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| Summary of the best evidences for the evaluation and management of post-stroke urinary incontinence#br# |
| YANG Jie1,2 XIE Xiaohua1,2 OU Jiexia3,4 YANG Huafeng2,4 YANG Mei2 |
1.Clinical College, the Second Shenzhen Hospital, Anhui Medical University, Guangdong Province, Shenzhen 518035, China;
2.Department of Nursing, Shenzhen Second People’s Hospital, Guangdong Province, Shenzhen 518035, China;
3.Department of Nursing, Nanfang Hospital, Guangdong Province, Guangzhou 510515, China;
4.JBI Collaborative Center for Evidence-based Care, Nanfang Hospital, Guangdong Province, Guangzhou 510515, China |
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Abstract Objective To evaluate and summarize the best evidences for relevant literature on the assessment and management of post-stroke urinary incontinence by searching the database. Methods Up To Date, BMJ Best Practice, International Guideline Collaboration network, National Institute for Health and Care Excellence, National Guideline Clearinghouse, Registered Nurses’ Association of Ontario, Evidence-based Health Care Center database, American Heart Association Guideline network, American Stroke Society Guideline network, Embase, PubMed, CINAHL, CNKI, Wanfang Data, Medive Guide network, and CBMD were searched for the assessment and management of post-stroke urinary incontinence from inception to January 2021, included clinical decision making, clinical guidelines, systematic evaluation, evidence summary, and quasi-experimental studies. The literatures were evaluated and extracted by two researchers who had received systematic evidence-based training, and the literatures that met the quality standards were collected. Results After screening, 14 literatures were included, including four clinical decisions, five guidelines, three systematic evaluation, one evidence summary, and one quasi-experimental study, respectively. A total of 23 best evidences were collected from four aspects of post-stroke urinary incontinence assessment, health guidance, treatment measures, and follow-up, of which eight were strongly recommended and 15 were weakly recommended. Conclusion This study summarizes the best evidence for the assessment and management of urinary incontinence after stroke can provide evidence-based guidance for clinical practice. By applying the best evidence to clinical practice, the assessment and management of post-stroke urinary incontinence in different genders and degrees can be satisfied.
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