The current study assessed the impact of urinary incontinence (UI) on residents, staff, care processes, and quality measures in long-term care (LTC) settings. A 70-question quantitative online survey was sent to directors of nursing (DONs) who had worked for ≥1 year in a ≥100-bed facility (≥80% LTC beds). Of the 62% of residents with UI, 40% were always incontinent, and 81% used incontinence products for UI. Overall, 59% of DONs reported that UI management contributes to certified nursing assistant turnover. Approximately 36% of resident falls occurred while trying to get to the bathroom. LTC quality measures reported as significantly impacted by UI included urinary tract infection and falls with major injury. Only 14% of residents with UI were treated with medication. Most (75%) DONs were unaware of any link between anticholinergic medications and risk of cognitive side effects. These results highlight the need for improved UI treatment, awareness, and management in this population. [Journal of Gerontological Nursing, 48(7), 38–46.]

目前的研究评估了尿失禁 (UI) 对长期护理 (LTC) 环境中的居民、工作人员、护理过程和质量措施的影响。一项包含 70 个问题的定量在线调查被发送给在 ≥100 个床位（≥80% LTC 床位）的设施中工作 ≥1 年的护理主任 (DON)。在 62% 的 UI 居民中，40% 的人总是失禁，81% 的 UI 患者使用失禁产品。总体而言，59% 的 DON 报告说 UI 管理有助于认证护理助理人员的流动。大约 36% 的居民跌倒是在试图去洗手间时发生的。据报道，受 UI 显着影响的 LTC 质量测量包括尿路感染和重伤跌倒。只有 14% 的 UI 居民接受了药物治疗。大多数 (75%) DON 不知道抗胆碱能药物与认知副作用风险之间的任何联系。这些结果强调了在这一人群中改进 UI 治疗、意识和管理的必要性。[老年护理杂志，48（7），38-46。]