Efficacy of Prompted Voiding Therapy in Elderly Hospitalized.

  • STATUS
    Recruiting
  • End date
    Dec 31, 2021
  • participants needed
    212
  • sponsor
    Guadarrama Hospital
Updated on 10 February 2021
behavioral therapy

Summary

This study evaluates effectiveness to apply prompted voiding in urinary incontinence and dependence patients admitted at functional recovery ward in a mid-stay hospital. This behavioural therapy is recommended in Best Practice Guidelines, and it has good results in elderly living in the community or in nursing home but yet it has not shown his benefits in hospitalized elderly patients for a long time.

Description

The increased level of chronic diseases, greater chances of survival and older people hospitalized, place the Urinary Incontinence (UI) problem in a priority position both in hospital and community care. Guadarrama (Public Madrid Health Service) is a medium-stay Hospital. It makes treatment to recover from acute disease and UI has 80% prevalence at admitted patients.

Main objective:To assess the efficacy of Prompted Voiding (PV) therapy for reverse of UI status in elderly patients hospitalized in a Functional Recovery Ward. (FRW) Methods: Experimental research pre/post-Intervention, with 5 repeated measures data: baseline (preintervention); at discharge, at one, three and six months after discharge (post-intervention). Sample size is 212 admitted patients in the FRW with UI. Prompted voiding intervention will be applied by nursing team following the procedure hospital approved and it will be individualized to each patient.

Main Outcome: urinary continence (YES/NO), others outcomes: amount and frequency of urine loss, type of incontinence pads; follow-up: urinary continence at one, three, and six months after discharge.

Applicability: Incorporating Prompted Voiding Therapy in UI patients care, encouraging global care, relevant implications for reduce the morbidity, improvement the quality of life, decrease health costs.

Details
Condition Urinary Incontinence
Treatment Prompted voiding
Clinical Study IdentifierNCT04117126
SponsorGuadarrama Hospital
Last Modified on10 February 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

onset of Urinary Incontinence less than 1 year (information extracted from the Patient's Medical History, or provided by the patient or family caregiver)
sign the informed consent

Exclusion Criteria

patient with indwelling urinary catheters at admission
irreversible urinary incontinence by disease itself
moderate-severe cognitive impairment (Pfeiffer's questionnaire > 4)
patients with indication of water restriction
patients who do not collaborate in Prompted Voiding therapy
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