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Abstract：
BACKGROUND: Urinary incontinence (UI) is a common geriatric syndrome with high health and socio-economic impacts in nursing home (NH) residents.
OBJECTIVE: To estimate the prevalence and types of UI and its associated factors in older people living in NHs in Central Catalonia (Spain). We also determined the proportion of residents who were receiving behavioural strategies to prevent/manage UI.
METHODS: Cross-sectional study in 5 NHs conducted from January to March 2020.
METHODS: We included consenting residents aged 65 + permanently living in the NHs. Residents who were hospitalized, in a coma or palliative care were excluded. UI was assessed using Section H of the Minimum Data Set. Sociodemographic and health-related variables were examined. Descriptive, bivariate, and multivariate (logistic regression) analyses were performed.
RESULTS: We included 132 subjects (82.6% women), mean age of 85.2 (SD = 7.4) years. The prevalence of UI was 76.5% (95% CI: 68.60-82.93). The most common type was functional UI (45.5%), followed by urgency UI (11.4%). Only 46.2% of residents received at least one behavioural strategy to manage UI. Most sedentary behaviour (SB) variables presented a p-value lower than 0.001 in the bivariate analyses, but none remained in the final model. Moderate-severe cognitive impairment (OR = 4.44, p =.003), anticholinergic activity (OR = 3.50, p =.004) and risk of sarcopenia using SARC-F (OR = 2.75, p =.041) were associated with UI.
CONCLUSIONS: The prevalence of UI was high in this sample of NH residents compared to the literature, yet less than half received prompted voiding as a strategy to prevent/reduce UI.UI was associated with cognitive impairment, anticholinergic activity, and risk of sarcopenia.
OBJECTIVE: To estimate the prevalence and types of UI and its associated factors in older people living in NHs in Central Catalonia (Spain). We also determined the proportion of residents who were receiving behavioural strategies to prevent/manage UI.
METHODS: Cross-sectional study in 5 NHs conducted from January to March 2020.
METHODS: We included consenting residents aged 65 + permanently living in the NHs. Residents who were hospitalized, in a coma or palliative care were excluded. UI was assessed using Section H of the Minimum Data Set. Sociodemographic and health-related variables were examined. Descriptive, bivariate, and multivariate (logistic regression) analyses were performed.
RESULTS: We included 132 subjects (82.6% women), mean age of 85.2 (SD = 7.4) years. The prevalence of UI was 76.5% (95% CI: 68.60-82.93). The most common type was functional UI (45.5%), followed by urgency UI (11.4%). Only 46.2% of residents received at least one behavioural strategy to manage UI. Most sedentary behaviour (SB) variables presented a p-value lower than 0.001 in the bivariate analyses, but none remained in the final model. Moderate-severe cognitive impairment (OR = 4.44, p =.003), anticholinergic activity (OR = 3.50, p =.004) and risk of sarcopenia using SARC-F (OR = 2.75, p =.041) were associated with UI.
CONCLUSIONS: The prevalence of UI was high in this sample of NH residents compared to the literature, yet less than half received prompted voiding as a strategy to prevent/reduce UI.UI was associated with cognitive impairment, anticholinergic activity, and risk of sarcopenia.
摘要：
背景：尿失禁（UI）是一种常见的老年综合征，在养老院（NH）居民中具有很高的健康和社会经济影响。
目的：评估居住在加泰罗尼亚中部（西班牙）NHs的老年人中UI的患病率和类型及其相关因素。我们还确定了接受行为策略以预防/管理UI的居民比例。
方法：在2020年1月至3月进行的5个NHs的横断面研究。
方法：我们包括永久居住在NHs的65岁以上的同意居民。住院的居民，在昏迷或姑息治疗中被排除.使用最小数据集的H部分评估UI。研究了社会人口统计学和健康相关变量。描述性的,双变量，和多变量（逻辑回归）分析。
结果：我们包括132名受试者（82.6％的女性），平均年龄85.2岁（SD=7.4）。UI的患病率为76.5％（95％CI：68.60-82.93）。最常见的类型是功能性UI（45.5％），其次是紧急UI（11.4%）。只有46.2%的居民接受了至少一种管理用户界面的行为策略。在双变量分析中，大多数久坐行为(SB)变量的p值低于0.001，但最终模型中没有一个。中度-重度认知障碍（OR=4.44，p=0.003），抗胆碱能活性(OR=3.50,p=.004)和使用SARC-F的肌肉减少症风险(OR=2.75,p=.041)与UI相关.
结论：与文献相比，该NH居民样本中UI的患病率较高，然而，不到一半的人接受了提示排尿作为预防/减少UI的策略。UI与认知障碍相关，抗胆碱能活性，和肌肉减少症的风险。
目的：评估居住在加泰罗尼亚中部（西班牙）NHs的老年人中UI的患病率和类型及其相关因素。我们还确定了接受行为策略以预防/管理UI的居民比例。
方法：在2020年1月至3月进行的5个NHs的横断面研究。
方法：我们包括永久居住在NHs的65岁以上的同意居民。住院的居民，在昏迷或姑息治疗中被排除.使用最小数据集的H部分评估UI。研究了社会人口统计学和健康相关变量。描述性的,双变量，和多变量（逻辑回归）分析。
结果：我们包括132名受试者（82.6％的女性），平均年龄85.2岁（SD=7.4）。UI的患病率为76.5％（95％CI：68.60-82.93）。最常见的类型是功能性UI（45.5％），其次是紧急UI（11.4%）。只有46.2%的居民接受了至少一种管理用户界面的行为策略。在双变量分析中，大多数久坐行为(SB)变量的p值低于0.001，但最终模型中没有一个。中度-重度认知障碍（OR=4.44，p=0.003），抗胆碱能活性(OR=3.50,p=.004)和使用SARC-F的肌肉减少症风险(OR=2.75,p=.041)与UI相关.
结论：与文献相比，该NH居民样本中UI的患病率较高，然而，不到一半的人接受了提示排尿作为预防/减少UI的策略。UI与认知障碍相关，抗胆碱能活性，和肌肉减少症的风险。
