Hospital care and urinary incontinence in the elderly

ABSTRACT Objective: to identify factors inherent in hospital care that favor urinary incontinence in the elderly. Method: an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model. Results: 13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly. Conclusion: modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.

摘要
研究目的：旨在明确医院照护中诱发老年患者尿失禁的内在影响因素。
研究方法：本研究为整合性综述，检索了Scopus、CINAHL及PubMed数据库，纳入2008年至2018年间发表的原创性研究，无语言限制。采用牛津循证医学中心（Oxford Center for Evidence-Based Medicine）的分类标准，对研究的推荐等级与证据等级进行评估，并基于多纳贝迪安（Donabedian）模型，通过主题分析法对研究内容进行挖掘。
结果：本次综述共纳入13篇文献作为研究样本。研究发现，无合理依据滥用老年成人纸尿裤、医院设施无法适配老年患者需求、尿失禁问题的筛查与风险识别不足以及漏报等因素，均会诱发住院老年患者尿失禁。
结论：与医院设施及照护流程相关的可干预因素，会促进老年患者尿失禁的发生与病情加重。