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1.
Int. braz. j. urol ; 48(2): 316-325, March-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364940

ABSTRACT

ABSTRACT Purpose: Overactive bladder (OAB) is a common syndrome associated with lower urinary tract symptoms (LUTS), especially urinary incontinence in children, which may affect the patient's quality of life (QoL). Vitamin D deficiency has been shown to be associated with OAB syndrome. This study evaluated the relationship between vitamin D status and OAB-related symptoms and QoL in children. Materials and Methods: The study included 52 pediatric patients with OAB-related urinary incontinence and 41 healthy children. LUTS were assessed using the Dysfunctional Voiding and Incontinence Symptoms Score (DVISS) questionnaire, and QoL was assessed using the Pediatric Incontinence Questionnaire (PINQ). Oral vitamin D supplementation was given to patients with OAB with vitamin D deficiency. Urinary symptoms and QoL were evaluated before and after vitamin D supplementation. Results: Vitamin D deficiency was more common in the OAB group (75%) than in the control group (36.6%). Logistic regression analysis revealed that vitamin D status (<20ng/mL) was a significant predictor of OAB. Both pre-treatment and post-treatment DVISS and PINQ scores showed a positive correlation. After vitamin D supplementation, 8 (23.5%) patients had a complete response and 19 (55.9%) patients had a partial response. Significant improvement in QoL was also achieved. Conclusions: Vitamin D deficiency is more common in children with urinary incontinence and OAB than in healthy children. Although vitamin D deficiency is not routinely evaluated for every patient, it should be evaluated in treatment-resistant OAB cases. Vitamin D supplementation may improve urinary symptoms and QoL in patients with OAB.


Subject(s)
Humans , Child , Urinary Incontinence/complications , Vitamin D Deficiency/complications , Urinary Bladder, Overactive/complications , Urinary Bladder, Overactive/etiology , Quality of Life , Surveys and Questionnaires
2.
Rev. bras. ginecol. obstet ; 43(6): 467-473, June 2021. tab, graf
Article in English | LILACS | ID: biblio-1341147

ABSTRACT

Abstract Objective To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. Methods A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and Málaga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish. Results Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6. Conclusion The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy.


Resumo Objetivo Analisar a função sexual de pacientes do sexo feminino com espinha bífida (EB), e avaliar quais fatores influenciam na função sexual. Métodos Uma pesquisa transversal em que um questionário validado para mulheres foi aplicado em 140 pacientes com EB de quatro cidades diferentes (Porto Alegre, Brasil; e Barcelona, Madri e Málaga, Espanha) entre 2019 e 2020. Os questionários coletaram dados sobre características clínicas da espinha bífida, e a função sexual feminina foi avaliada com a versão de seis itens do Índice de Funcionamento Sexual Feminino (IFSF-6) nas versões validadas para português e espanhol. Resultados Metade das pacientes havia praticado atividade sexual pelo menos uma vez na vida, mas a maioria (57.1%) não utilizava nenhum método contraceptivo. A disfunção sexual estava presente na maioria das pacientes (84.3%), sendo todos os domínios de função sexual prejudicados em comparação com os de mulheres não neurogênicas. A presença de incontinência urinária e fecal afetou significativamente a qualidade da atividade sexual das pacientes. Conclusão Aspectos clínicos específicos da EB, como incontinência urinária e fecal, devem ser adequadamente abordados pelos médicos assistentes, visto que estão associados à redução na atividade sexual e piores resultados no IFSF-6. Também é necessário melhorar o atendimento ginecológico das pacientes sexualmente ativas, uma vez que a maioria não utiliza métodos contraceptivos e corre o risco de gravidez inadvertida.


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Sexual Behavior , Sexual Dysfunction, Physiological/etiology , Spinal Dysraphism/complications , Spinal Dysraphism/psychology , Urinary Incontinence/complications , Cross-Sectional Studies , Surveys and Questionnaires , Contraception Behavior , Fecal Incontinence/complications
3.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 567-575, abr.-maio 2019.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-987511

ABSTRACT

Objetivo: Analisar as repercussões causadas pela incontinência urinária na qualidade de vida dos idosos. Métodos: Pesquisa descritiva e exploratória, com abordagem qualitativa, composta por 12 idosos. A coleta de dados foi realizada por meio de entrevistas, em um ambulatório de urologia e ginecologia de um hospital público/escola de referência em Teresina. Os dados foram interpretados pela análise temática de conteúdo. Resultados: Os depoimentos originaram duas categorias: sentimentos negativos dos idosos com incontinência urinária e aspectos sociais que interferem na qualidade de vida dos idosos com incontinência urinária. Conclusão: A incontinência urinária nos idosos é uma patologia pouco discutida nas consultas, a baixa escolaridade dos idosos influencia na demora em procurar o tratamento para a doença e esclarecimento da mesma. Há a necessidade de um olhar diferenciado por parte dos profissionais de saúde para os idosos acometidos com esta patologia


Objective: The study's aim has been to analyze the urinary incontinence repercussions towards the elderly's life quality. Methods: It is a descriptive-exploratory study with a qualitative approach, which was comprised by 12 participants from both genders. The research scenario was a urology and gynecology ambulatory from a large public hospital/school that performs procedures of high complexity and etiology in Teresina city, Piauí State. Data analysis occurred through the thematic content analysis. Results: The statements gave rise to two categories, as follows: the elderly's negative feelings related to urinary incontinence; and, the social aspects that impact in the quality of life of elderly people bearing urinary incontinence. Conclusion: The urinary incontinence in elderly people is a poorly discussed pathology during consultations. Furthermore, the elderly's low level of education ends up influencing them in realizing the necessity of looking for understanding and treatment about the disease. Conclusively, health professionals must have a different perspective with regards to the elderly people bearing this pathology


Objetivo: Analizar las repercusiones causadas por la incontinencia urinaria en la calidad de vida de los ancianos. Métodos: Investigación descriptiva y exploratoria, con abordaje cualitativo, compuesta por 12 ancianos. La recolección de datos fue realizada por medio de entrevistas, en un ambulatorio de urología y ginecología de un hospital público / escuela de referencia en Teresina. Los datos fueron interpretados por el análisis temático de contenido. Resultados: Los testimonios originaron dos categorías: sentimientos negativos de los ancianos con incontinencia urinaria y aspectos sociales que interfieren en la calidad de vida de los ancianos con incontinencia urinaria. Conclusión: La incontinencia urinaria en los ancianos es una patología poco discutida en las consultas, la baja escolaridad de los ancianos influye en la demora en buscar el tratamiento para la enfermedad y aclaración de la misma. Hay necesidad de una mirada diferenciada por parte de los profesionales de la salud para los ancianos afectados con esta patología


Subject(s)
Humans , Male , Female , Aged, 80 and over , Urinary Incontinence/complications , Urinary Incontinence/nursing , Urinary Incontinence/therapy , Quality of Life , Urinary Incontinence/prevention & control , Sickness Impact Profile
4.
Acta Paul. Enferm. (Online) ; 32(1): 106-112, Jan.-Fev. 2019. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-989029

ABSTRACT

Resumo Objetivo: Investigar, na literatura, intervenções de enfermagem para promover continência urinária e adaptação à disfunção sexual após prostatectomia radical. Métodos: Revisão integrativa da literatura nas bases de dados PubMed, Web of Science, Scopus, CINAHL, e LILACS, utilizando os descritores "cuidados de enfermagem", "incontinência urinária", "disfunção erétil", e "prostatectomia" e as palavras chaves "enf*", "impotência sexual masculina" e "prostatectomia radical". Resultados: Dezoito publicações foram incluídas, entre essas, oito descreviam intervenções para a incontinência urinária, cinco para disfunção sexual e cinco para ambas as complicações. Foram encontradas três estratégias para implementação das intervenções, 16 intervenções para incontinência e 12 para disfunção sexual. Conclusão: Nas estratégias para implementação das intervenções, notou-se a importância de que o enfermeiro utilize diferentes recursos para assistir os pacientes. Para a incontinência urinária, o foco das intervenções variou entre educativo, comportamental e físico. Para disfunção sexual, observou-se um predomínio de ações psicoeducativas aos pacientes e, quando possível, ao parceiro sexual.


Resumen Objetivo: Investigar, en la literatura, intervenciones de enfermería para promover continencia urinaria y adaptación a la disfunción sexual después de prostatectomía radical. Métodos: Revisión integrativa de la literatura en las bases de datos PubMed, Web of Science, Scopus, CINAHL, y LILACS, utilizando los descriptores "cuidados de enfermería", "incontinencia urinaria", "disfunción eréctil", y "prostatectomía" y las palabras claves "enf *", "impotencia sexual masculina" y "prostatectomía radical". Resultados: Dieciocho publicaciones fueron incluidas; entre ellas, ocho describían intervenciones para la incontinencia urinaria, cinco para disfunción sexual y cinco para ambas complicaciones. Se encontraron tres estrategias para la implementación de intervenciones, 16 intervenciones para incontinencia y 12 para disfunción sexual. Conclusão: En las estrategias para la implementación de las intervenciones, se notó la importancia de que el enfermero utilice diferentes recursos para asistir a los pacientes. Para la incontinencia urinaria, el foco de las intervenciones varió entre educativo, conductual y físico. Para la disfunción sexual, se observó un predominio de acciones psicoeducativas junto a los pacientes y, siempre que posible, junto al compañero sexual.


Abstract Objective: Investigate, in the literature, nursing interventions to promote urinary continence and adapt to sexual dysfunction after radical prostatectomy. Methods: Integrative literature review in the databases PubMed, Web of Science, Scopus, CINAHL, and LILACS, using the descriptors "nursing care", "urinary incontinence", "erectile dysfunction", and "prostatectomy", and the keywords "nurse", "male sexual impotence" and "radical prostatectomy". Results: Eighteen publications were included, eight of which described interventions for urinary incontinence, five for sexual dysfunction and five for both complications. Three intervention strategies were found: 16 interventions for incontinence and 12 for sexual dysfunction. Conclusion: In the implementation strategies of interventions, the importance of nurses using different resources to attend to patients was observed. For urinary incontinence, the focus of interventions varied among educational, behavioral and physical. For sexual dysfunction, a predominance of psychoeducational actions was observed, involving the patients and, when possible the sexual partners.


Subject(s)
Humans , Male , Prostatectomy , Sexual Dysfunction, Physiological/complications , Urinary Incontinence/complications , Patient Education as Topic , Erectile Dysfunction/complications , Nursing Care
5.
Int. braz. j. urol ; 44(2): 378-383, Mar.-Apr. 2018. tab
Article in English | LILACS | ID: biblio-892976

ABSTRACT

ABSTRACT Purpose To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. Materials and Methods A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study. The independent variables were: sex, age, ethnicity (Brazilians of African descendence/others), the presence of urinary urgency, daytime incontinence, enuresis, frequent urination, infrequent voiding (≤3 voids/day), nocturia, holding maneuvers, straining to void, intermittent urinary flow, constipation and encopresis. An analysis was conducted to identify patients with febrile UTI and subsequently determine predictors of this condition. Univariate and multivariate analyses were performed. Results Overall, 326 patients (214 girls/112 boys) were evaluated. The mean age of the patients was 7.7±3.19 years (± standard deviation). The incidence of febrile UTI was 39.2%. Being female and infrequent voiding were factors significantly associated with febrile UTI, both in the univariate and multivariate analyses. Conclusions These results show that being female and infrequent voiding constituted significant risk factors for a diagnosis of febrile UTI in these children.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Urinary Incontinence/complications , Urinary Tract Infections/etiology , Urinary Bladder, Overactive/complications , Cross-Sectional Studies , Risk Factors
6.
Belo Horizonte; s.n; 2018. 122 p. graf, tab.
Thesis in Portuguese | LILACS, BDENF | ID: biblio-916337

ABSTRACT

Observa-se na prática clínica pacientes internados com Dermatite Associada à Incontinência (DAI), uma inflamação cutânea que ocorre como consequência do contato entre a pele perineal, perigenital, perianal e áreas adjacentes com urina e fezes, além de epiderme com erosão e maceração. O cuidado com a prevenção deve ser estabelecido, mas pouco se sabe sobre esse cuidado. É necessário evitar ou minimizar a exposição a fatores causais e uma combinação de cuidados específicos da pele, como a limpeza da região, aplicação de produtos barreira. Normalmente, são utilizados sabão e água e é aplicado a pomada de óxido de zinco, um creme de barreira. No entanto, desde a década de 1990, uma película de barreira não irritante (PBNI), livre de álcool foi projetado para proteger a pele. O objetivo deste estudo foi comparar o efeito do uso de pomada de óxido de zinco e PBNI na prevenção de DAI em pacientes incontinentes internados em unidades de clínica médica. É um estudo experimental, do tipo ensaio clínico randomizado realizado em um hospital geral, de grande porte, público e de ensino. A população do estudo foi constituída por 114 pacientes idosos, que apresentavam eliminações urinárias e fecais em fralda descartável. Foram definidos três grupos de estudo, com 38 paciente em cada grupo: controle com o uso da higienização com água e sabão, intervenção I com a higienização e aplicação da pomada de óxido de zinco e intervenção II com higienização e aplicação do PBNI spray. Para a análise descritiva, foram utilizadas as distribuições de frequência simples, medidas de tendência central e medidas de variabilidade; para a avaliação do efeito das intervenções, o teste de regressão de Cox. Quanto ao efeito dos tratamentos sobre o risco de adquirir a DAI, identificou-se que os pacientes que receberam a intervenção II apresentaram menor risco (HR=0,54; p= 0,183) quando comparado ao grupo que recebeu intervenção I (HR=1,06; p=0,895) e ao grupo que recebeu somente a higienização. Contudo, não se encontrou diferença estatisticamente significativa entre os dois grupos de intervenção e o controle, não sendo possível afirmar qual a melhor intervenção. As variáveis que tiveram influência no aparecimento da DAI foram: dias de uso de tamanho adequado da fralda, número de dias de fezes pastosas, pacientes em risco nutricional e nível de saturação de oxigênio, sendo, portanto, fatores que devem ser monitorados pela enfermagem para evitar o surgimento do problema.(AU)


It is observed in clinical practice patients hospitalized with Incontinence-Associated Dermatitis (IAD), a cutaneous inflammation that occurs as a consequence of the contact between the perineal, perigenital, perianal skin and adjacent areas with urine and feces, as well as epidermis with erosion and maceration. Care with prevention should be established, but little is known about such care. It is necessary to avoid or minimize exposure to causative factors and a combination of specific skin care, such as cleaning the region, applying barrier products. Usually, soap and water are used and it is applied to zinc oxide ointment, a barrier cream. However, since the 1990s, a non-irritating barrier film (NIBF), alcohol-free was designed to protect the skin. The objective of this study was to compare the effect of the use of zinc oxide ointment and NIBF in the prevention of IAD in incontinent patients hospitalized in medical clinic units. It is an experimental study, of the type randomized clinical trial conducted in a general hospital, large, public and teaching. The study population consisted of 114 elderly patients, who had urinary and fecal eliminations in a disposable diaper. Three study groups were defined, with 38 patients in each group: control with the use of soap and water hygiene, intervention I with the hygiene and application of the zinc oxide ointment and intervention II with hygiene and application of NIBF spray. For the descriptive analysis, we used the simple frequency distributions, measures of central tendency and measures of variability; for the evaluation of the effect of the interventions, the Cox regression test. Regarding the effect of the treatments on the risk of acquiring the IAD, it was identified that the patients who received the intervention II had a lower risk (HR = 0.54; p = 0,183) when compared to the group that received intervention I (HR = 1.06, p = 0.895) and the group that received only the hygiene. However, no statistically significant difference was found between the two intervention groups and the control, and it was not possible to state the best intervention. The variables that influenced the appearance of IAD were: days of adequate diaper size, number of days of pasty stools, patients at nutritional risk and oxygen saturation level, and therefore, factors that should be monitored by nursing to prevent the problem from arising.


Subject(s)
Humans , Male , Female , Aged , Zinc Oxide/therapeutic use , Diaper Rash/nursing , Diaper Rash/prevention & control , Diaper Rash/epidemiology , Urinary Incontinence/complications , Surveys and Questionnaires , Risk Factors , Randomized Controlled Trial , Academic Dissertation , Fecal Incontinence/complications , Hospitalization
7.
Rev. bras. epidemiol ; 21(supl.2): e180018, 2018. tab
Article in Portuguese | LILACS | ID: biblio-985262

ABSTRACT

RESUMO: Objetivos: A prevalência de problemas de sono em idosos, como insônia, é uma questão relevante em nossa sociedade. A má qualidade do sono, por exemplo, é vista por muitos como um resultado inevitável do envelhecimento. Neste contexto, este estudo teve como objetivo estimar a prevalência e os fatores associados a distúrbios do sono em homens e mulheres idosos (60 anos ou mais). Métodos: O presente trabalho é parte do estudo de coorte Saúde, Bem-Estar e Envelhecimento (SABE), realizado em São Paulo, Brasil. A amostra deste estudo transversal constituiu-se de 1.334 idosos com 60 anos ou mais. Os distúrbios foram avaliados com base nas respostas dos participantes, levando em conta se eles tinham experimentado qualquer perturbação do sono no mês anterior. Resultados: Dentre os avaliados, 44,9% indicaram distúrbios do sono em geral, sendo esses mais frequentes em mulheres (51,5%) e na faixa etária de 75 a 79 anos (48,2%). De acordo com a análise de regressão, gênero, doenças articulares, noctúria e incontinência urinária foram associados aos distúrbios, sobre os quais também foi verificado que seu aumento não é linearmente dependente da idade. Conclusões: Sexo, dor, incontinência urinária e noctúria são fatores associados a distúrbios do sono em idosos. Assim, concluímos que a sua ausência está associada ao gênero e ao estado de saúde.


ABSTRACT: Objectives: The prevalence of sleep problems in elderly, such as insomnia, is a relevant issue in our society. Poor sleep quality is viewed by many as an inevitable result of aging. In this context, this study aimed to estimate the prevalence and associated factors of sleeping disturbances in elderly men and women (60 years and older). Methods: The present study is part of SABE Study (Health, Well-being and Aging), a cohort conducted in São Paulo, Brazil. The sample included in the present cross-sectional study comprised 1,334 elderly people aged 60 years or older. Sleep disturbances were assessed based on responses of study participants on whether they had experienced any sleep disturbance in the past month. Results: Among the elderly assessed, 44.9% had overall sleep disturbances, which were more frequent in women (51.5%) and in 75 to 79 years old (48.2%). According to the regression analysis, the variables gender, joint diseases, as well as nocturia and urinary incontinence, were associated with sleep disorders. Increase in sleep disturbances was found not to be linearly age-dependent. Conclusions: Gender, pain, urinary and nocturia incontinence were factors associated with sleep disorders. Thus, we might conclude that the absence of sleep disturbances in older adults depends on gender and health status.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Sleep Wake Disorders/epidemiology , Urinary Incontinence/epidemiology , Pain/complications , Pain/physiopathology , Pain/epidemiology , Sleep Wake Disorders/physiopathology , Urinary Incontinence/complications , Urinary Incontinence/physiopathology , Brazil/epidemiology , Poisson Distribution , Sex Factors , Prevalence , Cross-Sectional Studies , Age Factors , Sex Distribution , Age Distribution
8.
Rev. bras. enferm ; 70(1): 231-235, jan.-fev. 2017.
Article in Portuguese | LILACS, BDENF | ID: biblio-843608

ABSTRACT

RESUMO Objetivo: relatar a criação, experiência de implantação e atendimento realizado no Programa de Reabilitação do Assoalho Pélvico (PRAP), um projeto da Faculdade de Enfermagem da Universidade Estadual de Campinas (UNICAMP), desenvolvido em um centro de saúde de Campinas, São Paulo, Brasil. Resultados: este Programa surgiu devido à elevada demanda de pacientes com incontinência urinária (IU) e necessidade de formação ou capacitação de profissionais para atender esta clientela e multiplicar as ações em outras unidades de saúde. Atualmente o PRAP encontra-se em seu décimo ano de funcionamento, tendo, até o momento, atendido 102 pacientes com IU e outras disfunções do assoalho pélvico e do trato urinário inferior, formado 480 alunos, capacitado oito profissionais de saúde e estimulado pesquisas. Conclusão: as atividades preventivas e de reabilitação do assoalho pélvico constituem-se áreas de importante atuação do enfermeiro e iniciativas como a relatada contribuem para a formação profissional e prática baseada em evidências.


RESUMEN Objetivo: relatar la creación, experiencia de implantación y atendimiento realizado en el Programa de Rehabilitación del Piso Pélvico (en portugués, PRAP1), un proyecto de la Facultad de Enfermería de la Universidad Estadual de Campinas (UNICAMP), desarrollado en un centro de salud de Campinas, San Pablo, Brasil. Resultados: este Programa surgió debido a la elevada demanda de pacientes que sufren de incontinencia urinaria (IU) y necesidad de formación o capacitación de profesionales para atender a esta clientela y multiplicar las acciones en otras unidades de salud. Actualmente el PRAP está en su décimo año de funcionamiento, y ha atendido, hasta este momento, a 102 pacientes con IU y otras disfunciones del suelo pélvico y del tracto urinario inferior, además de haber formado 480 alumnos, capacitado ocho profesionales de la salud y estimulado investigaciones. Conclusión: las actividades preventivas y de rehabilitación del piso pélvico constituyen áreas de importante actuación del enfermero e iniciativas como la relatada, y contribuyen para la formación profesional y práctica basada en evidencias.


ABSTRACT Objective: to relate the creation, experience of establishment and service performed in the Pelvic Floor Rehabilitation Program [(PRAP)], a project of the School of Nursing of University of Campinas (UNICAMP), developed at a health unity in Campinas, São Paulo, Brazil. Results: this Program appeared due to the high demand of patients with urinary incontinence (UI) and need of formation or qualification of professionals to serve those customers and multiply the actions at other health unities. Nowadays, the PRAP is in its tenth year, and it has served 102 patients with UI and other dysfunctions of the pelvic floor and lower urinary tract, qualified 480 health professionals and stimulated researches. Conclusion: the preventive actions of pelvic floor rehabilitation are important areas of the nurse’s performance and initiatives as the related ones contribute for the professional formation and practice based on evidences.


Subject(s)
Humans , Female , Aged , Urinary Incontinence/therapy , Pelvic Floor/physiopathology , Rehabilitation Nursing/methods , Urinary Incontinence/complications , Brazil , Program Development , Rehabilitation Nursing/standards , Education, Nursing/methods , Middle Aged
9.
Int. braz. j. urol ; 43(1): 20-28, Jan.-Feb. 2017.
Article in English | LILACS | ID: biblio-840807

ABSTRACT

ABSTRACT Urinary incontinence is a common problem among women and it is estimated that between 15 and 55% of them complain of lower urinary symptoms. The most prevalent form of urinary incontinence is associated with stress, followed by mixed urinary incontinence and urge urinary incontinence. It is a symptom with several effects on quality of life of women mainly in their social, familiar and sexual domains. Female reproductive and urinary systems share anatomical structures, which promotes that urinary problems interfere with sexual function in females. This article is a review of both the concepts of female urinary incontinence and its impact on global and sexual quality of life. Nowadays, it is assumed that urinary incontinence, especially urge urinary incontinence, promotes anxiety and several self-esteem damages in women. The odour and the fear of incontinence during sexual intercourse affect female sexual function and this is related with the unpredictability and the chronicity of incontinence, namely urge urinary incontinence. Female urinary incontinence management involves conservative (pelvic floor muscle training), surgical and pharmacological treatment. Both conservative and surgical treatments have been studied about its benefit in urinary incontinence and also the impact among female sexual function. Unfortunately, there are sparse articles that evaluate the benefits of female sexual function with drug management of incontinence.


Subject(s)
Humans , Female , Quality of Life/psychology , Sexual Dysfunction, Physiological/etiology , Sexual Dysfunction, Physiological/physiopathology , Urinary Incontinence/complications , Urinary Incontinence/physiopathology , Sexuality/psychology , Sexual Dysfunction, Physiological/psychology , Urinary Incontinence/psychology , Urinary Incontinence/therapy , Sexuality/physiology , Urinary Bladder, Overactive/physiopathology
10.
J. bras. nefrol ; 38(4): 441-449, Oct.-Dec. 2016. tab
Article in English | LILACS | ID: biblio-829071

ABSTRACT

Abstract Lower urinary tract dysfunction (LUTD) affects about 2-25% of the pediatric population and is associated with the presence of emotional and behavioral disorders. The purpose of this literature review was to identify studies focusing on mental disorders in children and adolescents with LUTD. The prevalence of these disorders is high - ranging from about 20 to 40% - in children with symptoms of LUTD and comorbidities. The presence of emotional and behavioral symptoms impact in the treatment of the dysfunction, self-esteem of patients and caregivers. Despite the association between mental/behavioral disorders and LUTD be well documented in the literature, the investigation of psychiatric symptoms in clinical practice is still not common and should be stimulated.


Resumo A disfunção do trato urinário inferior (DTUI) afeta cerca de 2 a 25% da população pediátrica e se associa à presença de transtornos emocionais e de comportamento. O objetivo dessa revisão bibliográfica foi selecionar estudos que enfoquem os transtornos mentais em crianças e adolescentes com DTUI. A prevalência destes transtornos é elevada - variando de cerca de 20 a 40% nas crianças com sintomas da DTUI e comorbidades. A presença de sintomas emocionais e comportamentais impacta no tratamento da disfunção, na autoestima dos pacientes e também nos cuidadores. Apesar da associação entre transtornos mentais/comportamentais e DTUI estar bem documentada na literatura, a investigação de sintomas psiquiátricos na prática clínica ainda é pouco realizada e deve ser estimulada.


Subject(s)
Humans , Child , Adolescent , Urinary Incontinence/complications , Nocturnal Enuresis/complications , Mental Disorders/complications
11.
Rev. Kairós ; 19(4): 305-318, mar. 2016. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-948059

ABSTRACT

Objetiva-se comparar a função sexual de idosas com e sem incontinência urinária. Pesquisa transversal quantitativa, descritiva. População participante com 16 idosas, entre 65 e 75 anos de idade, sexualmente ativas, divididas em 2 grupos: um com queixas referidas de perdas urinárias (n=8); e outro, sem queixas (n=8). Incluídas: mulheres fisicamente ativas, cf. o Questionário Internacional de Atividade Física (IPAQ). Excluídas: mulheres com patologias neurológicas que comprometessem a sensibilidade da musculatura do assoalho pélvico. Entrou-se em contato com as participantes da pesquisa durante os projetos oferecidos pelo Núcleo Integrado de Estudos e Apoio à Terceira Idade (NIEATI). Assinado o Termo de Consentimento Livre e Esclarecido (TCLE), aplicaram-se os questionários (ficha de avaliação, FSFI e IPAQ). Como resultados: a totalidade da amostra era fisicamente ativa. O escore do FSFI variou de 22,5 a 33,7, com predição para disfunção sexual para 1 (12,5%) das idosas incontinentes. Dentre o grupo continente (G2), o escore do FSFI variou de 8 a 36, com predição para disfunção sexual em 4 (50%) idosas. Os grupos G1 e G2 foram homogêneos em relação à caracterização da amostra, em todos os domínios: idade, idade da menarca, idade da menopausa, número de gestações e de partos vaginais, número de partos cesáreos e de abortos. No total da amostra, 5 idosas apresentaram disfunção sexual (sendo 1 idosa do G1 e 4, do G2), e todas evidenciaram ao menos um domínio específico negativamente afetado no FSFI. Ainda assim, não houve diferença significativa nos resultados, no que diz respeito à comparação da função sexual de idosas com e sem incontinência urinária, o que, neste estudo, pode ter ocorrido pelo fato de toda a amostra ser fisicamente ativa segundo o IPAQ. Não houve diferença significativa entre os grupos de idosas incontinentes e continentes, quanto à presença de disfunção sexual. Sugere-se que isso tenha ocorrido pelo fato de a amostra ter sido homogênea e todas as participantes serem fisicamente ativas.


To compare sexual function in elderly with and without urinary incontinence. Method: Quantitative cross-sectional, descriptive type. The research participant population consisted of 16 elderly women, aged between 65 and 75 years of age and sexually active. Were divided into two groups, one with such complaints of urinary incontinence (n = 8) and one without complaints (n = 8). They were included: physically active women, according to the International Physical Activity Questionnaire (IPAQ). Exclusion criteria were: women with neurological conditions that compromised the sensitivity of the pelvic floor muscles. The researchers contacted the survey participants for the projects offered by the Integrated Center for Studies and Support for Elderly (NIEATI). After signing the informed consent term (IC) questionnaires (evaluation form, FSFI and IPAQ) was applied by the researchers. The entire sample was physically active. The FSFI score ranged from 22.5 to 33.7, with prediction for sexual dysfunction to 1 (12.5%) of incontinent elderly. Among continents the group (G2) FSFI score ranged from 8.0 to 36, with prediction for sexual dysfunction 4 (50%) elderly. In this study, the G1 and G2 groups were homogeneous with respect to the characterization of the sample, in all domains, namely: age, age at menarche, menopause age, number of pregnancies, number of vaginal deliveries, cesarean deliveries and abortions. In the total sample, 5 older reported sexual dysfunction (being one of the older G1 and G2 4 elderly), and all of them showed at least one specific area adversely affected the FSFI. Still, there was no significant difference in results with respect to the comparison of sexual function in elderly with or without urinary incontinence, which in this study may have occurred because the entire sample being physically active according to the IPAQ. There was no significant difference between the incontinent elderly groups and continents, with regard to the presence of sexual dysfunction. It is suggested that this has occurred because the sample was homogeneous and all participants are physically active.


Se pretende comparar la función sexual de las personas mayores con y sin incontinencia urinaria. La investigación transversal cuantitativa, del tipo descriptivo. La población fue de 16 mujeres mayores, entre 65 y 75 años y sexualmente activas. En dos grupos: uno con quejas referidas de pérdidas urinarias (n = 8 ); Y otro sin quejas (n = 8). Se incluyeron: mujeres físicamente activas, según el Cuestionario Internacional de Actividad Física (IPAQ). Se excluyeron: mujeres con patologías neurológicas que comprometían la sensibilidad de la musculatura del piso pélvico. Las investigadoras entraron en contacto con las participantes de la investigación durante los proyectos ofrecidos por el Núcleo Integrado de Estudios y Apoyo a la Tercera Edad (NIEATI). Después de la firma del Término de consentimiento libre y esclarecido (TCLE), los cuestionarios (ficha de evaluación, FSFI e IPAQ) fueron aplicados. La totalidad de la muestra era físicamente activa. La puntuación del FSFI varió de 22,5 a 33,7, con predicción para disfunción sexual para 1 (12,5%) de las ancianas incontinentes. Entre el grupo continental (G2), el puntaje del FSFI varió de 8 a 36, con predicción para disfunción sexual para 4 (50%) ancianas. Los grupos G1 y G2 fueron homogéneos en relación a la caracterización de la muestra, en todos sus dominios: edad, edad de la menarca, edad de la menopausia, número de gestaciones, número de partos vaginales, número de partos cesáreos Y el número de abortos. En el total de la muestra, 5 ancianas presentaron disfunción sexual (siendo 1 anciana del G1 y 4 ancianas del G2), y todas ellas evidenciaron al menos un dominio específico negativamente afectado en el FSFI. Sin embargo, no hubo diferencia significativa en los resultados, en lo que se refiere a la comparación de la función sexual de ancianos con y sin incontinencia urinaria, lo que puede haber ocurrido por el hecho de que toda la muestra es físicamente activa según el IPAQ. No hubo diferencia significativa entre los grupos de ancianos incontinentes y continentes, en lo que se refiere a la presencia de disfunción sexual. Se sugiere que esto haya ocurrido por el hecho de que la muestra ha sido homogénea y todas las participantes son físicamente activas.


Subject(s)
Humans , Female , Aged , Urinary Incontinence/complications , Sexuality , Sexual Dysfunction, Physiological/etiology , Exercise , Cross-Sectional Studies
12.
Rev. gaúch. enferm ; 37(spe): e68075, 2016. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-845192

ABSTRACT

RESUMO Objetivos Estimar incidência, determinar fatores de risco e propor modelo de predição de risco para desenvolvimento de dermatite associada a incontinência em pacientes adultos críticos. Método Trata-se de um estudo de coorte concorrente realizado com 157 pacientes críticos. A coleta de dados foi conduzida diariamente entre fevereiro e julho de 2015 em hospital público e de ensino de Belo Horizonte, MG. Os dados foram lançados em banco de dados, submetidos a análise descritiva de sobrevida e multivariada. Resultados Obteve-se uma incidência global de 20,4%. Foram encontrados 19 fatores de risco que apresentaram associação significativa com o problema. As variáveis encontradas no modelo de predição de risco foram: sexo masculino, trauma, uso de hipnótico/sedativos, lactulona, suporte nutricional, fezes pastosas e queixa de ardência (local). Conclusão Os resultados mostraram que a dermatite é um achado clínico comum em pacientes adultos críticos e merece atenção especial para maior qualidade da assistência de enfermagem.


RESUMEN Objetivos Estimar incidencia, determinar factores de riesgo y proponer modelo de predicción de riesgo para el desarrollo de la dermatitis asociada a la incontinencia en pacientes adultos críticos. Método Se trata de un estudio de cohorte concurrente de 157 pacientes críticamente enfermos. La recolección de datos se realizó diariamente entre febrero y julio de 2015, en un hospital público y de enseñanza de Belo Horizonte-MG. Los datos se introdujeron en la base de datos, sometidos a análisis descriptivo, de supervivencia y multivariada. Resultados Se obtuvo una incidencia global del 20,4%. Se encontraron 19 factores de riesgo asociados significativamente con el problema. Las variables identificadas en el modelo de predicción de riesgo fueron: sexo masculino, trauma, uso de hipnóticos/sedantes, lactulona, soporte nutricional, heces sueltas y queja de ardor (local). Conclusión Los resultados mostraron que la dermatitis es un hallazgo clínico frecuente en pacientes adultos críticos y merece una atención especial para una mayor calidad de los cuidados de enfermería.


ABSTRACT Objectives Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence- associated dermatitis critically ill adult patients. Method Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis. Results An overall incidence of 20.4% was obtained. Nineteen (19) risk factors significantly associated with the disorder were found. The variables identified in the risk prediction model were male, trauma, use of hypnotics/sedatives, lactulose, nutritional support, loose stools and complaints of burning. Conclusion The results showed that dermatitis is a common clinical finding in critically ill adult patients and requires special attention from the nursing staff.


Subject(s)
Humans , Male , Female , Aged , Urinary Incontinence/complications , Critical Illness , Diaper Rash/etiology , Fecal Incontinence/complications , Urinary Incontinence/nursing , Wounds and Injuries/epidemiology , Hospitals, Urban , Comorbidity , Sex Factors , Incidence , Prevalence , Risk Factors , Cohort Studies , Nutritional Support , Diapers, Adult , Diaper Rash/diagnosis , Diaper Rash/nursing , Diaper Rash/epidemiology , Diarrhea/epidemiology , Fecal Incontinence/nursing , Hospital Bed Capacity , Hospitals, Public , Hospitals, Teaching , Hypnotics and Sedatives/adverse effects , Intensive Care Units , Lactulose/adverse effects , Middle Aged , Nursing Assessment
13.
Rev. bras. ginecol. obstet ; 37(8): 374-380, ago. 2015. tab
Article in Portuguese | LILACS | ID: lil-756550

ABSTRACT

OBJETIVO:

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.

MÉTODOS:

Foram coletadas informações sobre idade, índice de massa corpórea (IMC) e comorbidades de 181 mulheres incontinentes atendidas em serviço público. O King's Health Questionnaire (KHQ) foi aplicado e as pacientes foram divididas, de acordo com a autoavaliação do impacto da incontinência, em dois grupos, cujos escores dos domínios do KHQ foram comparados pelo teste de Mann-Whitney. De acordo com os sintomas, as mulheres foram divididas nos grupos IUE, BH e IUM, e os escores do KHQ foram comparados pelos testes de Kruskal-Wallis e de Dunn. As razões de chances (OR) de a mulher reportar pior impacto da IU na QV foram estimadas por modelo logístico binário. As variáveis de controle foram faixa etária, IMC e número de comorbidades.

RESULTADOS:

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).

CONCLUSÃO:

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 ...


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.

.


Subject(s)
Humans , Female , Middle Aged , Quality of Life , Urinary Bladder, Overactive , Urinary Incontinence , Body Mass Index , Brazil , Cross-Sectional Studies , Self Report , Urinary Bladder, Overactive/complications , Urinary Bladder, Overactive/physiopathology , Urinary Incontinence/classification , Urinary Incontinence/complications , Urinary Incontinence/physiopathology
14.
Einstein (Säo Paulo) ; 13(2): 279-282, Apr-Jun/2015. tab, graf
Article in English | LILACS | ID: lil-751434

ABSTRACT

Ochoa syndrome is rare and its major clinical problems frequently unrecognized. We describe facial characteristics of six patients to help health professional recognize the inverted smile that these patients present and refer them to proper treatment. Patients’ medical records were reviewed and patients’ urological status clinically reassessed. At last evaluation patients’ mean age was 15.5 years, and age ranged from 12 to 32 years. Mean follow-up was 35 months (12 to 60). Initial symptoms were urinary tract infections in four patients (67%) associated with enuresis and incontinence in three of them (50%). One patient had only urinary tract infection and two lower urinary tract symptoms without infections. Initial treatment consisted of clean intermittent catheterization with anticholinergics for all patients. Four patients (67%) were submitted to bladder augmentation. Two patients had end-stage renal disease during follow-up, one received kidney transplantation and one patient remained on the waiting list for a renal transplantation. Familial consanguinity was present in only one case. This significant condition is rare, but it must be recognized by pediatricians, nephrologists and urologists in order to institute early aggressive urological treatment.


A síndrome de Ochoa é rara, e seus principais problemas clínicos são frequentemente não reconhecidos. Descrevem-se aqui características faciais de seis pacientes para auxiliar profissionais de saúde a reconhecer o sorriso invertido que eles apresentam e encaminhá-los para o tratamento adequado. Os prontuários médicos foram revisados e a condição urológica dos pacientes foi reavaliada clinicamente. A média de idade na última avaliação foi de 15,5 anos, variando de 12 a 32 anos. O seguimento médio foi de 35 meses (12 a 60). Os sintomas iniciais foram infecções do trato urinário em quatro pacientes (67%) associadas com enurese e incontinência urinária em três deles (50%). Um paciente apresentou infecções do trato urinário isoladamente e dois apresentaram sintomas do trato urinário inferior, porém sem infecções. O tratamento inicial consistiu em cateterismo intermitente limpo, com anticolinérgicos em todos os pacientes. Reconstrução urinária foi realizada em quatro pacientes (67%) por meio de ampliação vesical. Dois pacientes apresentaram doença renal em estágio terminal no seguimento, um recebeu transplante renal e outro manteve-se em lista de espera para transplante renal. Consanguinidade familiar esteve presente em apenas um caso. Essa condição significativa é rara, porém deve ser reconhecida por pediatras, nefrologistas e urologistas, a fim de instituir tratamento urológico agressivo precoce.


Subject(s)
Adolescent , Adult , Child , Female , Humans , Male , Intermittent Urethral Catheterization/methods , Urinary Tract Infections/complications , Urologic Diseases/diagnosis , Cholinergic Antagonists/therapeutic use , Facies , Follow-Up Studies , Kidney Transplantation , Photography , Retrospective Studies , Smiling , Urinary Bladder, Neurogenic/complications , Urinary Bladder, Neurogenic/diagnosis , Urinary Bladder, Neurogenic/therapy , Urinary Incontinence/complications , Urinary Incontinence/therapy , Urinary Tract Infections/therapy , Urologic Diseases/complications , Urologic Diseases/therapy
15.
Rev. méd. Chile ; 143(4): 459-466, abr. 2015. ilus, tab
Article in Spanish | LILACS | ID: lil-747552

ABSTRACT

Background: Frailty is not universal among older people but increases the risk of dependence. Aim: To assess frailty among older people and its relationship with biological, psychological and social factors. Material and Methods: Seven hundred fifty four older people aged 73 ± 6 years (61% females), attending a public primary care were assessed. Frailty was defined according to Fried criteria that considers inexplicable weight loss, tiredness, muscle weakness and lack of physical activity. Results: Absence of frailty, pre-frailty and frailty was found in 26, 69 and 5% of participants, respectively. Significant differences between frailty groups were observed for age, gender, years of studies, minimental and self-efficacy scores. Among participants defined as being in a pre-frail condition, 59% were non-disabled without risk and 41% non-disabled in risk, according to the functional assessment for older people used in Chilean primary care clinics. Conclusions: Frailty among older people is associated with increasing age, education, cognitive status and self-efficacy.


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Frail Elderly/statistics & numerical data , Geriatric Assessment/statistics & numerical data , Primary Health Care/statistics & numerical data , Age Factors , Body Mass Index , Chile , Diabetes Complications , Fatigue/diagnosis , Frail Elderly/psychology , Hypertension/complications , Motor Activity/physiology , Muscle Strength/physiology , Muscle Weakness/diagnosis , Muscle Weakness/psychology , Socioeconomic Factors , Surveys and Questionnaires , Urinary Incontinence/complications , Weight Loss/physiology
16.
Braz. j. phys. ther. (Impr.) ; 19(1): 70-76, Jan-Feb/2015. tab, graf
Article in English | LILACS | ID: lil-741372

ABSTRACT

Background: Low back pain (LBP) and urinary incontinence (UI) are highly prevalent among elderly individuals. In young adults, changes in trunk muscle recruitment, as assessed via ultrasound imaging, may be associated with lumbar spine stability. Objective: To assess the associations between LBP, UI, and the pattern of transversus abdominis (TrA), internal (IO), and external oblique (EO) muscle recruitment in the elderly as evaluated by ultrasound imaging. Method: Fifty-four elderly individuals (mean age: 72±5.2 years) who complained of LBP and/or UI as assessed by the McGill Pain Questionnaire, Incontinence Questionnaire-Short Form, and ultrasound imaging were included in the study. The statistical analysis comprised a multiple linear regression model, and a p-value <0.05 was considered significant. Results: The regression models for the TrA, IO, and EO muscle thickness levels explained 2.0% (R2=0.02; F=0.47; p=0.628), 10.6% (R2=0.106; F=3.03; p=0.057), and 10.1% (R2=0.101; F=2.70; p=0.077) of the variability, respectively. None of the regression models developed for the abdominal muscles exhibited statistical significance. A significant and negative association (p=0.018; β=-0.0343) was observed only between UI and IO recruitment. Conclusion: These results suggest that age-related factors may have interfered with the findings of the study, thus emphasizing the need to perform ultrasound imaging-based studies to measure abdominal muscle recruitment in the elderly. .


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Urinary Incontinence/physiopathology , Urinary Incontinence/drug therapy , Ultrasonography , Low Back Pain/physiopathology , Low Back Pain/diagnostic imaging , Abdominal Muscles/physiopathology , Abdominal Muscles/diagnostic imaging , Urinary Incontinence/complications , Cross-Sectional Studies , Low Back Pain/complications
17.
Rev. bras. saúde matern. infant ; 13(3): 215-221, jul.-set. 2013. graf, tab
Article in Portuguese | LILACS | ID: lil-688724

ABSTRACT

Descrever a prevalência de incontinência urinária (IU) no terceiro trimestre gestacional e verificar quais variáveis estão associadas à IU nesse período. MÉTODOS: consiste em um estudo transversal, realizado com 242 mulheres que se encontravam no puerpério imediato no Hospital e Maternidade Carmela Dutra, da cidade de Florianópolis. Foram avaliados fatores sociodemográficos, história clínica, antecedentes ginecológicos e obstétricos, além de problemas associados. A avaliação das perdas urinárias foi realizada por meio do ICIQ - Short Form. Os dados foram analisados com os testes qui-quadrado e U de Mann Whitney, sendo p<0,05. RESULTADOS: observouse uma prevalência de IU no terceiro trimestre gestacional de 59,5 por cento (n=144), e as variáveis associadas a tal condição nesse período foram: idade (p<0,019), número de gestações (p=0,021), estado marital (viver com parceiro) (p=0,032), constipação antes da gestação (p=0,013), bronquite crônica (p=0,011), IU antes da gestação (p=0,013) e sintomas depressivos (p=0,049). CONCLUSÕES: mesmo diante dos cuidados disponíveis e em expansão para prevenção de IU, sua prevalência durante a gestação ainda é elevada, configurando pouca importância atribuída ao fator preventivo...


To assess the prevalence of urinary incontinence (UI) in the third trimester of gestation and to identify variables associated with UI during this period. METHODS: a crosssectional study was carried out with 242 pregnant women near to giving birth at the Carmela Dutra Maternity Hospital, in the Brazilian city of Florianópolis. The study covered socio-demographic factors, clinical, and gynecological and obstetric histories and related issues. The evaluation of urinary incontinence was carried out using the Short Form ICIQ. The data were analyzed using the chi-squared test and MannWhitney's U, with p<0.05. RESULTS: the prevalence of UI in the third trimestre of gestation was of 59.5 percent (n=144), and the variables associated with this condition during this period were: age (p<0.019), number of pregnancies (p=0.021), marital status (living with partner) (p=0.032), constipation prior to pregnancy (p=0.013), chronic bronchitis (p=0.011), UI prior to pregnancy (p=0.013) and symptoms of depression (p=0.049). CONCLUSIONS: even with the care available and the spread of measures to prevent UI, it is still highly prevalent, indicating that little importance has been given to prevention...


Subject(s)
Humans , Female , Pregnancy , Urinary Incontinence/complications , Pregnancy Trimester, Third , Prevalence , Risk Factors , Cross-Sectional Studies
18.
Ciênc. Saúde Colet. (Impr.) ; 18(7): 1981-1991, Jul. 2013. graf, tab
Article in English | LILACS | ID: lil-679597

ABSTRACT

This is a qualitative study seeking to understand Brazilian women's experience of urinary incontinence (UI) and design a representative theoretical model for the experience. Theoretical saturation occurred after analysis of the 18th non-directive interview in accordance with Grounded Theory. Two phenomena emerged: living with the challenges of UI and experiencing the hope and disappointment of rehabilitation from UI. Upon re-alignment of the components, the core category emerged, namely: between suffering and hope - rehabilitation from urinary incontinence as an intervening component. From the analysis in light of symbolic interactionism, pregnancy and vaginal birth were observed to be symbols of women's vulnerability to the suffering from living with the moral and physio-psychosocial challenges of UI. It is also inferred that the lack of consideration of the Unified Health System (SUS) in investing in the process of rehabilitation from UI may be having a negative effect on the incentive programs for promoting vaginal birth. Most of all, it reveals the ongoing suffering of women with UI, most of whom do not have access to rehabilitation due to the lack of programs geared to the real needs of these users of the Unified Health System.


Estudo de natureza qualitativa com os objetivos de compreender a experiência de mulheres com incontinência urinária e elaborar um modelo teórico representativo da mesma. A saturação teórica se deu mediante a análise da 18ª entrevista não diretiva, segundo a Teoria Fundamentada nos Dados. Emergiram dois fenômenos: convivendo com os desafios da Incontinência Urinária (IU) e vivenciando a esperança e a desilusão de reabilitar-se da IU. Do re-alinhamento dos componentes provindos dos fenômenos emergiu a categoria central, denominada: entre o sofrimento e a esperança - o apoio e o acesso a reabilitação da IU como componente interveniente. Da análise à luz do Interacionismo Simbólico verificou-se que a gravidez e o parto vaginal emergem como símbolos de vulnerabilidade da mulher ao sofrimento de conviver com o desafio moral e fisiopsicossocial da IU. Bem como a inferência de que a desconsideração do Sistema Único de Saúde (SUS) com investimentos no processo de reabilitação da IU possa estar fragilizando os próprios programas de incentivo ao parto vaginal. Aponta a perpetuação do sofrimento da mulher com a IU, que na maioria não tem acesso à reabilitação por falta de programas voltados às reais necessidades dessas usuárias do SUS.


Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Middle Aged , Hope , Stress, Psychological/etiology , Urinary Incontinence/psychology , Urinary Incontinence/rehabilitation , Urinary Incontinence/complications
19.
Article in Korean | WPRIM | ID: wpr-87439

ABSTRACT

PURPOSE: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). METHODS: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. RESULTS: The overall mean score for correct answers was 14.5 (+/-3.2) in PUCS & IAD KT and 11.15 (+/-4.9) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. CONCLUSION: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.


Subject(s)
Adult , Dermatitis/classification , Education, Continuing , Educational Measurement , Fecal Incontinence/complications , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Nurses/psychology , Pressure Ulcer/classification , Surveys and Questionnaires , Urinary Incontinence/complications
20.
Arq. bras. med. vet. zootec ; 64(6): 1504-1510, Dec. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-660217

ABSTRACT

O presente relato apresenta a primeira descrição de ectopia ureteral congênita na raça Teckel Dachshund, diagnosticada em uma cadela com pelagem arlequim. O animal, aos dois meses de idade, apresentava sinais de incontinência urinária e cistite bacteriana, sendo submetido a um plano diagnóstico para confirmação de ureter ectópico. A urografia excretora revelou hidroureter direito com desembocadura caudal ao trígono da bexiga. O exame físico do animal evidenciou ainda hérnia inguinal bilateral, o que reforçou a caracterização da origem congênita das alterações. Aspectos de bem-estar animal são também discutidos.


The present work reports the first description of congenital ureteral ectopy in the canine breed Teckel Dachshund, diagnosed in a female dog with merle colour pattern. The two month old animal, presented with continuous dribbling of urine and bacterial cystitis, was subjected to a diagnostic plan for ectopic ureter. The excretory urography showed a right hidroureter, which had an orifice located caudally to the trigone of the bladder. The animal also presented a bilateral inguinal hernia, which confirmed the case description as a multiple congenital anomaly condition. Animal welfare aspects are also discussed.


Subject(s)
Animals , Dogs , Ureter/abnormalities , Ureteroscopy/veterinary , Congenital Abnormalities/veterinary , Pulmonary Atelectasis/surgery , Pulmonary Atelectasis/veterinary , Urinary Incontinence/complications , Urinary Incontinence/veterinary , Urinary Tract Infections/complications , Urinary Tract Infections/veterinary , Ureteroscopy/adverse effects , Ureteroscopy
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