Estrutura |
- Déficit de recursos materiais e humanos para atender às necessidades da pessoa idosa hospitalizada e estrutura física das instituições hospitalares que não favorecem a mobilidade segura para uso de banheiros. Autores citaram baixa iluminação, carência de barras de apoio, de piso antiderrapante e leitos altos como exemplo dessa estrutura adversa(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...
). - Carência de protocolos institucionais e escalas validadas para orientar a prática do uso de dispositivos urinários absorventes, como fraldas, utilizadas, na maioria das vezes, de forma indiscriminada e sem justificativa registrada em prontuário(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...
). - Rotina institucional que favorece o uso da fralda e cateter vesical permanente, em detrimento ao estímulo da autonomia com o uso de banheiros, urinóis e aparadeiras(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...
). |
Processo |
- Não reconhecimento do problema, acarretando em carência de ações de promoção da continência e prevenção da IU pela equipe assistencial(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...
). - Déficit de conhecimento dos profissionais e conceitos errôneos sobre IU em pessoas idosas(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...
). - Instalação de fraldas e dispositivos após o problema já instalado, como única estratégia utilizada pela equipe de enfermagem para gerenciar a IU durante a hospitalização de pessoas idosas(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...
). - Subregistro, subnotificação e carência de rastreio do problema por parte da equipe de enfermagem(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...
). |
Resultado |
- Alta incidência e prevalência de IU em pessoas idosas hospitalizadas(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...
). - Retorno ao domicílio de pessoas idosas hospitalizadas previamente continentes, com IU adquirida(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...
). |