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 qualifi cation 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 fl oor and lower urinary tract, qualifi ed 480 health professionals and stimulated researches. Conclusion: the preventive actions of pelvic fl oor 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. Descriptors: Rehabilitation Services; Nursing; Urinary Incontinence; Pelvic Floor Disorders; Lower Urinary Tract Symptoms. 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 profi ssionais 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 profi ssionais 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 profi ssional e prática baseada em evidências. Descritores: Serviços de Reabilitação; Enfermagem; Incontinência Urinária; Distúrbios do Assoalho Pélvico; Sintomas do Trato Urinário Inferior. RESUMEN Objetivo: relatar la creación, experiencia de implantación y atendimiento realizado en el Programa de Rehabilitación del Piso Pélvico (en portugués, PRAP 1 ), 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, 220Pelvic floor rehabilitation progr...

Objective: Describe the sociodemographic, clinical, and sexual profile, identify profile variables that affect the Health-Related Quality of Life (HRQoL), and evaluate the correlation between two HRQoL questionnaires used in a pelvic floor rehabilitation program. Method: This is an observational, analytical, and cross-sectional study, based on patient records and two questionnaires for HRQoL evaluation. Results: Women presented a mean age of 55.4 years; were married; white; had stress, urge, or mixed urinary incontinence (UI) of moderate to large urine release; and daily or diurnal UI. Only 50.5% had an active sex life and most had sexual complaints. The change in sexual activity and some types of UI affected the HRQoL. The two questionnaires presented a correlation. Conclusion: The profile and correlation between the questionnaires are consistent with the literature. The type of UI and changes in sexual activity affect the HRQoL.

The identification of predictive factors for ISC improved our understanding of ISC in SB patients and should aid in the development of more effective strategies to increase ISC use.

Objectives: to analyze the factors that interfere with the procedure of catheterization in children with neurogenic bladder, secondary to myelomeningocele. Methods: this is about a descriptive and exploratory study. 55 caregiver of infants with myelomeningocele linked to a children’s hospital in Fortaleza, Ceará, Brazil were participants in the research. They were chosen according to inclusion criteria: to be the caregiver of infants, preschool, school-age children; to be the caregiver who performs assisted catheterization more than 50% of the time during the day; to be a resident of the city of Fortaleza; and to have previously participated in a children’s rehabilitation program. The study was approved by the Committee of Ethics in Research of the Albert Sabin Hospital, under number 52/06. Results: certain factors positively affect the catheterization procedure: age of the child; caregiver with no occupation outside the home; receipt of the benefit of continued income; receipt of catheterization materials from the city or state government, among others. Conclusions: variables that positively affect the catheterization procedure outnumbered those that affect it negatively. The findings are of the utmost importance, given that they allow the inference that adhering to catheterization is facilitated by the presence of such factors. Descriptors: neurogenic urinary bladder; catheterization; caregivers; urinary incontinence; meningomyelocele.

PURPOSE:To elucidate six diagnostic concepts related to urinary incontinence (UI). METHODS: Eight out of nine steps of the simultaneous concept analysis (SCA) method were used to elucidate six diagnostic concepts related to UI proposed by NANDA International. FINDINGS: Individual concepts of each diagnosis were elucidated, including antecedents, outcomes, associated conditions, and risk populations, and the interrelations among these concepts were identified, comparing them to those already present in the current NANDA-I taxonomy. The overflow UI was excluded, and were included mixed and transient UI diagnoses. CONCLUSIONS: SCA enabled identifying similar characteristics and factors exclusive to the revised nursing diagnoses. IMPLICATIONS FOR NURSING PRACTICE:To support for clinical reasoning to identify properly the types of UI.OBJETIVO: Elucidar seis conceitos diagnósticos relacionados à incontinência urinária. MÉTODOS: Oito das nove etapas do método de análise simultânea de conceitos foram utilizadas para elucidar seis conceitos diagnósticos relacionados à incontinência urinária propostos pela NANDA International. RESULTADOS: Conceitos individuais de cada diagnóstico foram elucidados, incluindo antecedentes, consequentes, condições associadas e populações em risco, e as inter-relações entre esses conceitos foram identificadas, comparando-as com aquelas já presentes na atual taxonomia da NANDA-I. A incontinência urinária por transbordamento foi excluída e foram incluídos os diagnósticos de incontinência urinária mista e incontinência urinária transitória. CONCLUSÕES: A análise simultânea de conceitos permitiu identificar características e fatores semelhantes exclusivos aos diagnósticos de enfermagem revisados. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Apoiar o raciocínio clínico para identificar adequadamente os tipos de incontinência urinária.

The use of internationally known terms for various disciplines in areas of common knowledge helps to standardize the language used by professionals.

Objective: to identify and systematize — in the literature available in computer databases (LILACS and MEDLINE) — studies on the quality of life of people with physical disabilities from spinal cord injury in the period from 1994 to 2004. Methods: this is a descriptive and exploratory study, in which a bibliographic review was performed. The following descriptors were used: people with physical disabilities, handicapped people, spinal cord injuries, quality of life, nursing and nursing care, and 27 articles were found, which comprised the sample for the study. Results: the topics of the articles encountered were the following: well-being of individuals with spinal cord injury; the rehabilitation process; life satisfaction; performance of physical activities and life expectancy. The study indicated an overall lack of publications in the field of nursing, as well as in methodological aspects. It was found that, although improving the life quality of patients with spinal cord injury is extremely important, there is a scarcity of studies on this subject, and it should be further investigated and discussed. Conclusion: therefore, it is important to include an understanding of the subjectivity of individuals with spinal cord injury and their perception on quality of life, aimed at improving nursing care. Descriptors: quality of life; people with disabilities; spinal cord; health of disabled or incapacitated people

RESUMO Objetivo Analisar o conteúdo dos diagnósticos de enfermagem relacionados à incontinência urinária da NANDA International e outros identificados na literatura. Método Estudo metodológico realizado com juízes expertos em disfunções miccionais e diagnósticos de enfermagem. Analisaram-se os diagnósticos de Incontinência Urinária de Esforço, Incontinência Urinária de Urgência, Incontinência Urinária Funcional e Incontinência Urinária por Hiperatividade Detrusora Neurogênica (antes denominado Incontinência Urinária Reflexa, na taxonomia da NANDA International) e Incontinência Urinária Mista e Incontinência Urinária Transitória. Aplicou-se o teste de Wilcoxon e considerou-se adequado o Índice de Validade de Conteúdo ≥0,85. Resultados Participaram 51 juízes. Os juízes sugeriram modificações nos elementos de todos os diagnósticos (inclusão, exclusão ou alteração no tipo de elemento previamente classificado). Conclusão Sugerem-se a manutenção dos quatro diagnósticos analisados na taxonomia da NANDA International, com modificações, e a inclusão dos diagnósticos de enfermagem Incontinência Urinária Mista e Transitória.