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Confidence in continence management
Author(s)Ann Capewell, Janet Hanley
Journal titleHealth Bulletin, vol 56, no 3, May 1998
Pagespp 680-685
KeywordsIncontinence ; General practice ; General practitioners ; District nurses ; Edinburgh ; Midlothian.
AnnotationUrinary incontinence affects approximately three million people in the United Kingdom (UK). Primary health care teams are responsible for initial assessment and management of this problem, and simple treatment is often successful. The aim of this study was to determine the confidence of primary care team members in their ability to assess and manage common patterns of bladder dysfunction. A postal questionnaire was distributed to all 334 general practitioners (GPs) and 320 community nurses in Edinburgh and Midlothian. Results showed that both doctors and nurses were more confident in the diagnosis and treatment of stress incontinence than any other pattern, and least confident in the recognition of the symptoms of detrusor instability. Community nurses were generally more confident in aspects of management than in diagnosis; GPs tended to show the opposite pattern. Overall, most confidence was shown by district nurses. The study concluded that clear guidelines in diagnosis and management would be helpful, and if these were provided, initial management for such problems could and should be provided by the district nurse. (AKM).
Accession NumberCPA-980610408 A
ClassmarkCTM: L5: QT6: QTG: 9SD: 9SE

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