ABSTRACT
Objetivo:Identificar a prevalência de incontinência urinária (IU) e avaliar a qualidade de vida de mulheres atendidas em uma Unidade Básica de Saúde (UBS) comparando a qualidade de vida geral de mulheres continentes e incontinentes. Métodos: Estudo piloto exploratório-descritivo, transversal e quantitativo. Amostra composta por mulheres acima de 18 anos que procuraram a UBS por qualquer motivo. Coleta de dados realizada no período de agosto a dezembro de 2021, por meio de um questionário padronizado com características demográficas, socioeconômicas, obstétricas, queixas urinárias e qualidade de vida. Resultados: Participaram 53 mulheres com idade média de 44,49 (± 15,38) anos. A maioria das mulheres se autodeclarou parda (62,3%), casada ou em união estável (52,8%), exercendo atividade ocupacional remunerada (64,2%); 35,8% das mulheres foram diagnosticadas como incontinentes, relatando perder urina uma vez por semana, quando tossem ou espirram, exercendo um impacto moderado na qualidade de vida. As diferenças nos valores dos domínios da qualidade de vida possuem correlação estatística significativa entre os grupos de mulheres continentes e incontinentes. Conclusão: As queixas urinárias prevalecem em uma parcela significativa das mulheres, e a IU é um fator capaz de impactar negativamente a qualidade de vida, porém se faz necessário comprovar os achados em uma amostra significante.
Objective:Characterize urinary incontinence (UI) prevalence and assess the quality of life (QoL) of women treated at a primary health care unit in order to compare the general QoL of continent and incontinent women. Methods: An exploratory-descriptive, cross-sectional pilot study with a quantitative approach. Sample composed of women over 18 years old who went to the unit for any reason. Data collection carried out from August to December 2021, through a standardized questionnaire with information on demographic, socioeconomic, obstetric, urinary habits and QoL. Results: Fifty-three women with a mean age of 44.49 (± 15.38) years participated. Most women declared themselves to be brown (62.3%), married or in a stable union (52.8%), exercising paid occupational activity (64.2%). As for urinary characteristics, 35.8% were diagnosed as incontinent, reporting that they lost urine once a week when they coughed or sneezed, and that this had a moderate impact on QoL. The differences in the values of QoL domains have a statistically significant correlation between the continent and incontinent groups. Conclusion: Urinary complaints prevail in a significant portion of women and UI is a factor capable of negatively impacting QoL, but it is necessary to prove the findings in a significant sample
Objetivo:Caracterizar la prevalencia de incontinencia urinaria (IU) y evaluar la calidad de vida de mujeres atendidas en una unidad básica de salud, comparando la calidad de vida general de mujeres continentes e incontinentes. Métodos:Estudio piloto exploratorio-descriptivo, transversal y cuantitativo. Muestra compuesta por mujeres mayores de 18 años que acudieron a la Unidad Básica de Salud por cualquier motivo. Recolección de datos realizada de agosto a diciembre de 2021, a través de un cuestionario estandarizado con características demográficas, socioeconómicas, obstétricas, urinarias y de calidad de vida. Resultados: Participaron 53 mujeres con una edad media de 44,49 (± 15,38) años. La mayoría de las mujeres se declaró parda (62,3%), casada o en unión estable (52,8%), ejerciendo actividad laboral remunerada (64,2%). El 35,8% de las mujeres fueron diagnosticadas como incontinentes, relatando que perdían orina una vez por semana al toser o estornudar, ejerciendo un impacto moderado en la calidad de vida. Las diferencias en los valores de los dominios de calidad de vida tienen una correlación estadísticamente significativa entre los grupos de mujeres continentes e incontinentes. Conclusión: Las quejas urinarias prevalecen en una porción significativa de mujeres y la IU es un factor capaz de impactar negativamente en la calidad de vida, pero es necesario comprobar los hallazgos en una muestra significativa.
Subject(s)
Primary Health Care , Quality of Life , Urinary Incontinence , Enterostomal TherapyABSTRACT
OBJECTIVE: To evaluate the knowledge and acceptability of the human papillomavirus (HPV) vaccine among health professionals from western Amazonia. METHODS: A cross-sectional study was conducted in the Sistema Assistencial è Saúde da Mulher e da Criança (Health Care System for Women and Children; SASMC) in Acre, Brazil, in 2017. The participants comprised 196 health professionals. The data collection instrument contained 31 questions about HPV, its clinical repercussions for women, and the HPV vaccine. Quantitative variables were presented as medians and 95% confidence intervals (CIs), and p<0.05 was considered statistically significant. For the analyses, chi-square tests and Mann-Whitney tests were used. The collected data were analyzed using Stata®11.0. RESULTS: Of the 196 health professionals, 39.8% (n=76) were physicians and 61.2% (n=120) were other health professionals. The interviewees were mostly female (n=143, 73%, 95% CI 66.1 to 78.9%) who worked in the medical field (n=81, 41.3%, 95% CI 34.4 to 48.6%), and the median age was 38 years (95% CI 36.0 to 39.7). Physicians had increased knowledge regarding only the statement "cervical cancer is one of the main causes of cancer in women", with a proportion ratio of 0.88 (0.80; 0.97) and p<0.001. Regarding clinical knowledge of the HPV vaccine, a low proportion of correct answers was obtained for all the questions, and no significant differences were found between the groups. CONCLUSION: Acceptability and knowledge of HPV and its vaccine were similar among health professionals, with knowledge gaps in questions about the relation between smoking and cervical cancer and specific clinical knowledge.