ARTICLE CRITIQUE

Article Critique

Article Critique

Aim and objective

The aim of this study was to analyze the occurrence of urinary retention in older patients with hip fracture and to recount what activities doctors presented to notice, avert and heal urinary retention.

 

Background

The incidence of urinary retention in patients with hip fracture is recounted as being as high as 82% before surgery and 56% after. Urinary retention is conventionally treated with an indwelling urethral catheter or intermittent catheterisation. Urinary retention and remedy with an indwelling urethral catheter are affiliated with high risks.

 

Design

A potential, descriptive study.

 

Methods

The study encompassed 48 patients, 65 years or older who were retrieving from hip fracture and obtaining clinic care at a geriatric rehabilitation clinic. Six months before the study, a events for the early detection, avoidance and remedy of urinary retention was implemented. The occurrence of urinary retention, bacteriuria, the patient's cognitive function, use of ultra-sound bladder scan and kind of remedy if the patient endured from urinary retention were analyzed throughout the study period.

 

Sample and setting

The setting of this study was a geriatric rehabilitation ward in south Sweden. The ward had 28 beds and the nursing employees encompassed 24 listed and 22 aide nurses. Criteria for a patient's addition were hip fracture and being elderly 65 or older. At this clinic, patients with hip fracture obtain clinic care at the geriatric rehabilitation clinic from the ?rst day. Exclusion criteria were ongoing IUC remedy at the time of admission. Patients who ful?lled the addition criteria were inquired to take part in the study and those who permitted were included. In patients with dementia syndrome, or when the listed doctor considered a patient as having cognitive incompetence, the next of kin was asked. From October 2005-January 2006, 52 patients ful?lled the inclusion criteria, and four of these did not desire to participate. Consequently, facts and numbers from 48 patients were encompassed in the study.

 

Data assemblage

Demographic and health facts and numbers encompassing sex, age, present infections, kind of fracture, kind of anaesthesia, occurrence of UR, extent of clinic stay, presented ultrasound bladder scan, kind of catheter and number of UR (occasion 1-20) were assembled from the health and nursing notes by one of the authors, R-MJ. A estimation of 400 ml was utilised to de?ne UR, which is in concordance with the recommendations utilised at the clinic where the study was performed. To analyze the incidence of bacteriuria, heritage of the patients' urine trials were assembled upon their admission to clinic and between the seventh and 10th days after surgery. The urine trials were assembled by the nursing staff. Urine was got from a clean voided midstream specimen. Each specimen underwent quantitative urine heritage utilising standard lab techniques. Bacteriuria was de?ned as 105 CFU/ml (Smittskyddsinstitutet 2000). Cultures for example 'mixed growth' were considered as failed trials and were excluded.

As cognitive impairment is a widespread occurrence in patients with hip fracture and may perplex the position, the Mini Mental State Examination (MMSE) (Folstein et ...