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Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers

Urinary or double incontinence in frail elderly people is common and leads to a reduction in quality of life and an increased burden on the patients’ caregivers. Up to now, no special instrument has been available to assess the impact of incontinence on cognitively impaired patients and their profes...

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Autores principales: Jaekel, Anke Kirsten, Rings, Theresa Maria, Schmitz, Franziska, Knappe, Franziska, Tschirhart, Alix, Winterhagen, Franziska Isabelle, Kirschner-Hermanns, Ruth Klara Maria, Knüpfer, Stephanie C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219393/
https://www.ncbi.nlm.nih.gov/pubmed/37240458
http://dx.doi.org/10.3390/jcm12103352
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author Jaekel, Anke Kirsten
Rings, Theresa Maria
Schmitz, Franziska
Knappe, Franziska
Tschirhart, Alix
Winterhagen, Franziska Isabelle
Kirschner-Hermanns, Ruth Klara Maria
Knüpfer, Stephanie C.
author_facet Jaekel, Anke Kirsten
Rings, Theresa Maria
Schmitz, Franziska
Knappe, Franziska
Tschirhart, Alix
Winterhagen, Franziska Isabelle
Kirschner-Hermanns, Ruth Klara Maria
Knüpfer, Stephanie C.
author_sort Jaekel, Anke Kirsten
collection PubMed
description Urinary or double incontinence in frail elderly people is common and leads to a reduction in quality of life and an increased burden on the patients’ caregivers. Up to now, no special instrument has been available to assess the impact of incontinence on cognitively impaired patients and their professional caregivers. Thus, the outcomes of incontinence-specific medical and nursing interventions for cognitively impaired individuals are not measurable. Our aim was to investigate the impacts of urinary and double incontinence on both the affected patients and their caregivers using the newly developed “International Consultation on Incontinence Questionnaire Cognitively Impaired Elderly” (ICIQ-Cog) tool. The severity of incontinence was measured by incontinence episodes per night/per 24 h, the type of incontinence, the type of incontinence devices used, and the proportion of incontinence care out of total care; all these measures were correlated to the ICIQ-Cog. Incontinence episodes per night and the proportion of incontinence care out of total care showed significant correlations with the patient- and caregiver-related ICIQ-Cog scores. Both items have negative effects on patient quality of life and caregiver burden. Improving nocturnal incontinence and reducing the need for incontinence care overall can decrease the incontinence-specific bother of affected patients and their professional caregivers. The ICIQ-Cog can be used to verify the impacts of medical and nursing interventions.
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spelling pubmed-102193932023-05-27 Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers Jaekel, Anke Kirsten Rings, Theresa Maria Schmitz, Franziska Knappe, Franziska Tschirhart, Alix Winterhagen, Franziska Isabelle Kirschner-Hermanns, Ruth Klara Maria Knüpfer, Stephanie C. J Clin Med Article Urinary or double incontinence in frail elderly people is common and leads to a reduction in quality of life and an increased burden on the patients’ caregivers. Up to now, no special instrument has been available to assess the impact of incontinence on cognitively impaired patients and their professional caregivers. Thus, the outcomes of incontinence-specific medical and nursing interventions for cognitively impaired individuals are not measurable. Our aim was to investigate the impacts of urinary and double incontinence on both the affected patients and their caregivers using the newly developed “International Consultation on Incontinence Questionnaire Cognitively Impaired Elderly” (ICIQ-Cog) tool. The severity of incontinence was measured by incontinence episodes per night/per 24 h, the type of incontinence, the type of incontinence devices used, and the proportion of incontinence care out of total care; all these measures were correlated to the ICIQ-Cog. Incontinence episodes per night and the proportion of incontinence care out of total care showed significant correlations with the patient- and caregiver-related ICIQ-Cog scores. Both items have negative effects on patient quality of life and caregiver burden. Improving nocturnal incontinence and reducing the need for incontinence care overall can decrease the incontinence-specific bother of affected patients and their professional caregivers. The ICIQ-Cog can be used to verify the impacts of medical and nursing interventions. MDPI 2023-05-09 /pmc/articles/PMC10219393/ /pubmed/37240458 http://dx.doi.org/10.3390/jcm12103352 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jaekel, Anke Kirsten
Rings, Theresa Maria
Schmitz, Franziska
Knappe, Franziska
Tschirhart, Alix
Winterhagen, Franziska Isabelle
Kirschner-Hermanns, Ruth Klara Maria
Knüpfer, Stephanie C.
Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title_full Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title_fullStr Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title_full_unstemmed Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title_short Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers
title_sort urinary and double incontinence in cognitively impaired patients: impacts on those affected and their professional caregivers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219393/
https://www.ncbi.nlm.nih.gov/pubmed/37240458
http://dx.doi.org/10.3390/jcm12103352
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