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Urinary incontinence post-stroke: a qualitative exploration of the multidisciplinary management in the acute stage post-stroke

Henderson, Laura; Davenport, Sally; (2025) Urinary incontinence post-stroke: a qualitative exploration of the multidisciplinary management in the acute stage post-stroke. Disability and Rehabilitation 10.1080/09638288.2025.2496779. (In press). Green open access

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Abstract

Purpose: To explore how staff on a hyperacute/acute stroke unit in the United Kingdom (UK) perceived the management of urinary incontinence (UI) and their role within this. Materials and methods: Qualitative exploration using questionnaires and interviews. Data were analysed using descriptive statistics and themes were identified using framework analysis. Results: Analysis of 43 questionnaires and 5 follow-up interviews identified 3 themes: “A focus on containment and the impact of UI on patient well-being,” “Invisibility of UI as a rehabilitative goal,” and “Readiness for change with recognition of the value of multidisciplinary working for UI rehabilitation.” Conclusions: Staff across all professional groups considered UI an important problem to address post-stroke. In contrast to other aspects of stroke rehabilitation, UI is less visible, despite staff recognising the impact of communication, cognition and sensorimotor deficits on this problem. Greater interprofessional working and goal setting may support a more rehabilitative continence culture.

Type: Article
Title: Urinary incontinence post-stroke: a qualitative exploration of the multidisciplinary management in the acute stage post-stroke
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/09638288.2025.2496779
Publisher version: https://doi.org/10.1080/09638288.2025.2496779
Language: English
Additional information: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Keywords: Incontinence; stroke, staff; perception; rehabilitation; qualitative; surveys
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10208486
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