![]() ![]() The treatment intervention also included staff training. Outcomes of the intervention were evaluated after 2 weeks (T2). Data collected from T1 were used to develop continence care plans. Non-randomized study with outcome measures assessed before (pre) and after (post) the electronic urinary incontinence systemīaseline data were collected using an electronic monitoring system to record voiding events for study participants during a 72-hour urinary incontinence assessment (T1). How the electronic monitoring system and staff training affected adherence of nursing staff to care plans was also evaluated To explore effects of an electronic monitoring system for urinary incontinence assessment and a concurrent staff training program about incontinence care planning for older people living in nursing homes. See Appendix 1 for Literature Search Strategies, including all search terms. We performed targeted grey literature searches of health technology assessment agency sites and clinical trial registries. 11 We created database auto-alerts in MEDLINE, Embase, and CINAHL and monitored them for the duration of the health technology assessment. The final search strategy was peer reviewed using the PRESS Checklist. Medical librarians developed the search strategies using controlled vocabulary (e.g., Medical Subject Headings) and relevant keywords. We used the Ovid interface in the following databases: MEDLINE, Embase, Cochrane Database of Systematic Reviews, Health Technology Assessment, Cochrane Central Register of Controlled Trials, and National Health Service Economic Evaluation Database (NHSEED) and we used the EBSCOhost interface to search the Cumulative Index to Nursing & Allied Health Literature (CINAHL). We performed a literature search on June 9, 2017, to retrieve studies published from inception to the search date. 4 Urinary incontinence is also associated with an increased risk of falls in older adults. 3 People with urinary incontinence are susceptible to skin irritation, pressure sores, and urinary tract infections. Urinary incontinence can be a distressing condition and can harm a person's physical, financial, social, and emotional well-being. Other types of incontinence include overflow incontinence caused by either poor bladder contraction or blockage of the urethra and functional incontinence caused by medications or health problems that make it difficult to reach the toilet. Mixed urinary incontinence is characterized by the combination of stress and urge urinary incontinence and represents 32% of cases. Urge urinary incontinence is leakage immediately preceded by or associated with a sudden desire to void because of an overactive bladder. It represents 50% of cases of incontinence. ![]() Stress urinary incontinence is leakage associated with exertion, sneezing, or coughing when pelvic floor muscles supporting the urethra weaken. 1, 2 The three main types of incontinence are stress, urge, and mixed. Urinary incontinence is defined as involuntary leakage of urine. ![]()
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