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Nursing interventions for management of Urinary incontinence post-stroke

KHADKA, SHOVITA (2019)

 
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FINAL THESIS SHOVITA KHADKA.pdf (329.5Kt)
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KHADKA, SHOVITA
2019
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019052712037
Tiivistelmä
Urinary incontinence (UI) is a very common complication after stroke which affects about 32% to 79% of stroke patients. UI is a huge strain to patients due to its physical, psychological and economic consequences eventually leading to severe decline in the quality of life of patients. Urinary incontinence is poorly managed in stroke patients and knowledge of continence is inadequate in nurses. Also, nursing interventions for the management of Urinary incontinence in stroke patients is found to be lacking. The purpose of the thesis is to describe nursing interventions for the management of Urinary incontinence (UI) in Stroke patients. The aim of the thesis is to provide evidence-based up-to date knowledge to nursing professionals and nursing students for the improvement of the quality of continence care in stroke patients. The research question is “What are the nursing interventions for the management of Urinary incontinence in stroke patients?”

The thesis was carried out as a literature review following a systematic approach. Data was collected from evidence-based scientific databases like CINAHL (EBSCO host), Sage Premier, Cochrane Library, Emerald Journals, Joanna Briggs Institute EBD Database (Ovid), Science direct and Google Scholar. Proper inclusion and exclusion criteria were constructed and strictly considered during the selection of literature for this study. The methodology of the study was clearly documented to ensure trustworthiness & make the study easily repeatable to ensure the reliability of thesis. Six articles were finalized for the literature review. The data analysis method used was Inductive content analysis.

The author analysed the raw data obtained from the literature and grouped them under four major themes: Recognizing UI as an important health issue, Effective communication and cooperation, Identification & Assessment and Patient centered care. The themes combinedly reflect the nursing interventions for the management of Urinary incontinence. The evidence-based knowledge obtained as findings of this research could be used by nursing students and nurses for the improvement of the quality of continence care & continence promotion which eventually improves the quality of patient’s life after stroke. The author has paid due diligence on the ethical considerations by ensuring credibility and acknowledging the limitations of the thesis. Author recommends quantitative research on the management of Urinary incontinence and more stroke-specific studies in future.
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