Improving management of urinary incontinence

May 13, 2002

The prevalence of urinary incontinence in people aged 65 years or older living in the community ranges from 8% to 30%, but those affected by it are often too embarrassed or ashamed to seek help.

Michael Borrie and colleagues randomly assigned 421 patients experiencing urinary incontinence at least once a week to either a control group or to a group that participated in a lifestyle and behavioural intervention session every 4 weeks. The sessions were led by a nurse continence adviser, in collaboration with a physician. Data were analyzed for 188 patients in each group, with the primary outcomes measured being the number of incontinence episodes per 24-hour period and the use of incontinence pads.

The authors report that mean decrease in incontinence events per 24 hours was greater in the intervention group than in the control group (1.2 v. 0.2). The mean decline in the use of incontinence pads per 24 hours was also greater in the intervention group (0.9 v. 0.1). The authors conclude that nurse continence advisers can play an important role in the management of patients with urinary incontinence.
p. 1267 Interventions led by nurse continence advisers: a randomized controlled trial -- M.J. Borrie et al

Canadian Medical Association Journal

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