RESUMO
OBJECTIVE: to assess the level of urinary incontinence and its impact on the quality of life of patients undergoing radical prostatectomy. METHOD: cross-sectional study carried out with prostatectomized patients. The data were collected from the following instruments: sociodemographic questionnaire, Pad Test, International Consultation on Incontinence Questionnaire - Short Form and King Health Questionnaire. Data were submitted to descriptive and bivariate statistical analysis. The level of significance was set at 0.05. RESULTS: a total of 152 patients participated, with a mean age of 67 years. Among incontinent patients, there was a predominance of mild urinary incontinence. Urinary incontinence had a very severe impact on the general assessment of quality of life in the first months and severe impact after six months of surgery. The greater the urinary loss, the greater the impact on the quality of life domains Physical Limitations, Social Limitations, Impact of Urinary Incontinence and Severity Measures. Most participants reported no erection after surgery and therefore did not respond to the question of the presence of urinary incontinence during sexual intercourse. CONCLUSION: the present study evidenced the occurrence of urinary incontinence after radical prostatectomy at different levels and its significant impact on the quality of life of men, which reveals the need of interventions for controlling it.
Assuntos
Prostatectomia/efeitos adversos , Qualidade de Vida/legislação & jurisprudência , Incontinência Urinária/etiologia , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Disfunção Erétil/etiologia , Humanos , Masculino , Saúde do Homem , Pessoa de Meia-Idade , Percepção , Prostatectomia/psicologia , Inquéritos e Questionários , Incontinência Urinária/classificação , Incontinência Urinária/psicologiaRESUMO
Background: Pelvic floor muscle function (PFMF) is a target of the physical therapist intervention for women with urinary incontinence (UI). However, possible variations in PFMF terminology might hamper communication among researchers and health care professionals in Women's Health. Objective: The objective of this study was to investigate the terminology of PFMF regarding clear terms, conceptual definitions, and operational definitions. Data Sources: Data sources include PUBMED, CINAHL, LILACS, and SCIELO. Study Selection: Observational studies investigating any PFMF in women with or without UI, published in English, Spanish, or Portuguese from 2005 through 2017, were considered. Data Extraction: The risk of bias was assessed by a questionnaire on the quality of observational studies. Data on terminology were extracted as terms, conceptual definitions, and operational definitions of PFMF and were synthesized according to key words, key ideas, and key operationalization, respectively. Consistencies and variations were identified for the most frequently investigated PFMF. Data Synthesis: Sixty-four studies were included, and a low risk of bias was identified. All studies presented terms and operational definitions of PFMF, but only 29.7% presented conceptual definitions of those terms. One hundred ninety-six different terms referred to PFMF. According to similarities in terminology, 161 PFMF terms could be grouped under 26 terms; the other 35 were left ungrouped. Therefore, a total of 61 different PFMF terms were identified in the literature. Limitations: A limitation in the study was that only observational studies were included. Conclusions: A large variation in PFMF terminology was identified, precluding data gathering and meta-analysis. The lack of use of standardized terminology delays the progress of scientific knowledge and evidence-based practice dissemination. Efforts toward creating a collaborative, consensual terminology based on a sound framework are necessary.
Assuntos
Contração Muscular/fisiologia , Qualidade de Vida/psicologia , Terminologia como Assunto , Incontinência Urinária/classificação , Terapia por Exercício , Feminino , Humanos , Estudos Observacionais como Assunto , Diafragma da Pelve , Pesquisa Qualitativa , Saúde da MulherRESUMO
A presente proposta decorre de uma pesquisa que tem como objetivo construir um instrumento para consulta de Enfermagem a idosa com incontinência urinária assistida em um serviço ambulatorial. Essa pesquisa foi motivada pela necessidade de uma ferramenta que facilite o registro da prática profissional, evidenciando desta forma a contribuição da enfermagem no cuidar da paciente com incontinência urinaria. Acredita-se que a elaboração do instrumento pode fomentar futuras investigações e ser utilizado na prática assistencial em caráter experimental, bem como agregar conhecimento acerca da documentação profissional, evidenciando a Enfermagem enquanto profissão e ciência
Assuntos
Humanos , Feminino , Idoso , Instrumentos para a Gestão da Atividade Científica , Incontinência Urinária/classificação , Incontinência Urinária/enfermagem , Incontinência Urinária/terapiaRESUMO
OBJECTIVE: To identify the most frequent type of urinary incontinence in women assisted in two outpatient clinics of urogynecology, and to compare general and specific quality of life among the different types of incontinence measured through validated questionnaires. METHOD: Cross-sectional study conducted at the urogynecology outpatient clinic. The following questionnaires were used for quality of life assessment: Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), International Consultation Incontinence Questionnaire Short-Form (ICIQ-SF), King's Health Questionnaire (KHQ), and Pelvic Organ Prolapse Incontinence Sexual Questionnaire (PISQ-12). RESULTS: The study included 556 women. Mixed Urinary Incontinence was the most frequent type (n=348/62.6%), followed by Stress Urinary Incontinence (n=173/31.1%) and Urge Urinary Incontinence (n=35/6.3%). Women with mixed urinary incontinence had greater impact on the general (SF-36) and specific quality of life (KHQ and ICIQ-SF) compared to the others (p<0.05). In the evaluation of sexual function (PISQ-12), there was no difference between groups (p=0.28). CONCLUSION: All types of urinary incontinence interfere both in the general and specific quality of life, but women with mixed urinary incontinence are the most affected.
Assuntos
Qualidade de Vida , Incontinência Urinária/classificação , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Autoavaliação Diagnóstica , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
BACKGROUND: Women are affected dramatically by urinary incontinence (UI). This disease is currently considered as epidemic. OBJECTIVE: The objective of this review is to identify, through the best available evidence, how women experience UI worldwide. INCLUSION CRITERIA TYPES OF PARTICIPANTS: The current review included studies of adult women who had experienced UI. PHENOMENA OF INTEREST: Women with UI from various social and cultural settings were included in this review. TYPES OF STUDIES: Qualitative data including, but not limited to, study designs such as phenomenology, grounded theory, ethnography, action research and feminist research were included in this review. OUTCOMES: All aspects related to the experience of UI endured by women were considered. SEARCH STRATEGY: An initial search of MEDLINE (PubMed) and CINAHL was done, followed by the exploration of all the databases and all identified studies, published in English, Spanish, French and Portuguese. The databases searched were CINAHL, PubMed, PsycINFO, Lilacs, Scielo, BVS, BVS-Psi, Scopus, Embase, Sociological Abstracts, Dissertation Abstracts International and the University of São Paulo Dissertations and Thesis bank and gray literature. METHODOLOGICAL QUALITY: Each primary study was assessed by two independent reviewers for methodological quality. The Joanna Briggs Institute Qualitative Appraisal and Review Instrument (JBI-QARI) data extraction form for interpretive and critical research was used to appraise the methodological quality of all papers. DATA EXTRACTION: Qualitative data were extracted using the JBI-QARI. DATA SYNTHESIS: Qualitative research findings were synthesized using the JBI-QARI. RESULTS: From the 28 studies were included, 189 findings were extracted and they were grouped into 25 categories and eight synthesized findings: (i) cultural and religious backgrounds and personal reluctance contribute to delays in seeking UI treatment; (ii) the inevitable and regrettable problem of UI endured silently and alone affects women's daily activities and their social roles; (iii) poor knowledge and the vague nature of the symptoms mask the fact that UI is a disease; (iv) the experiences provoked by UI and the sense of shame regarding the condition have contributed to impair women's lives; (v) UI has provoked negative effects on women's intimacy and sexual satisfaction and provoked changes in the ways they experience their sexuality and sexual function; (vi) UI is considered a consequence of pregnancy and childbirth, inherent to aging or a religious punishment; (vii) the women affected by UI adopt several strategies to improve their health status; and (viii) women have personal preferences toward care providers and treatments; they confront difficulties through UI treatment and some care needs are not met. CONCLUSION: Personal and tailored health care should be provided, and preferences and expectations should be taken into consideration in the provision of health care to the people affected by UI.
Assuntos
Acontecimentos que Mudam a Vida , Qualidade de Vida/psicologia , Incontinência Urinária/epidemiologia , Incontinência Urinária/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Atenção à Saúde/normas , Feminino , Saúde Global , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Prevalência , Pesquisa Qualitativa , Incontinência Urinária/classificaçãoRESUMO
PURPOSE: To identify the impact of urinary incontinence (UI) on quality of life (QoL), to compare the scores of QoL domains in women with stress urinary incontinence (SUI), overactive bladder (OAB) and mixed incontinence (MUI) and to establish the association between the clinical type of UI and the impact on QoL. METHODS: Data of 181 incontinent women attended at a public hospital were collected regarding age, body mass index (BMI) and co-morbidities. King's Health Questionnaire (KHQ) was applied and patients were classified into two groups according to the self-assessment of incontinence impact. KHQ scores were compared by the Mann-Whitney test. Depending on their urinary symptoms, women were divided into SUI, OAB and MUI groups and their scores in the KHQ domains were compared by the Kruskal-Wallis and Dunn tests. The odds ratio (OR) of a woman reporting a worse effect of UI on QoL was estimated using the binary logistic model. The control variables were: age, BMI and number of co-morbidities. RESULTS: A significant difference was found between the two groups of self-assessment of UI impact for all KHQ domains. The MUI group showed worse scores than the SUI group for all domains, and OAB group, for limitation of physical and daily activities. There was a significant difference between the odds of the women in the SUI and MUI groups reporting worse effects of UI on QoL (OR=2.9; p=0.02). CONCLUSION: As reported at other reference services, MUI was the most commom type, and urinary loss had a moderate/major impact on QoL, affecting mainly role limitations domain. The adjusted analysis showed that women with MUI had almost three times greater odds of reporting worse impact on QoL than women with SUI.
Assuntos
Qualidade de Vida , Bexiga Urinária Hiperativa , Incontinência Urinária , Índice de Massa Corporal , Brasil , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Autorrelato , Bexiga Urinária Hiperativa/complicações , Bexiga Urinária Hiperativa/fisiopatologia , Incontinência Urinária/classificação , Incontinência Urinária/complicações , Incontinência Urinária/fisiopatologiaRESUMO
Identificar o impacto da incontinência urinária (IU) sobre a qualidade de vida (QV), comparar os escores dos domínios de QV em mulheres com incontinência de esforço (IUE), bexiga hiperativa (BH) e incontinência mista (IUM) e estabelecer a associação entre o tipo clínico de IU e o impacto sobre a QV. Foram coletadas informações sobre idade, índice de massa corpórea (IMC) e comorbidades de 181 mulheres incontinentes atendidas em serviço público. O Observou-se diferença significante entre os dois grupos de autoavaliação do impacto da IU para todos os domínios do KHQ. O grupo IUM apresentou piores escores que o grupo IUE para todos os domínios, e o grupo BH, para limitações de atividades diárias e físicas. Houve diferença significante entre as chances de as mulheres dos grupos IUE e IUM reportarem pior impacto de IU na QV (OR=2,9; p=0,02). Assim como em outras populações de serviços especializados, a IUM foi o subtipo mais comum, e a perda urinária comprometeu de forma moderada/grave a QV, afetando o domínio limitações das atividades diárias com maior intensidade. A análise ajustada mostrou que mulheres com IUM apresentam chance aproximadamente três vezes maior de reportarem pior impacto sobre ...
To identify the impact of urinary incontinence (UI) on quality of life (QoL), to compare the scores of QoL domains in women with stress urinary incontinence (SUI), overactive bladder (OAB) and mixed incontinence (MUI) and to establish the association between the clinical type of UI and the impact on QoL. Data of 181 incontinent women attended at a public hospital were collected regarding age, body mass index (BMI) and co-morbidities. King's Health Questionnaire (KHQ) was applied and patients were classified into two groups according to the self-assessment of incontinence impact. KHQ scores were compared by the Mann-Whitney test. Depending on their urinary symptoms, women were divided into SUI, OAB and MUI groups and their scores in the KHQ domains were compared by the Kruskal-Wallis and Dunn tests. The odds ratio (OR) of a woman reporting a worse effect of UI on QoL was estimated using the binary logistic model. The control variables were: age, BMI and number of co-morbidities. A significant difference was found between the two groups of self-assessment of UI impact for all KHQ domains. The MUI group showed worse scores than the SUI group for all domains, and OAB group, for limitation of physical and daily activities. There was a significant difference between the odds of the women in the SUI and MUI groups reporting worse effects of UI on QoL (OR=2.9; p=0.02). As reported at other reference services, MUI was the most commom type, and urinary loss had a moderate/major impact on QoL, affecting mainly role limitations domain. The adjusted analysis showed that women with MUI had almost three times greater odds of reporting worse impact on QoL than women with SUI.