Vivências de mulheres Brasileiras com incontinência urinária

Abstract

1 Artigo extraído da tese intitulado -Significados psicossociais da perda urinária para mulheres de condições socioeconômicas menos favorecidas: um estudo clínico-qualitativo, apresentado ao LIFE EXPERIENCES OF BRAZILIAN WOMEN WITH URINARY INCONTINENCEABSTRACT: Our aim was to amplify the knowledge about the life experiences with urinary incontinence of Brazilian women. Were used the clinical-qualitative method with semi-directed interview. Eight women, housemaids, the 30 to 45 years, low socioeconomic status, with complain of urinary incontinence and never seek treatment, were selected by the "snowball" technique, and the size closing was by saturation criterion. The content analysis technique and psychodynamic approaches allowed the creation of two categories: one hidden problem and lonely life experience. For women, urinary incontinence is a problem that should be hidden, one obstacle in interpersonal interactions, a stigma that prevents the search for treatment. They live in fear and shame. They silenced, suffer alone, and to resist, react with the loneliness. The conclusions were that incontinent women prefer silence to having to ask for help, the insulation in was the protection form and aloneness, survival.DESCRIPTORS: Urinary incontinence. Qualitative research. Women's health. Life change events. Psychosocial impact. VIVENCIAS DE LAS MUJERES BRASILEÑAS CON INCONTINENCIA URINARIA RESUMEN:Nuestro objetivo fue profundizar los conocimientos acerca de las experiencias con la pierda de orina de mujeres brasileñas. Utilizamos el método clínico-cualitativo y entrevistas semi-dirigidas. Ocho mujeres incontinentes, empleadas domésticas, con edad entre 30 a 45, bajo estatus socioeconómico y que nunca trataran la incontinencia urinaria, fueran seleccionadas por la técnica de "bola de nieve" y pelo criterio de saturación. La técnica de análisis de contenido con enfoque psicodinámico permitió la creación de dos categorías: una cuestión encubierta y una experiencia solitaria. Para las mujeres, la incontinencia urinaria es un problema que debe ser ocultado, un obstáculo en las interacciones interpersonales y un estigma que impide la búsqueda de tratamiento. Viven en el miedo y vergüenza. Silencian, sufren solas y reaccionan con la soledad. Concluimos que estas mujeres prefieren el silencio a tener que pedir ayuda, encuentran en el aislamiento, la forma de protección, y en la soledad, la supervivencia.DESCRIPTORES: Incontinencia urinaria. Investigación cualitativa. Salud de la mujer. Acontecimientos que cambian la vida. Impacto psicosocial.

Impacto no cotidiano de mulheres com incontinência urinária

“…Os distúrbios psicológicos da IU em mulheres causam aflição e incapacidade, o que têm levado à significativa morbidade, por conta de sentimentos de vergonha e do medo de sofrer rejeição, pois a perda inesperada de urina pode ser uma ameaça a sua autoestima 5 .…”

Urinary Incontinence in Pregnant Women: Integrative Review

“…Woman adopts behaviors in an attempt to "circumvent" the symptoms, for exchange and over again of clothes, try to position always close to the bathroom, do not sit, are excluded from society, use liner/diaper to not stay in wet clothes and smelling urine, run to the toilet, seek solitude to protect themselves, they feel fear and shame [31], generating physical and emotional discomfort.…”

“…The loss of sphincter control is a fact usually related to children and "in the adult a defect is perceived, so it is not allowed" for these women [31]. Help pregnant women avoid the modifiable factors to reduce the chances of having EUI during pregnancy and postpartum [21] is an action that nurses can develop to contribute to the HP and welfare.…”

“…At the nursing appointments, it is indispensable to work the issues in order to diagnose any involuntary urine loss and to add nursing experts at the incontinent population assistance [31]. This revision can help the nurses' knowledge for IU clinical evaluation and QV loss processes, forecasting possible nursing interventions that can ease the generated impacts on the pregnant routine.…”

Incontinência urinária no climatério: prevalência, fatores associados e impacto na qualidade de vida

“…A expressiva interferência da IU na qualidade de vida de suas portadoras depende do tipo de incontinência, da percepção individual do problema, da idade e da concepção de qualidade de vida em si HIGA et al, 2010;DEDICAÇÃO et al, 2008;HOWARD e STEGGALL, 2010 preocupações. Dessa maneira, assume-se que a avaliação da QV inclui preceitos que envolve uma elaboração subjetiva, multidimensional e é composta por elementos positivos e negativos (FLECK, 2003;MINAYO, 2000).…”