A meta‐synthesis of qualitative studies on stress urinary incontinence in women for the development of a Core Outcome Set: A systematic review

Rada, Maria Patricia; Jones, Stephanie P.; Betschart, Cornelia; Falconi, Gabriele; Haddad, Jorge Milhem; Doumouchtsis, Stergios K.; Urogynaecology, Standards in

doi:10.1002/ijgo.13934

Cited by 8 publications

(3 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, qualitative research exploring the experience of urinary tract infection, indicate the profound effects on quality of life, along with an associated psychological toll, which is silently endured [ 7 ]. The profound impact of urogynaecological conditions further resonates with review findings in the context of core outcomes sets development for both urinary incontinence [ 8 ] and pelvic organ prolapse [ 9 ].…”

Section: Introductionmentioning

confidence: 73%

Exploring the experiences of people with urogynaecology conditions in the UK: a reflexive thematic analysis and conceptual model

et al. 2023

View full text Add to dashboard Cite

Background Urogynaecological conditions, such as pelvic organ prolapse, urinary incontinence, and urinary tract infection, can have a profound impact on people’s lives. The Independent Medicines and Medical Devices Safety Review highlights missed opportunities to prevent harm when patient voices are not incorporated into healthcare policy and practice. This resonates with the Women’s Health Strategy for England. The National Institute for Health and Care Research (NIHR) Policy Research Programme funded this in-depth qualitative exploration of people’s experiences of living with urogynaecological conditions, and of seeking healthcare treatment, to inform health and social care improvements in the UK. Methods We conducted in-depth interviews online or by telephone (April 2021-December 2021) and used reflexive thematic analysis to develop themes that cut across urogynaecological conditions. Results We spoke to seventy-four adults aged 22–84 across a range of backgrounds and lived experiences of urogynaecological conditions, including pelvic organ prolapse, urinary incontinence and persistent or recurring urinary tract infection. Eight themes were developed: [1] I get no respite from my own body; [2] I feel confined and separated; [3] I can no longer be ‘me’; [4] I am constrained by stigma, shame and silence; [5] I feel fragmented and lost in the healthcare system; [6] I need to be heard, believed, and valued; [7] I need respect as an equal partner in healthcare; and [8] (Re)connected to a more open community. Conclusions High quality care focuses on the whole person rather than their body parts. Openness and candour support a shared decision-making model of care. A culture of shame can have a negative impact on access to health care and recovery.

show abstract

Section: Introductionmentioning

confidence: 73%

Exploring the experiences of people with urogynaecology conditions in the UK: a reflexive thematic analysis and conceptual model

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Incontinence and IAD management can be problematic for clinicians and patients alike; Margaret's case is an exemplar of this. Many people are severely affected by incontinence for years and, because of stigma, embarrassment and fear of odour associated with the condition, can suffer social isolation and lack of access to healthcare [15][16][17] . In Margaret's case, psychosocial factors such as lack of independence and unstable housing impacted on the management of her incontinence and hospital discharge planning.…”

Section: Discussionmentioning

confidence: 99%

A multidisciplinary approach to incontinence-associated dermatitis in a rural setting: a case study

Leahy¹,

Nahdi²,

Lai³

et al. 2023

ANZCJ

View full text Add to dashboard Cite

Incontinence-associated dermatitis (IAD) is a common complication often unrecognised and mistreated in individuals with incontinence. It is the erosion of the skin from prolonged exposure to urine and/or faeces from incontinence and is often mistaken for a pressure injury. People experience considerable discomfort such as pain, burning and itching in the affected areas (buttocks, perineum and gluteal clefts). The prevention and management of IAD involves assessing and managing incontinence and implementing a skin care regimen to protect and maintain the integrity of the person's skin. We report a case study of a 71-year-old female to illustrate the benefits of an interdisciplinary plan of care for IAD to prevent further complications. The woman at the centre of our case study had multiple co-morbidities and severe urinary stress incontinence prior to her admission. A multidisciplinary team -continence nurse practitioner (NP), wound clinical nurse consultant (CNC), occupational therapist (OT) -were engaged to devise a management plan to manage her incontinence, treat the IAD and improve skin integrity. The purpose of this case study is to present their treatment journey through a regional health service, the issues encountered, and the prevention and management plans implemented in order to highlight best practices and the benefits of an interdisciplinary plan of care.

show abstract

“…SUI is defined by the International Continence Society as “complaint of involuntary loss of urine on effort or physical exertion (e.g., sporting activities), or on sneezing or coughing” [ 1 ], and it is common among women and often leads to a significant decline in their QoL [ 2 ]. Accumulating epidemiological evidence indicated that the prevalence of SUI across studies varied from 10 to 39% and increased with age [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of pelvic floor muscle training using mobile health applications for stress urinary incontinence in women: a systematic review

et al. 2022

View full text Add to dashboard Cite

Background Pelvic floor muscle training (PFMT) is the first-line treatment for urinary incontinence, but adherence to PFMT is generally poor. Currently, a number of novel strategies exist to facilitate adherence of PFMT. We sought to determine effectiveness of mHealth app-based PFMT for treating stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI) in women. The primary objective was to assess the effects of mHealth app-based PFMT and usual treatment on severity of the symptom, the quality of life (QoL) of users and the patient’s global impression of improvement. The secondary objective was to assess how mHealth app use affects adherence of PFMT. Methods All randomized controlled trials and quasi-randomized controlled trials aimed at evaluating the effects of mHealth app-based PFMT in women with SUI or stress-predominant MUI were included. Twelve electronic databases, namely the Cochrane Library, PubMed, CINAHL, Embase, Web of science, OVID, SciELO, REHABDATA, PEDro database, Chinese CNKI and Wanfang and the Open Grey databases were used as search sources. The protocol was registered in PROSPERO (CRD 42020183515). This systematic review was developed following the PRISMA 2020 Checklist. The Cochrane Handbook for Systematic Reviews of Interventions for Randomized Controlled Trials was used to assess risk of bias in included studies. Two authors extracted the data into a standardized spreadsheet. Results Six studies that met the eligibility criteria were included. The full sample included 439 patients with treatment via mHealth app and 442 controls of usual treatment. ICIQ-UI SF, ICIQ-VS, and QUID scores decreased after follow-up in the mHealth app and control groups in six studies. ICIQ-LUTS QoL scores decreased after follow-up in the mHealth app and control groups in three studies. In only one study, ICIQ-VS QoL scores decreased after 1 month and 2 months of follow-up in the mHealth app group, but increased abruptly after 3 months of follow-up. EQ5D-VAS scores increased in both groups in one study. The percentage of PGI-I increased in the mHealth app group in three studies after follow-up. After follow-up in three studies, BPMSES scores and self-reported adherence scores increased in the mHealth app group relative to the initial time point, but in one study, at 6 months compared with 3 months of follow-up, adherence scores decreased slightly in the mHealth app group. Conclusions This systematic review determined that mHealth app-based PFMT showed promise from the perspective of improving both outcomes and exercise adherence.

show abstract

A meta‐synthesis of qualitative studies on stress urinary incontinence in women for the development of a Core Outcome Set: A systematic review

Cited by 8 publications

References 35 publications

Exploring the experiences of people with urogynaecology conditions in the UK: a reflexive thematic analysis and conceptual model

Exploring the experiences of people with urogynaecology conditions in the UK: a reflexive thematic analysis and conceptual model

A multidisciplinary approach to incontinence-associated dermatitis in a rural setting: a case study

Effect of pelvic floor muscle training using mobile health applications for stress urinary incontinence in women: a systematic review

Contact Info

Product

Resources

About