Prevalence of urinary incontinence and associated factors in nursing home residents

• Autor(a) principal: Souza, Dyego Leandro Bezerra de
• Data de Publicação: 2016
• Outros Autores: Jerez-Roig, Javier, Santos, Marquiony M., Amaral, Fabienne Louise J.S., Lima, Kenio C.
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRN
• Texto Completo: https://repositorio.ufrn.br/handle/123456789/54993; https://doi.org/10.1002/nau.22675
• topic: ageing; elderly; nursing homes; urinary incontinence

Aims:To determine the prevalence of urinary incontinence (UI) and associated factors in the institutionalized elderly.Methods:A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursinghomes in the city of Natal (Northeast Brazil). Individuals over the age of 60, who reside in institutions, were included.Hospitalized individuals and those at end of life were excluded. Data collection included sociodemographic information,UI characterization, as well as variables related to the institution itself and to health conditions (comorbidities,medication, pelvic floor surgery, Barthel Index for functional capacity, and Pfeiffer test for cognitive status). UI wasverified through the Minimum Data Set (MDS) version 3.0, which was also used to assess urinary devices and UI toiletingprograms. The Chi-square test (or Fisher’s exact test), the linear Chi-square test, and logistic regression were utilized tomodel associations.Results:The final sample consisted of 321 elderly, mostly females, with a mean age of 81.5 years. Theprevalence of UI was 58.88% (CI 95%: 53.42–64.13) and the final model revealed a statistically significant associationbetween UI and white race, physical inactivity, stroke, mobility impairment, and cognitive decline. The most frequent UItype was functional UI and toileting programs (prompted voiding) were only applied to approximately 8% of residents.Conclusions:It is concluded that UI is a health issue that affects more than half of the institutionalized elderly, and isassociated with white race, physical inactivity, stroke, and other geriatric syndromes such as immobility and cognitivedisability.