Non-pharmacological nursing interventions for patients with urinary disorders during hospital-based neurorehabilitation after acquired brain injury. A scoping review:

Publikation: KonferencebidragKonferenceabstrakt til konferenceFormidling

  • Lisbet Fog, Regionshospitalet Hammel Neurocenter, Danmark
  • Mette Nørtoft Nielsen, Regionshospitalet Hammel Neurocenter
  • ,
  • Lena Aadal
Objective
Patients admitted to specialized hospital-based neurorehabilitation after acquired brain injury often suffer from urinary incontinence and other urinary disorders. These may lead to isolation, affect mental health as well as the patients self-perception and self-esteem negatively in a long-term perspective.. Furthermore, incontinence is associated with increased morbidity and death. Identification of evidence-based nursing interventions are needed in order to improve the patients rehabilitations outcome.

Aim
To describe nursing initiatives addressing urinary disorders in patients with moderate to severe acquired brain injury admitted to in-hospital rehabilitation.


Methods
A systematic literature review in six steps.

Results
162 hits from five databases met the inclusion criteria's. Of these 16 were included in the review.
Urinary disorders are a complex task that cannot be addressed only by nurses. Assessments and initiatives must be developed and implemented by a closely cooperating multidisciplinary team. However the need for specialists, such as continental nurses is highlighted. Systematic assessment is a prerequisite for initiating continence interventions Catheters should be avoided. If this is not possible it should be removed as soon as possible. Surroundings and aids should be organized to support the patient in a normal voiding pattern.
In addition, specific initiatives related to types of incontinence are pointed out.

Conclusions
Urinary disorders are considered as a nursing core task. However evidence based nursing interventions seems scarse. and that,. This may have consequences for the patients rehabilitation-outcome.
The authors recommend further research with a particular focus on the nursing initiatives and responsibilities.
OriginalsprogDansk
Udgivelsesår2019
StatusUdgivet - 2019

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