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The effect of conse...
The effect of conservative treatment of urinary incontinence among older and frail older people : a systematic review
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- Stenzelius, Karin (författare)
- Lund University,Lunds universitet,Malmö högskola,Institutionen för vårdvetenskap (VV),Faculty of Health and Society, Malmö University, Skåne University Hospital, Malmö, Sweden,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Care in high technological environments,Lund University Research Groups
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- Molander, Ulla (författare)
- Sahlgrenska University Hospital, Gothenburg, Sweden
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- Odeberg, Jenny (författare)
- SBU-The Swedish Council on Health Technology Assessment, Stockholm, Sweden
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- Hammarstrom, Margareta (författare)
- Department of Gynecology and Obstetrics, Childrens and Youth Hospital of Queen Silvia, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Franzen, Karin M., 1958- (författare)
- Örebro universitet,Institutionen för läkarutbildning,Department of Gynecology and Obstetrics, Örebro University Hospital, Örebro, Sweden
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- Midlöv, Patrik (författare)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Samuelsson, Eva (författare)
- Umeå universitet,Allmänmedicin
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- Andersson, Gunnel, 1958- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin
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(creator_code:org_t)
- 2015-06-25
- 2015
- Engelska.
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Ingår i: Age and Ageing. - Oxford, United Kingdom : Oxford University Press. - 0002-0729 .- 1468-2834. ; 44:5, s. 736-744
- Relaterad länk:
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https://academic.oup...
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Background: urinary incontinence (UI) is a common symptom among older people, with a higher prevalence among frail older persons living in nursing homes. Despite consequences such as reduced health and quality of life, many older people do not seek help for their symptoms, resulting in missed opportunity for treatment. Objective: the aim of this study was to investigate the evidence and the effect of conservative treatment of UI and the quality of life among older and frail older persons. Methods: a systematic review of randomised controlled studies and prospective, non-randomised studies was conducted, evaluating interventions of conservative treatment of UI in an older population (65 years or older). A total of 23 studies fulfilled the inclusion criteria and 9 were of high or moderate quality. Fourteen studies were of low quality and were therefore excluded from the analysis. Results: documented and effective conservative treatments are available even for older persons with UI. Pelvic muscle exercise, physical training in combination with ADL, prompted voiding and attention training, and help to toilet are important treatments. In some studies, however, the evidence of effectiveness is limited. Conclusions: this systematic review concludes that there are conservative treatments for UI for older and frail older persons that reduce leakage and increase quality of life. There is however a need for further high-quality studies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- urinary incontinence
- older and frail older
- conservative treatment
- systematic review
- bladder training
- pelvic floor exercise
- prompted
- voiding
- toilet assistance
- older people
- Geriatrik
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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