Care needs for urinary incontinence in older adults: Latent profile analysis

• Published in: Geriatrics & gerontology international Vol. 24; no. 8; pp. 758 - 765
• Main Authors: He, Hao Chong, Yu, Bi Jun, Mai, Shu Yuan, Huang, Xiao‐hong, Liu, Ye, Yang, Le Ou, Zhang, Qiao Ling, Yan, Xiao‐ying
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01-08-2024; Blackwell Publishing Ltd
• Subjects: Aged; Aged, 80 and over; care needs; China - epidemiology; Female; Geriatric Assessment - methods; Health care; Health education; Health Services Needs and Demand; Humans; latent profile analysis; Male; Middle Aged; Needs Assessment; Nursing; older adults; Older people; Patient-centered care; Surveys and Questionnaires; Symptom management; Urinary incontinence; Urinary Incontinence - therapy; China; older adults; latent profile analysis; urinary incontinence; care needs
• ISSN: 1444-1586; 1447-0594; 1447-0594
• DOI: 10.1111/ggi.14920

Aim
This study utilized latent profile analysis to investigate care needs subgroups among older adults with urinary incontinence.
Methods
The “Elderly Urinary Incontinence Care Needs Inventory” surveyed 510 participants in two Guangzhou City hospitals from July 2022 to June 2023. Latent profile analysis created a classification model, and variance and correlation analysis assessed influencing factors.
Results
A total of 510 older adults with urinary incontinence participated. The standardized total care needs score was 78.77 ± 5.03, with variations across dimensions: social participation needs scored (71.16 ± 10.32), daily life care needs (78.80 ± 5.51), medical care needs (77.33 ± 12.17), psychological comfort needs (76.97 ± 6.51) and health education needs scored highest (82.67 ± 6.77). Three distinct profiles emerged: “medium,” “high SPN‐PCN” and “high DLCN‐MCN‐HEN”. The majority belonged to the “high SPN‐PCN” profile. Significant correlations were found with age, education, leaks and frequency of micturitions.
Conclusion
Research findings showed the existence of three distinct categories, with a notable majority of participants belonging to the “high SPN‐PCN” group. The significance of having these classes identified lies in the move away from a one‐size‐fits‐all approach to a more nuanced understanding of care needs. Customized nursing interventions can be devised based on specific factors, such as age, education level, urinary incontinence‐related symptoms and potential category. For instance, for the “high SPN‐PCN” group, our nursing strategy can encompass heightened psychological support and expanded opportunities for social engagement.Furthermore, in the training and education of healthcare professionals, recognizing and meeting the needs of each potential category of older adults might require more attention. Geriatr Gerontol Int 2024; 24: 758–765.
A total of 510 older adults with urinary incontinence participated in the study. Latent analysis showed that the majority fell into the ‘high SPN‐PCN’ category. Significant correlations were found with age, education, leakage and frequency of voiding.