org/10.1016/j.enfcli.2015.06... ⁾	2015	1B/A	Spanish	Enfermería Clínica	Scopus
3	Prática do uso de fraldas em adultos e idosos hospitalizados: estudo transversal ⁽ ¹⁵15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ⁾	2018	2B/B	Portuguese	Revista Brasileira de Enfermagem	Pubmed
4	Incontinence brief use in acutehospitalized patients with no prior incontinence⁽⁶6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... ⁾	2011	1B/A	English	Journal Wound Ostomy Continence Nurs	Pubmed
5	Portuguese nurses' knowledge of and attitudes towardhospitalized older adults⁽¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... ⁾	2015	2B/B	English	Scandinavian Journal Caring Sciences	Pubmed
6	Changes of geriatric syndromes in older adults survived from Intensive Care Unit⁽¹⁷17 Tang HJ, Tang HYJ, Hu FW, Chen CH. Changes of geriatric syndromes in older adults survived from Intensive Care Unit. Geriatr Nurs. 2016;38(3):219-24. doi: 10.1016/j.gerinurse.2016.10.011 https://doi.org/10.1016/j.gerinurse.2016... ⁾	2016	1B/A	English	Geriatric Nursing	Scopus
7	In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older⁽⁵5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... ⁾	2011	1B/A	English	Journal of the American Geriatrics Society	Pubmed
8	"Will I come home incontinent?" A retrospective file review: Incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... ⁾	2016	2B/B	English	Collegian	Pubmed
9	Urinary Incontinence in Hospitalised Elderly Patients: Do Nurses Recognise and Manage the Problem?⁽¹⁸18 Sabin Z, Susi S, René S. Urinary incontinence in hospitalised elderly patients: do nurses recognise and manage the problem? Nurs Res Pract. 2011;5. doi: 10.1155/2011/671302 https://doi.org/10.1155/2011/671302... ⁾	2011	1B/A	English	Nursing Research and Practice	Pubmed
10	Urinary incontinence and its management in patients aged 65 and older in orthopaedic care - what nursing and rehabilitation staff know and do⁽⁷7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ⁾	2017	2B/B	English	Journal of Clinical Nursing	Pubmed
11	Preventable Iatrogenic Disability in Elderly Patients During Hospitalization⁽⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ⁾	2015	2B/B	English	JAMDA	Pubmed
12	National audit of continence care for older people: management of urinary incontinence⁽¹⁹19 Wagg A, Potter J, Peel P, Irwin P, Lowe D, Pearson M. National audit of continence care for older people: management of urinary incontinence. Age Ageing. 2008;37(1):39-44. doi: 10.1093/ageing/afm163 https://doi.org/10.1093/ageing/afm163... ⁾	2008	2B/B	English	Age and Ageing	Cinahl
13	Incontinence: Managed or mismanaged inhospital settings?⁽²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾	2008	1B/A	English	International Journal of Nursing Practice	Pubmed

Nº	Year/Country	Study design/N	Main results
1	2013/ France	Retrospective study of cross-sectional cohort /N = 100 records	The high prevalence of UI in hospitalized elderly was demonstrated and the statistical association of risk factors of functional decline and old age for this outcome was proven. In the medical records, only 1.4% of the nursing diagnoses were related to UI; found a nursing prescription in 54% of the diagnoses of UI, and at least one nursing intervention in 72% of the cases, and the vast majority of the interventions were palliative.
2	2015/Spain	Study of cross-sectional cohort /N = 228 patients	It was demonstrated the excessive frequency with which diapers are inappropriately used in hospitalized elderly. The lack of use of a scale was validated as an indicator of the adequacy of its use; with consequences at different levels such as personal, family, social and economic, without the professionals are aware of it.
3	2018/Brazil	Study of cross-sectional cohort /N =105patients	It was evidenced the unsystematic practice of diaper use by health professionals in hospitalized adults and elderly. In 38% of the sample, there was no reason to use the device and, when asked about the reason, justified institutional routine. It was also identified as a complication of device use, worsening or onset of UI, development of incontinence-associated dermatitis and urinary tract infection.
4	2011/Israel	Study of prospective cohort /N= 465 pacientes	The incidence of 14% of UI was demonstrated during hospitalization in previously continent elders. Statistically proved the association between the more frequent use of devices such as diapers in people with greater vulnerability to developing UI, such as people with low mobility and female. Such an association could encourage alternative strategies such as the use of "comadres" (collector for the elderly who do not have urinary control) and urinals because of the greater vulnerability in this population.
5	2015/Portugal	Study of cross-sectional cohort /N= 1.173 enfermeiros	The nurses' knowledge scores were found for geriatric syndromes; being lower those related to UI. In addition to the lower rates of interventions regarding the problem. The nurses surveyed used only palliative urine control strategies to manage UI.
6	2017/ Taiwan	Study of prospective cohort /N= 137 patients	The high incidence rate of geriatric syndromes during hospitalization of the elderly in an intensive care unit was demonstrated. Of these, UI was the second largest, occurring in 26.3% of patients. In addition, it was the least resolved syndrome in the transition care (0%), since all the patients who acquired UI during hospitalization, left with the problem installed.
7	2011/ Israel	Prospective, quantitative cohort study/N = 352 patients	The association between the use of devices such as diapers and permanent bladder catheter was demonstrated, with UI in previously hospitalized elderly people.
8	2016/ Australia	Retrospective, quantitative cohort study/N = 100 patients	The high incidence of UI was observed during hospitalization of previously continent elderly people with a diagnosis of dementia.
9	2011/ Switzerland	Retrospective cohort study with a quantitative approach /N = 78 patients	The high prevalence of UI among hospitalized elderly persons (self-report) was demonstrated, compared to the lack of records of care and identification of the problem by nurses.
10	2017/ Sweden	Descriptive study with a qualitative approach /N = 82 (46 interviews and 36 observations)	The lack of knowledge, guidelines and actions of nurses and rehabilitation professionals was identified to prevent and/or prevent the worsening of UI in the hospitalized elderly.
11	2015/ Toulouse/ France	Retrospective cohort study with a quantitative approach /N = 503 patients	It was observed the association of iatrogenic adverse events such as the use of diapers and permanent bladder catheter, with no justified indication, with avoidable functional disability during hospitalization, such as UI in previously continent elderly people.
12	2008/England, Wales, Northern Ireland and Channel Islands	Study of cross-sectional cohort / N = 360 (138 primary care units, 195 hospitals and 27 home care units)	The lack of integrated services for assessment and management of UI in the elderly was observed, as well as the lack of assessment and directed care of professionals who take care of these individuals, in relation to the promotion of continence and prevention of UI in the audited services.
13	2008/Australia	Study of prospective cohort /N = 447 patients	Prevalence of 22% of UI was demonstrated during hospitalization. Overuse of urinary control devices (41% of patients in use reported being continents). It was also verified that the team was subrecorded (of the 87 patients who reported involuntary loss of urine during this period, 49 had nothing recorded about these episodes in medical records).

Structure	- Deficit of material and human resources to meet the needs of the hospitalized elderly person and physical structure of the hospital institutions that do not favor the safe mobility for bathrooms use. Authors cited low illumination, lack of support bars, non-slip flooring and high beds as an example of this adverse structure⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... ^,⁷7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ⁾. - Lack of institutional protocols and validated scales to guide the practice of using absorbent urinary devices such as diapers, used, most of the time, indiscriminately and without justification recorded in medical records⁽⁵5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... 6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... 7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^-⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ^,¹⁴14 Blanc BFL, Granados GL, Burillo JMT, Montealegre ALR, Octavio IA, León AG. Appropriateness of the use of incontinence absorbent products in hospitalized adults. Enferm Clín. 2015;25(4):198-203. doi: 10.1016/j.enfcli.2015.06.001 https://doi.org/10.1016/j.enfcli.2015.06... ^-¹⁵15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾. - Institutional routine that favors the use of diaper and permanent bladder catheter, in detriment to encouragement of autonomy with the use of toilets, urinals and trimers⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... 5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... ^-⁶6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... ^,⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... 14 Blanc BFL, Granados GL, Burillo JMT, Montealegre ALR, Octavio IA, León AG. Appropriateness of the use of incontinence absorbent products in hospitalized adults. Enferm Clín. 2015;25(4):198-203. doi: 10.1016/j.enfcli.2015.06.001 https://doi.org/10.1016/j.enfcli.2015.06... 15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ^-¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾.
Process	- Non-recognition of the problem, resulting in lack of actions to promote continence and prevention of UI by the care team⁽⁷7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... ^,¹⁵15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... 16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... 17 Tang HJ, Tang HYJ, Hu FW, Chen CH. Changes of geriatric syndromes in older adults survived from Intensive Care Unit. Geriatr Nurs. 2016;38(3):219-24. doi: 10.1016/j.gerinurse.2016.10.011 https://doi.org/10.1016/j.gerinurse.2016... ^-¹⁸18 Sabin Z, Susi S, René S. Urinary incontinence in hospitalised elderly patients: do nurses recognise and manage the problem? Nurs Res Pract. 2011;5. doi: 10.1155/2011/671302 https://doi.org/10.1155/2011/671302... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾. - Deficit of professional knowledge and misconceptions about UI in the elderly⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... ^,⁷7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^,¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... 17 Tang HJ, Tang HYJ, Hu FW, Chen CH. Changes of geriatric syndromes in older adults survived from Intensive Care Unit. Geriatr Nurs. 2016;38(3):219-24. doi: 10.1016/j.gerinurse.2016.10.011 https://doi.org/10.1016/j.gerinurse.2016... ^-¹⁸18 Sabin Z, Susi S, René S. Urinary incontinence in hospitalised elderly patients: do nurses recognise and manage the problem? Nurs Res Pract. 2011;5. doi: 10.1155/2011/671302 https://doi.org/10.1155/2011/671302... ⁾. - Installation of diapers and devices after the problem already installed, as the only strategy used by the nursing team to manage UI during hospitalization of the elderly⁽⁵5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... 6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... 7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^-⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... 14 Blanc BFL, Granados GL, Burillo JMT, Montealegre ALR, Octavio IA, León AG. Appropriateness of the use of incontinence absorbent products in hospitalized adults. Enferm Clín. 2015;25(4):198-203. doi: 10.1016/j.enfcli.2015.06.001 https://doi.org/10.1016/j.enfcli.2015.06... 15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ^-¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾. - Subregistration, underreporting and lack of screening of the problem by the nursing team⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... ^,⁷7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... ^,¹⁵15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ^-¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... ^,¹⁹19 Wagg A, Potter J, Peel P, Irwin P, Lowe D, Pearson M. National audit of continence care for older people: management of urinary incontinence. Age Ageing. 2008;37(1):39-44. doi: 10.1093/ageing/afm163 https://doi.org/10.1093/ageing/afm163... ^-²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾.
Results	- High incidence and prevalence of UI in hospitalized elderly people⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... 5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... 6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... 7 Nyman MH, Forsman H, Ostaszkiewicz J, Hommel A. Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. J Clin Nurs. 2017;26(21):3345-53. doi: 10.1111/jocn.13686 https://doi.org/10.1111/jocn.13686... ^-⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... 14 Blanc BFL, Granados GL, Burillo JMT, Montealegre ALR, Octavio IA, León AG. Appropriateness of the use of incontinence absorbent products in hospitalized adults. Enferm Clín. 2015;25(4):198-203. doi: 10.1016/j.enfcli.2015.06.001 https://doi.org/10.1016/j.enfcli.2015.06... ^-¹⁵15 Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm [Internet]. 2018[cited 2017 Dec 12];71(2):343-9. Available from: http://www.scielo.br/pdf/reben/v71n2/0034-7167-reben-71-02-0343.pdf http://www.scielo.br/pdf/reben/v71n2/003... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾. - Return to the home of previously hospitalized elderly people with acquired UI⁽⁴4 Furlanetto K, Emond K. "Will I come home incontinent?" A retrospective file review: incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian[Internet]. 2016[cited 2017 Dec 12];23(1):79-86. Available from: http://www.collegianjournal.com/article/S1322-7696(14)00112-7/pdf http://www.collegianjournal.com/article/... 5 Zisberg A, Gary S, Gur-Yaish N, Admi H, Shadmi E. In-hospital use of continence aids and new-onset urinary incontinence in adults aged 70 and older. J Am Geriatr Society. 2011;59:1099-104. doi: 10.1111/j.1532-5415.2011.03413.x https://doi.org/10.1111/j.1532-5415.2011... ^-⁶6 Zisberg A. Incontinence brief use in acute hospitalized patients with no prior incontinence. J Wound Ostomy Continence Nurs. 2011;38(5):559-64. doi: 10.1097/WON.0b013e31822b3292 https://doi.org/10.1097/WON.0b013e31822b... ^,⁸8 Sourdet S, Lafont C, Rolland Y, Nourhanshemi F, Andrieu S, Vellas B. Preventable iatrogenic disability in elderly patients during hospitalization. J Am Med Dir Assoc. 2015;18(16):674-81. doi: 10.1016/j.jamda.2015.03.011 https://doi.org/10.1016/j.jamda.2015.03.... ^,¹³13 Regat-Bikoï C, Vuagnat, H, Morin D. Urinary incontinence in hospitalized geriatric patients: is it really a priority for nurses? Rech Soins Infirm[Internet]. 2013[cited 2017 Dec 12];115(4):59-67. Available from: https://www.cairn.info/revue-recherche-en-soins-infirmiers-2013-4-page-59.htm https://www.cairn.info/revue-recherche-e... ^,¹⁶16 Tavares JPA, Silva ALD, Sá-Couto P, Boltz M, Capezuti E. Portuguese nurses' knowledge of and attitudes toward hospitalized older adults. Scand J Caring Sci. 2015;29(1):51-61. doi: 10.1111/scs.12124 https://doi.org/10.1111/scs.12124... ^-¹⁷17 Tang HJ, Tang HYJ, Hu FW, Chen CH. Changes of geriatric syndromes in older adults survived from Intensive Care Unit. Geriatr Nurs. 2016;38(3):219-24. doi: 10.1016/j.gerinurse.2016.10.011 https://doi.org/10.1016/j.gerinurse.2016... ^,²⁰20 Ostaszkiewicz J, O'Connell B, Millar L. Incontinence: managed or mismanaged in hospital settings? Int J Nurs Pract. 2008;14:495-502. doi: 10.1111/j.1440-172X.2008.00725.x https://doi.org/10.1111/j.1440-172X.2008... ⁾.

[1] Corresponding Author: Roberta Pereira Góes. E-mail: robertapgoes@yahoo.com.br

Brasil

Brasil

Cuidado hospitalario y surgimiento de incontinencia urinaria en personas ancianas

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