Wirksamkeit von nichtmedikamentösen Interventionen zur Förderung der Urinkontinenz bei Menschen nach einem cerebro-vaskulären Insult: Eine systematische Literaturübersicht

Translated title of the contribution: Effectiveness of non-pharmacological interventions to promote urinary continence in stroke survivors-a systematic literature review

Myrta Kohler, Hanna Mayer, Miriam Battocletti, Jürg Kesselring, Susi Saxer

Research output: Journal article (peer-reviewed)Review article

3 Citations (Scopus)

Abstract

Background: Around half of the people who survive a cerebrovascular insult are suffering from urinary incontinence. This is a predictor for functional outcomes and affects the quality of life negatively. Until now, it is not clear, which the optimal method of treatment is. A systematic review of 2008 showed an insufficient data situation and couldn't make a recommendation.Research question: Which non-pharmacological interventions are effective to promote urinary continence in adult persons who have suffered a cerebrovascular insult? Method: To answer the question a systematic literature review was performed. The literature search was conducted in the databases PubMed, CINAHL, CENTRAL and PsycInfo. The period from March 2007 to May 2015 was taken into account. Results: There were a total of six studies included which examined 732 persons. The following interventions were explored for their effectiveness: transcutaneous electrical nerve stimulation, urodynamic assessment with recommendation of bladder emptying method and interventions that consist of several components (e. g. toilet training). All studies showed a positive effect in at least one outcome Conclusions: There is limited evidence for interventions to promote urinary continence in people suffering a cerebrovascular insult. An intervention consisting of assessment and individual adapted measures currently appear to be the best treatment method.

Translated title of the contributionEffectiveness of non-pharmacological interventions to promote urinary continence in stroke survivors-a systematic literature review
Original languageGerman
Pages (from-to)235-245
Number of pages11
JournalPflege
Volume29
Issue number5
DOIs
Publication statusPublished - Sept 2016
Externally publishedYes

ASJC Scopus subject areas

  • Nursing (all)

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