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영어

Objectives: This study aimed to identify evidence from a systematic review for managing urinary incontinence and promoting continence using conservative behavioral approaches among older adults with cognitive impairment or dementia. Methods: Design is the literature review with narrative synthesis. Data sources are electronic searches of published clinical interventions in Korean and English from 1990 to 2023 using KoreaMed. The review method is the PRISMA statement, which was followed, and the method for systematic review was established. Results: We found three trials focused on one on prompted voiding and two pelvic floor muscle training combined with or without other muscle strengthening strategies for older adults in care homes and patients with cognitive impairment. Reductions in the number of incontinence episodes and urgency were reported in each trial. Conclusions: We found that each trial has the advantages for urinary incontinence with cognitive impairment in older persons. In this systematic review, there are only three conservative behavioral intervention studies for urinary incontinence management in Korea, so there is a limitation in concluding the intervention effects.