Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial

Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial

Lynne Parkinson1,2, Pauline Chiarelli3, Jennifer Byrne1, Richard Gibson1, Suzanne McNeill4, Gillian Lloyd5, Wendy Watts6, Julie Byles11Research Centre for Gender, Health and Ageing, Faculty of Health, The University of Newcastle, NSW, Australia; 2Hunter Ageing Research, Faculty of Health, The Univer...

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Autores principales: Lynne Parkinson, Pauline Chiarelli, Jennifer Byrne, Richard Gibson, Suzanne McNeill, et al
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2008
Materias:
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/d506c820474c4557906fc7b0498e66ef
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spelling oai:doaj.org-article:d506c820474c4557906fc7b0498e66ef2021-12-02T00:07:39ZContinence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial1178-1998https://doaj.org/article/d506c820474c4557906fc7b0498e66ef2008-01-01T00:00:00Zhttps://www.dovepress.com/continence-promotion-for-older-hospital-patients-following-surgery-for-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lynne Parkinson1,2, Pauline Chiarelli3, Jennifer Byrne1, Richard Gibson1, Suzanne McNeill4, Gillian Lloyd5, Wendy Watts6, Julie Byles11Research Centre for Gender, Health and Ageing, Faculty of Health, The University of Newcastle, NSW, Australia; 2Hunter Ageing Research, Faculty of Health, The University of Newcastle, NSW, Australia; 3Faculty of Health, The University of Newcastle, NSW, Australia; 4NC Trauma Orthopedics, John Hunter Hospital, New Lambton Heights, NSW, Australia; 5Hunter New England Health, Wallsend Community Health Centre, Wallsend, NSW, Australia; 6Royal Newcastle Centre, John Hunter Hospital, New Lambton Heights, NSW, AustraliaAbstract: Evidence suggests that bladder control problems develop or worsen as a result of fractured neck of femur (#NOF) and its subsequent management. The primary aim of this study was to reduce the prevalence and severity of post surgery continence problems among patients, aged from 60-years, undergoing surgery for #NOF, using a best practice “case-management model” multifactorial intervention. Eligible consenting patients admitted with #NOF were randomized to intervention or control group. Self-report questionnaires compared pre-surgery, post surgery, and follow-up continence status between groups.This pilot randomized controlled trial, which included 45 eligible patients aged 60 to 93-years, found no evidence that the intervention was effective in reducing prevalence of post-surgery incontinence in this acute setting. Staff surveys highlighted the need for open communication between the research team and hospital staff. Unclear results were attributed to the small sample size.A central outcome was evidence that intervention to improve continence management for older people post-surgery is imperative. Focused assessment and treatment for those most at risk of incontinence after #NOF would be more acceptable to staff and a more efficient use of resources. A simple screening tool would ensure that those most at risk are detected, and targeted for care.Keywords: urinary incontinence, prevention, management, fractured neck of femur, hip surgery, randomized controlled trial, elderlyLynne ParkinsonPauline ChiarelliJennifer ByrneRichard GibsonSuzanne McNeillet alDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 2, Pp 705-714 (2008)
institution DOAJ
collection DOAJ
language EN
topic Geriatrics
RC952-954.6
spellingShingle Geriatrics
RC952-954.6
Lynne Parkinson
Pauline Chiarelli
Jennifer Byrne
Richard Gibson
Suzanne McNeill
et al
Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
description Lynne Parkinson1,2, Pauline Chiarelli3, Jennifer Byrne1, Richard Gibson1, Suzanne McNeill4, Gillian Lloyd5, Wendy Watts6, Julie Byles11Research Centre for Gender, Health and Ageing, Faculty of Health, The University of Newcastle, NSW, Australia; 2Hunter Ageing Research, Faculty of Health, The University of Newcastle, NSW, Australia; 3Faculty of Health, The University of Newcastle, NSW, Australia; 4NC Trauma Orthopedics, John Hunter Hospital, New Lambton Heights, NSW, Australia; 5Hunter New England Health, Wallsend Community Health Centre, Wallsend, NSW, Australia; 6Royal Newcastle Centre, John Hunter Hospital, New Lambton Heights, NSW, AustraliaAbstract: Evidence suggests that bladder control problems develop or worsen as a result of fractured neck of femur (#NOF) and its subsequent management. The primary aim of this study was to reduce the prevalence and severity of post surgery continence problems among patients, aged from 60-years, undergoing surgery for #NOF, using a best practice “case-management model” multifactorial intervention. Eligible consenting patients admitted with #NOF were randomized to intervention or control group. Self-report questionnaires compared pre-surgery, post surgery, and follow-up continence status between groups.This pilot randomized controlled trial, which included 45 eligible patients aged 60 to 93-years, found no evidence that the intervention was effective in reducing prevalence of post-surgery incontinence in this acute setting. Staff surveys highlighted the need for open communication between the research team and hospital staff. Unclear results were attributed to the small sample size.A central outcome was evidence that intervention to improve continence management for older people post-surgery is imperative. Focused assessment and treatment for those most at risk of incontinence after #NOF would be more acceptable to staff and a more efficient use of resources. A simple screening tool would ensure that those most at risk are detected, and targeted for care.Keywords: urinary incontinence, prevention, management, fractured neck of femur, hip surgery, randomized controlled trial, elderly
format article
author Lynne Parkinson
Pauline Chiarelli
Jennifer Byrne
Richard Gibson
Suzanne McNeill
et al
author_facet Lynne Parkinson
Pauline Chiarelli
Jennifer Byrne
Richard Gibson
Suzanne McNeill
et al
author_sort Lynne Parkinson
title Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
title_short Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
title_full Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
title_fullStr Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
title_full_unstemmed Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial
title_sort continence promotion for older hospital patients following surgery for fractured neck of femur: pilot of a randomized controlled trial
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/d506c820474c4557906fc7b0498e66ef
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