Communication Affichée: Poster Tour 1
Le 14/10/2021 de 11:00 à 11:30
La charge de travail paramédicale dans la gestion des troubles vésico-sphinctériens chez les patients post-AVC hospitalisés dans un service de MPR : étude transversale
Cabot Mathilde (Limoges, France), Romain Joste (Limoges, France), Maxence Compagnat (Limoges, France), Jean-Christophe Daviet (Limoges, France), Jean-Yves Salle (Limoges, France)
Objective : The incidence of bladder disorders in stroke survivors has been reported to vary from 40% at day 2, to 19% at day 90, highlighting the importance of these disorders in this population. The aim of this study was to evaluate the nursing workload on hospitalised post-stroke survivors with bladder disorders.
Material / Patients and Methods : Cross-sectional study in post-stroke neuro-rehabilitation unit, by distributing questionnaires to each paramedical staff member when they first took up their post, to evaluate the management of post-stroke patients with bladder disorders. These questionnaires included a quantitative assessment of workload and the Malash Burnout Inventory.
Results : We obtained 9 responses out of 16 sets of questionnaires distributed (67% nursing assistants). 24% post-stroke patients had bladder disorders (mean NIHSS = 8 (SD 4), mean MOCA = 15 (SD 6), mean Barthel = 19/100 (SD 12)) ; 75% presented urinary incontinence, 25% urinary retention. 59% of the time worked (283 minutes, SD 178) was dedicated to the management of urinary disorders. 67% of the staff had moderate emotional exhaustion, and 33% (n=3) of the professionals was considered in burnout.
Discussion - Conclusion : Only 4 patients were responsible for more than half of the nursing workload, which can lead to burn out. Even if we only had a 56% response rate, this nursing workload seems to be significant. It might be relevant to encourage the validation of an assessment scale to quantify this workload and estimate the burden felt through this paramedical management of urinary disorders in post-stroke survivors, usually highly dependent in our PMR unit.
Keywords : Nursing workload, bladder disorders, stroke survivors