Évaluation de la prévalence et de la prise en charge des troubles vésicosphinctériens chez la personne adulte en situation de handicap vivant en établissement médico-social en Normandie : enquête épidémiologique transversale

Abstract : Objectives: to assess the prevalence and the management of the LUTD in institutionalized handicapped adults. Materials and Methods: descriptive transversal observational study. Results: in this study, the prevalence of LUTD in institutionalized handicapped adults was 88.67%. The rate of resident who have benefited of an expert medical advice for the LUTD was 9.77%. The rate of resident who have accessed to a further examination for LUTD was 24.81%. The rate of resident who have received rehabilitation treatment for LUTD was 16.54%. The rate of resident who have received drug treatment for LUTD was 6.77%. The rate of resident who have received surgical treatment for LUTD was 2.26%. The rate of resident who use a medical device for LUTD was 82.7%. Conclusion: this study shows that the prevalence of LUTD in institutionalized handicapped adults is very high. Very few residents have benefited of an expert medical advice for the LUTD, and some people have accessed to a further examination. The vast majority of residents use a medical device for LUTD, usually a urine pad. A rehabilitation treatment is sometimes proposed, usually a behavioral therapy. Sometimes, a drug treatment is proposed, and less commonly a surgical treatment is proposed. The establishment of standardized assessment of the LUTD in institutionalized handicapped adults, and the development of clinical research in this population, would certainly improve the management of the LUTD in these medical and social institutions which are the nursing homes for handicapped adults.
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Master Thesis
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Nassim Bamoudou. Évaluation de la prévalence et de la prise en charge des troubles vésicosphinctériens chez la personne adulte en situation de handicap vivant en établissement médico-social en Normandie : enquête épidémiologique transversale. Médecine humaine et pathologie. 2018. ⟨dumas-02078625⟩

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