Impacto no cotidiano de mulheres com incontinência urinária

Impact of the SARS-CoV-2 pandemic on urinary incontinence and quality of life of nulliparous women

“…The fact that 97.30% of the women evaluated were already in social isolation due to SARS-CoV-2 may have contributed to this reduction in the prevalence of UI reported by the participants, especially in the UUI complaint, in which there was a reduction of 45.46 % to 23.10% during social isolation, indicating that the perception of these women regarding urinary loss may have changed, as the bathroom is more accessible at home, corroborating the findings of Rosa et al (2017) (31) , that identified a low influence of UI on domestic activities, as the women were in their own family environment, with access to bathroom and their personal hygiene, creating and maintaining an intimate environment in which they are protagonists of their own daily acts (31) .…”

“…Regarding the severity of UI assessed by the ISI-Q, it was observed an improvement in the frequency domain during social isolation. This finding can be explained because these women performed several activities outside their home, and according to Rosa et al (2017) (31) women show concern in living with incontinence and the work activity, resulting in greater attention, perception and control of frequency and urinary quantity, since the woman needs to be absent at moments at work, or leave the classroom to go to the bathroom (31) . Therefore, the frequency of urinary leakage becomes less noticeable during social isolation.…”

“…Although the results of this study provide some preliminary insights into generating hypotheses about the impact on prevalence and severity UI and QoL caused by social isolation due to SARS-CoV-2, caution is needed in the generalization of the results, as this was an observational study conducted during the pandemic and was limited by a small, intentional, and non-random sample that is not well representative of all women living in the community. Because, even in the face of several strategies adopted to contemplate the evaluation of a greater number of women, there is still a certain resistance, which according to Rosa et al (31) is due to cultural and family factors and, mainly, to fear, shame and to the lack of knowledge (31) , which is quite prevalent in the countryside of the state where culturally the population remains surrounded by numerous taboos. Another limitation is that the present study did not provide unadjusted and adjusted estimates for confounding factors and their precision, that's why it is recommended to conduct future studies that consider these factors, and that include depression and anxiety questionnaires to favor a broader evaluation, considering the biopsychosocial factors that can favor these results or interfere with them, such as the habits of these women, nutrition, emotional state, and the integrity and functionality of the pelvic floor muscles, in general, the environment and the activities performed by they also interfere in the results found, but were not addressed in the present research.…”

Perfil de pacientes assistidos por telemonitoramento em uma clínica de enfermagem em estomaterapia

“…O tratamento da pessoa com incontinência é implementado de acordo com a avaliação das condições de saúde, tipo e estágio da incontinência, podendo ser cirúrgico, medicamentoso, fisioterápico ou comportamental. Por meio destas intervenções, a cura pode ser obtida, os sintomas podem ser minimizados ou a pessoa pode aprender a lidar melhor com o problema (Rosa et al, 2017).…”

Impacto da pandemia de SARS-CoV-2 na incontinência urinária e qualidade de vida de mulheres nulíparas

“…O fato das 97,30% das mulheres avaliadas já estarem em isolamento social devido a SARS-CoV-2 pode ter contribuiu para essa redução na prevalência de IU referida pelas participantes, principalmente na queixa de IUU na qual houve uma redução de 45,46% para 23,10% durante o isolamento social, indicando que a percepção dessas mulheres em relação a perda urinária pode ter mudado, pois em casa o banheiro é mais acessível, corroborando os achados de Rosa et al (2017) (31) , que identificaram uma baixa influência da IU nas atividades domésticas, pois as mulheres estavam em seu próprio ambiente familiar, com acesso a banheiro e a sua higiene pessoal, criando e mantendo um ambiente íntimo em que elas mesmas são protagonistas de seus próprios atos diários (31) .…”