Abstract：
OBJECTIVE: This study utilized latent profile analysis to investigate care needs subgroups among older adults with urinary incontinence.
METHODS: The \"Elderly Urinary Incontinence Care Needs Inventory\" surveyed 510 participants in two Guangzhou City hospitals from July 2022 to June 2023. Latent profile analysis created a classification model, and variance and correlation analysis assessed influencing factors.
RESULTS: A total of 510 older adults with urinary incontinence participated. The standardized total care needs score was 78.77 ± 5.03, with variations across dimensions: social participation needs scored (71.16 ± 10.32), daily life care needs (78.80 ± 5.51), medical care needs (77.33 ± 12.17), psychological comfort needs (76.97 ± 6.51) and health education needs scored highest (82.67 ± 6.77). Three distinct profiles emerged: \"medium,\" \"high SPN-PCN\" and \"high DLCN-MCN-HEN\". The majority belonged to the \"high SPN-PCN\" profile. Significant correlations were found with age, education, leaks and frequency of micturitions.
CONCLUSIONS: Research findings showed the existence of three distinct categories, with a notable majority of participants belonging to the \"high SPN-PCN\" group. The significance of having these classes identified lies in the move away from a one-size-fits-all approach to a more nuanced understanding of care needs. Customized nursing interventions can be devised based on specific factors, such as age, education level, urinary incontinence-related symptoms and potential category. For instance, for the \"high SPN-PCN\" group, our nursing strategy can encompass heightened psychological support and expanded opportunities for social engagement.Furthermore, in the training and education of healthcare professionals, recognizing and meeting the needs of each potential category of older adults might require more attention. Geriatr Gerontol Int 2024; 24: 758-765.
METHODS: The \"Elderly Urinary Incontinence Care Needs Inventory\" surveyed 510 participants in two Guangzhou City hospitals from July 2022 to June 2023. Latent profile analysis created a classification model, and variance and correlation analysis assessed influencing factors.
RESULTS: A total of 510 older adults with urinary incontinence participated. The standardized total care needs score was 78.77 ± 5.03, with variations across dimensions: social participation needs scored (71.16 ± 10.32), daily life care needs (78.80 ± 5.51), medical care needs (77.33 ± 12.17), psychological comfort needs (76.97 ± 6.51) and health education needs scored highest (82.67 ± 6.77). Three distinct profiles emerged: \"medium,\" \"high SPN-PCN\" and \"high DLCN-MCN-HEN\". The majority belonged to the \"high SPN-PCN\" profile. Significant correlations were found with age, education, leaks and frequency of micturitions.
CONCLUSIONS: Research findings showed the existence of three distinct categories, with a notable majority of participants belonging to the \"high SPN-PCN\" group. The significance of having these classes identified lies in the move away from a one-size-fits-all approach to a more nuanced understanding of care needs. Customized nursing interventions can be devised based on specific factors, such as age, education level, urinary incontinence-related symptoms and potential category. For instance, for the \"high SPN-PCN\" group, our nursing strategy can encompass heightened psychological support and expanded opportunities for social engagement.Furthermore, in the training and education of healthcare professionals, recognizing and meeting the needs of each potential category of older adults might require more attention. Geriatr Gerontol Int 2024; 24: 758-765.
摘要：
目的：本研究利用潜在分析调查老年尿失禁患者的护理需求亚组。
方法：“老年人尿失禁护理需求清单”于2022年7月至2023年6月对广州市两家医院的510名参与者进行了调查。潜在轮廓分析创建了一个分类模型，并对影响因素进行方差分析和相关分析。
结果：共有510名患有尿失禁的老年人参加。标准化护理总需求得分为78.77±5.03，各维度之间存在差异：社会参与需求得分为（71.16±10.32），日常生活护理需求(78.80±5.51)，医疗需求(77.33±12.17)，心理舒适需求得分最高(76.97±6.51),健康教育需求得分最高(82.67±6.77)。出现了三个不同的轮廓：“中等，\"\"高SPN-PCN\"和\"高DLCN-MCN-HEN\"。大多数属于“高SPN-PCN”配置文件。发现与年龄显著相关，教育,泄漏和排尿频率。
结论：研究结果表明存在三个不同的类别，其中绝大多数参与者属于“高SPN-PCN”组。确定这些类别的重要性在于，从一刀切的方法转向对护理需求的更细致入微的理解。可以根据特定因素设计定制的护理干预措施，比如年龄,教育水平,尿失禁相关症状和潜在类别。例如,对于“高SPN-PCN”组，我们的护理策略可以包括加强心理支持和扩大社会参与的机会.此外，在医疗保健专业人员的培训和教育方面，认识和满足每个潜在老年人类别的需求可能需要更多的关注。GeriatrGerontolInt2024；••：••-•。
方法：“老年人尿失禁护理需求清单”于2022年7月至2023年6月对广州市两家医院的510名参与者进行了调查。潜在轮廓分析创建了一个分类模型，并对影响因素进行方差分析和相关分析。
结果：共有510名患有尿失禁的老年人参加。标准化护理总需求得分为78.77±5.03，各维度之间存在差异：社会参与需求得分为（71.16±10.32），日常生活护理需求(78.80±5.51)，医疗需求(77.33±12.17)，心理舒适需求得分最高(76.97±6.51),健康教育需求得分最高(82.67±6.77)。出现了三个不同的轮廓：“中等，\"\"高SPN-PCN\"和\"高DLCN-MCN-HEN\"。大多数属于“高SPN-PCN”配置文件。发现与年龄显著相关，教育,泄漏和排尿频率。
结论：研究结果表明存在三个不同的类别，其中绝大多数参与者属于“高SPN-PCN”组。确定这些类别的重要性在于，从一刀切的方法转向对护理需求的更细致入微的理解。可以根据特定因素设计定制的护理干预措施，比如年龄,教育水平,尿失禁相关症状和潜在类别。例如,对于“高SPN-PCN”组，我们的护理策略可以包括加强心理支持和扩大社会参与的机会.此外，在医疗保健专业人员的培训和教育方面，认识和满足每个潜在老年人类别的需求可能需要更多的关注。GeriatrGerontolInt2024；••：••-•。
