Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

Abstract

| This quasi experimental study analyzed the influence of a physical therapy intervention on the quality of life (QoL) of women with urinary incontinence (UI) and its effectiveness for urinary loss. Took part in this study 55 women (35 to 87 years) with a clinical diagnosis of UI who underwent an anamnesis and had the function of their pelvic floor muscles (PFMF; bidigital test) and their QoL measured (King's Health Questionnaire -KHQ). Up to 15 weekly sessions were carried out with endovaginal electrical stimulation and perineal exercises. Once the participants reported not losing urine or expressed the desire to stop the treatment, it was terminated, regardless of the number of sessions undertaken. After treatment, the bidigital test and the KHQ were repeated and the participants were asked if they considered themselves to be continent, satisfied with the treatment or not improved. Most participants were aged between 51 and 60 years, underwent vaginal delivery with episiotomy and had prolapse. Most had mixed UI, followed by stress UI. The situations when the urinary loss most commonly occurred were coughing and sneezing, which happened mostly in jets. There was a significant improvement in all of the KHQ domains, except the general health perception. After the intervention, 90.9% of the women said that they were continent or satisfied with the treatment. The physical therapy intervention resulted in improved QoL and it was effective for containing the urinary loss.Keywords | urinary incontinence; quality of life; women's health.Quality of life assessment before and after a physical therapy intervention for urinary incontinence

Efeitos Da Eletroestimulação No Tratamento Da Incontinencia Urinária De Esforço

“…After 13 sessions, on average, 91% of the sample reported being satisfied with the treatment and demonstrated improvement in almost all KHQ domains. Similar results were found by Da Silva et al in 2014, also using a mixed protocol (ES and kinesiotherapy) of 10 sessions in their case report with SUI patients; both studies corroborate the results found in the present study 17. The mobility of the bladder neck and the pelvic floor muscle function were studied by Thompson et al to evaluate…”

“…We note that this increase in pelvic floor muscle strength is also related to improvement in SUI. 17,20 Moreira performed a study with 101 women in two groups: one with continent and one with incontinent women, in order to compare the value of objective and subjective propaedeutic evaluation in the diagnosis of UI. It was observed that the muscular strength and perception of the pelvic floor in the women with urinary loss were significantly impaired when compared to the group of continent women.…”

The Urinary Incontinence Repercussions Towards the Elderly’s Life Quality / As Repercussões Causadas pela Incontinência Urinária na Qualidade de Vida do Idoso

“…The average in women is 27.6% and in men 10.5%. 8 Nevertheless, the appearance of this pathology in the elderly is due not only to the aging process, but to the multifactors such as: white race, parity, menopause, hysterectomy, prostate hyperplasia and comorbidities such as depression and diabetes. 9 According to Silva and D'Elboux, 6 UI interferes negatively in the QOL of the elderly, such as social isolation from the fear of involuntarily urinating in public places, embarrassment, and restrictions of activities, generating a feeling of low self-esteem and interfering in personal relationships and household responsibilities.…”

Caracterização e fatores de risco de incontinência urinária em mulheres atendidas em uma clínica ginecológica

“…Essa afecção possui índices signi cativos de prevalência mundial, acometendo ambos os gêneros, com prevalência de 27,6% no gênero feminino e 10,5% no masculino, sendo mais comum nas mulheres por conta da própria anatomia e do fator idade [1][2] .…”