Prevalencia, factores predictivos y registro en la historia clínica de la consulta sobre incontinencia urinaria en mujeres gestantes riojanas / Prevalence, predictor factors and clinical record documentation on urinary incontinence in pregnant women of La Rioja
Matronas prof
; 16(4): e1-e8, 2015. tab
Article
in Spanish
| IBECS
| ID: ibc-148005
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
OBJETIVOS:
Conocer el porcentaje de gestantes con incontinencia urinaria (IU) que consultan su problema con un profesional sanitario, analizar los factores que se asocian a la consulta y evaluar el porcentaje de registro de la IU en la historia obstétrica.METODOLOGÍA:
Se trata de un estudio descriptivo transversal, realizado en la consulta de Obstetricia del Hospital San Pedro de Logroño. Participaron en él gestantes con un control prenatal realizado en el Servicio Riojano de Salud. Para la identificación de la IU se utilizó el Urogenital Distress Inventory. Los datos se obtuvieron mediante una entrevista personal y los datos de registro con la revisión de la historia clínica obstétrica y electrónica.RESULTADOS:
En el análisis se incluyeron 274 gestantes con IU. Sólo en 6 casos (2,2%) se registró la IU en la historia obstétrica, y en la historia clínica electrónica en ninguno. Consultaron su problema de IU con un sanitario35 mujeres (12,8%), 31 de ellas (88,6%) por iniciativa propia. El análisis multivariante muestra que la probabilidad de consultar es mayor en mujeres con IU moderada (odds ratio [OR] 4,31; intervalo de confianza [IC] del 95% 1,37-13,58) y severa (OR 5,93; IC del 95% 1,25-28,11), con una renta mensual más elevada (OR 2,90; IC del 95% 1,27- 6,63) y una peor calidad de vida (OR 1,02; IC del 95% 1,00-1,40).CONCLUSIONES:
Los resultados de este estudio dejaron patente que pocas gestantes consultaron sobre IU. Raramente se documentó el estado de continencia urinaria de las mujeres, por lo que no se consiguió obtener en la consulta resultados sobre posibles factores asociados. Es importante que los profesionales que atienden la salud de la gestante les pregunten sobre la IC y se registre en la historia clínica, para facilitar que la mujer consulte y hacer visible el problemaABSTRACT
OBJECTIVES:
To know the percentage of pregnant women with urinary incontinence (UI) that consult with health professionals, to analyze the factors that are associated with the consultation and to evaluate the percentage of episodes of female urinary incontinence are registered in the clinical record.METHOD:
DESIGN:
cross-sectional study. Site Obstetric consult of Hospital San Pedro in Logroño.PARTICIPANTS:
pregnant women with prenatal control in Health Service of La Rioja. To identify the UI is been use the Urogenital Distress Inventory-short form questionnaire.Measures:
the data about the consult have been obtained by personal interview and the registration data have been obtained by a review of both obstetrics and electronic clinical record.RESULTS:
274 pregnant women with urinary incontinence were included in the analysis. Only 6 of them (2.2%) were registered in the clinical record and none in the electronic clinical record. A 12.8% of pregnant women consult their problem with a health professional, the 88.6% among them by self-initiative. The multivariate analysis shows that the probability of having consult is higher between women with moderate UI, OR 4.31 (1.37-13.58) and severe, OR 5.93 (1.25-28.11) with higher incomes, OR 2.90 (1.27-6.63)and worse quality of life, OR 1.02 (1.00-1.40).CONCLUSION:
The results of this study made clear that few pregnant women asked about UI. A condition of UI was rarely documented in women, for which reason the study was unable to gather results in terms of possible associated factors. It is important for the professionals attending to pregnant women's health to ask them about UI and record it in their clinical history, to make it easier for women to ask about the problem and make it visible
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pregnancy Complications
/
Urinary Incontinence
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Aspects:
Patient-preference
Limits:
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Matronas prof
Year:
2015
Document type:
Article
Institution/Affiliation country:
Centro de Salud Cascajos/Español
/
Universidad de Zaragoza/España