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老年人出现尿失禁常因看作是一种衰老过程而被忽略。尿失禁常会引起患者会阴皮疹、褥疮和尿路感染,以及精神上羞愧、孤僻、沮丧感。早期有效的治疗是恢复患者身心健康的关键。在处理老年人尿失禁时,有助于制定治疗方案的措施诸如会阴功能评估和教育、生物反馈以及神经刺激疗法等已为众多物理治疗师所熟知。此外,已列在大多数康复方案之中的那些经过多学科综合制定的处理方法,也是成功处理老年人尿失禁的必要组成部分。本文着重讨论康复专业人员在全面处理老年人尿失禁时所应起的作用。
Urinary incontinence in the elderly is often overlooked as an aging process. Urinary incontinence can often cause patients with perineal rashes, bedsores and urinary tract infections, as well as being mentally ashamed, withdrawn and depressed. Early and effective treatment is the key to restore the patient’s physical and mental health. Measures that help to develop treatment options such as perineal function assessment and education, biofeedback, and neurostimulation are well known to many physiotherapists in the treatment of urinary incontinence in the elderly. In addition, those multidisciplinary approaches already included in most rehabilitation programs are also an essential part of the successful management of urinary incontinence in the elderly. This article focuses on the role that rehab professionals should play in addressing urinary incontinence in the elderly.