- Title
- Continence promotion for older hospital patients following surgery for a fractured neck of femur: pilot of a randomized controlled trial
- Creator
- Parkinson, Lynne; Chiarelli, Pauline; Byrne, Jennifer; Gibson, Richard; McNeill, Suzanne; Lloyd, Gillian; Watts, Wendy; Byles, Julie
- Relation
- Clinical Interventions in Aging Vol. 2, Issue 4, p. 705-714
- Relation
- http://www.dovepress.com/articles.php?article_id=215
- Publisher
- Dove Medical Press Ltd
- Resource Type
- journal article
- Date
- 2007
- Description
- Evidence suggests that bladder control problems develop or worsen as a result of fractured neck of femur (#NOF) and its subsequent management. The primary aim of this study was to reduce the prevalence and severity of post surgery continence problems among patients, aged from 60-years, undergoing surgery for #NOF, using a best practice "case-management model" multifactorial intervention. Eligible consenting patients admitted with #NOF were randomized to intervention or control group. Self-report questionnaires compared pre-surgery, post surgery, and follow-up continence status between groups. This pilot randomized controlled trial, which included 45 eligible patients aged 60 to 93-years, found no evidence that the intervention was effective in reducing prevalence of post-surgery incontinence in this acute setting. Staff surveys highlighted the need for open communication between the research team and hospital staff. Unclear results were attributed to the small sample size. A central outcome was evidence that intervention to improve continence management for older people post-surgery is imperative. Focused assessment and treatment for those most at risk of incontinence after #NOF would be more acceptable to staff and a more efficient use of resources. A simple screening tool would ensure that those most at risk are detected, and targeted for care.
- Subject
- urinary incontinence; prevention; management; fractured neck of femur; hip surgery; randomized controlled trial; elderly
- Identifier
- http://hdl.handle.net/1959.13/28725
- Identifier
- uon:2177
- Identifier
- ISSN:1176-9092
- Language
- eng
- Full Text
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