Ultrasound-assisted Prompted Voiding Care for Managing Urinary Incontinence in Nursing Homes: A Randomized Clinical Trial

Moderated Posters Session 1

3:05 PM - 3:50 PM

MD, PhD Motofumi Suzuki (1), MD, PhD Hideyo Miyazaki (2), MD, PhD Jun Kamei (3), RNM, PhD Mikako Yoshida (4), RN, PhD Tamami Taniguchi (5), RN Kaoru Nishimura (6), MD, PhD Yasuhiko Igawa (7), RN, CWOCN, PhD Hiromi Sanada (8), MD, PhD Yukio Homma (9), MD, PhD Haruki Kume (1)

(1) Department of Urology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, (2) Department of Urology, Center Hospital of the National Center for Global Health and Medicine, Shinjuku-ku, Japan, (3) Department of Urology, Graduate School of Medicine, Jichi Medical University, Shimotsuke-city, Japan, (4) Women's Health Nursing, Course of Nursing, Tohoku University Graduate School of Medicine, Sendai-city, Japan, (5) Graduate Faculty of Medicine, Department of Health and Life Support Nursing Science, University of Yamanashi, Chuo-city, Japan, (6) Japan Continence Action Society, Suginami-ku, Japan, (7) Department of Continence Medicine, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, (8) Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan, (9) Japanese Red Cross Medical Center, Shubuya-ku, Japan

Urinary incontinence (UI) is common problem in institutionalized elderly populations. The aim of present study is to determine whether ultrasound-assisted prompted voiding (USAPV) care is more efficacious than conventional prompted voiding (CPV) care for managing UI in nursing homes.

AIMS

Thirteen participating nursing homes were randomized to CPV (n = 7) or USAPV care group (n = 6). Residents of the allocated nursing homes received CPV (n = 35) or USAPV (n = 45) care for 8 weeks. In the CPV group, caregivers asked the elderly every 2–3 hours whether they had a desire to void and prompted them to void when the response was yes. In the USAPV group, caregivers regularly monitored bladder urine volume by an ultrasound device and prompted them to void when the volume reached close to the individually optimized bladder capacity. Frequency-volume chart was recorded at the baseline and after the 8-week intervention to measure the daytime urine loss.

METHODS

The change in daytime urine loss was statistically greater in the USAPV (median, -80.0 g) than in the CPV (median, -9.0 g; P = 0.018) group. The proportion of elderly individuals whose daytime urine loss decreased by >25% was 51% and 26% in the USAPV and CPV group, respectively (P = 0.020). The care burden scale score of caregivers was unchanged in the USAPV group (P = 0.59) but significantly worsened in the CPV group (P = 0.010) after the intervention.

RESULTS

USAPV is efficacious and feasible for managing urinary incontinence in nursing homes.

CONCLUSIONS