BACKGROUND:Urinary incontinence is very prevalent in elderly women, and it is considered a major burden for both patient and caregiver. OBJECTIVE: To determine feasibility and effect of training mobility and toileting skills on the severity of urinary incontinence in elderly, dependent women. METHODS: In a randomized, single-blinded trial, 57 dependent, nondemented, elderly women with long-standing urinary incontinence and a mild to moderate disorder in mobility and transfers were recruited in 24 long-term care institutions. The participants were randomized to receive either no treatment (n = 28) or an individualized 8-week training program of mobility and toileting skills (n = 29), provided by physiotherapists and/or occupational therapists. RESULTS: The intervention resulted in a 37.7% reduction in the daily amount of urine loss. Three women in the intervention group compared to none in the control group became continent. A change from dependent to independent toileting occurred in 6 women in the intervention group and in 2 women in the control group. All these results, however, were not statistically significant. The intervention did have a significant effect on the daytime sum score of the toilet timing test. CONCLUSIONS: This study suggests that it is possible to influence long-standing incontinence in dependent elderly women by training mobility and toileting skills. Future studies should have a larger sample size, and more attention should be paid to the motivation of the participants. Copyright 2007 S. Karger AG, Basel.
RCT Entities:
BACKGROUND:Urinary incontinence is very prevalent in elderly women, and it is considered a major burden for both patient and caregiver. OBJECTIVE: To determine feasibility and effect of training mobility and toileting skills on the severity of urinary incontinence in elderly, dependent women. METHODS: In a randomized, single-blinded trial, 57 dependent, nondemented, elderly women with long-standing urinary incontinence and a mild to moderate disorder in mobility and transfers were recruited in 24 long-term care institutions. The participants were randomized to receive either no treatment (n = 28) or an individualized 8-week training program of mobility and toileting skills (n = 29), provided by physiotherapists and/or occupational therapists. RESULTS: The intervention resulted in a 37.7% reduction in the daily amount of urine loss. Three women in the intervention group compared to none in the control group became continent. A change from dependent to independent toileting occurred in 6 women in the intervention group and in 2 women in the control group. All these results, however, were not statistically significant. The intervention did have a significant effect on the daytime sum score of the toilet timing test. CONCLUSIONS: This study suggests that it is possible to influence long-standing incontinence in dependent elderly women by training mobility and toileting skills. Future studies should have a larger sample size, and more attention should be paid to the motivation of the participants. Copyright 2007 S. Karger AG, Basel.
Authors: Kristine M C Talley; Jean F Wyman; Ulf Bronas; Becky J Olson-Kellogg; Teresa C McCarthy Journal: J Am Geriatr Soc Date: 2017-03-01 Impact factor: 5.562
Authors: Adam L Gordon; Phillipa A Logan; Rob G Jones; Calum Forrester-Paton; Jonathan P Mamo; John R F Gladman Journal: BMC Geriatr Date: 2012-06-25 Impact factor: 3.921
Authors: S P Jürgensen; A Borghi-Silva; A M F G Bastos; G N Correia; V S Pereira-Baldon; R Cabiddu; A M Catai; P Driusso Journal: Braz J Med Biol Res Date: 2017-09-21 Impact factor: 2.590
Authors: Mary A M Rogers; Brant E Fries; Samuel R Kaufman; Lona Mody; Laurence F McMahon; Sanjay Saint Journal: BMC Geriatr Date: 2008-11-25 Impact factor: 3.921