[A survey on urinary incontinence in the institutionalized elderly].
A survey on urinary incontinence in 161 (41 male, 120 female) institutionalized elderly was independently performed by urologists and attending nurses. Urinary incontinence was found in 107 cases (66%), with 76 cases (47%) suffering from severe leakage (more than 5 times a day and needs diaper). The prevalences of incontinence and severe leakage were 63% and 52% at geriatric hospitals, 59% and 29% at intermediate care centers and 78% and 63% at nursing homes, respectively. The risk factors for incontinence were consciousness disturbance, urinary urgency, impaired mobility and dementia, and those for severe leakage were apathy, loss of urinary sensation, dementia and impaired mobility. The type of incontinence was considered functional one in 81% of cases. The agreement of the incontinence type evaluated by urologists and that by nurses was found in 90% of incontinent cases. Incontinence was estimated "incurable" in 54% of cases by attending nurses. These observations indicate a high prevalence of severe and "incurable" incontinence in the institutionalized elderly, urgently warranting an effective remedy for the increasing aged society.
Homma
Y
Y
Department of Urology, University of Tokyo.
Takai
K
K
Takahashi
S
S
Higashihara
E
E
Aso
Y
Y
Urushibara
A
A
D000368:Aged; D000369:Aged, 80 and over; D003244:Consciousness Disorders / Q000150:complications; D003704:Dementia / Q000150:complications; D005260:Female; D006268:Health Facilities; D006801:Humans; D007326:Institutionalization; D007564:Japan / Q000453:epidemiology; D008297:Male; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000209:etiology / Q000451:nursing / Q000517:prevention & control