The epidemiology of urinary incontinence and it's influence on quality of life in Taiwanese middle‐aged women

Horng, Shiow Shiun; Huang, Nicole; Wu, Shiow Ing; Fang, Yi; Chou, Yiing Jenq; Chou, Pesus

doi:10.1002/nau.22302

Cited by 37 publications

(40 citation statements)

References 23 publications

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“…The Canadian National Population Health Survey (1996/7) rated the effect of UI behind only Alzheimer’s and stroke in people aged 12 and older, and highest in younger patients (those aged 45 years old and under) [11]. A more recent study in Taiwanese women has confirmed the greater impact of incontinence on quality of life compared with other major chronic conditions [12].…”

Section: Introductionmentioning

confidence: 99%

Developing an Internationally-Applicable Service Specification for Continence Care: Systematic Review, Evidence Synthesis and Expert Consensus

et al. 2014

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BackgroundGlobal demographic trends suggest that the incidence of both urinary and faecal incontinence will rise in the coming years, bringing significant health and economic implications for both patients and payers. There is limited organisational evidence to guide payers and providers about service configuration which will deliver efficient guideline-compliant, high-quality patient care.ObjectivesTo create, using evidence from a systematic review, qualitative data and expert consensus an internationally applicable service specification for continence care.MethodEvidence was obtained from a systematic and grey literature review of published randomised controlled trials and quasi-experimental studies reporting efficacy of continence service design at the level of the community dwelling patient with either bladder or bowel incontinence, governmental reports and policy frameworks supplemented by data from 47 semi-structured interviews with clinicians, patients, patient-representatives and policy experts from four geographies broadly representative of different healthcare systems.ResultsA number of themes related to current and potential future organisation of continence care were identified from the data. A modular service specification with eight core components was created including case detection, initial assessment and treatment, case co-ordination, caregiver support, community-based support, specialist assessment and treatment, use of containment products, and use of technology. Within this framework important key recommendations are: ensure robust referral pathways, shift assessment for case coordination to nurses specializing in continence care, promote self-management and technology, use comprehensive assessment tools and service performance targets based on outcome and operational measures.ConclusionsThis study has defined practice gaps in the provision of continence services and described eight core components of a service specification for incontinence that commissioners and payers of health and social care could consider using to provide high-quality continence care. A shift towards a community-delivered, nurse-led model appears to be associated with clinical and cost-effective care for people with bladder and bowel incontinence.

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Section: Introductionmentioning

confidence: 99%

Developing an Internationally-Applicable Service Specification for Continence Care: Systematic Review, Evidence Synthesis and Expert Consensus

et al. 2014

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“…Not only can UI lead to limitation in daily activities, but it also influences psychosocial well-being such as levels of stress, anxiety, depression, as well as fear and shame related to urine leakage [1]. Prolonged UI can result in a greater impact on the quality of life than many other chronic diseases such as diabetes or hypertension [4]. Therefore, the prevention and management of UI should be carefully considered to improve health and quality of life of women with UI.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses

Gagné

Park

et al. 2015

J Korean Acad Community Health Nurs

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Community Health Practitioner, Sosa Primary Health Care Post, Hoengseong, KoreaPurpose: This study aimed to examine the effectiveness of the workshop on the nurses' knowledge about urinary incontinence (UI) self-management, attitudes toward UI, and self-efficacy to plan and implement a UI self-help group program for their clients. Methods: A one-group pretest and posttest design was used to examine changes in knowledge, attitudes, and self-efficacy following a one-day training workshop. Twenty-seven community health nurses completed a questionnaire before and after the workshop. Before participating in the workshop, the participants were required to take a UI online continuing education program developed by the researchers. During the workshop, the participants took four sessions which consisted of an introduction of a self-help group program, demonstration of a 5-week UI self-management program contents, pelvic floor muscle training and biofeedback practice, and group discussions to plan the implementation in their workplaces. Results: A significant improvement in knowledge of and attitudes toward UI were found (t=3. 53, p=.002; t=2.83, p=.009, respectively) after the workshop. Participants also demonstrated improvement in their self-efficacy to plan and operate a UI self-help group program (Z=-2.64, p=.008). Conclusion: The one-day workshop for community health nurses is a feasible strategy to increase their abilities and confidence in operating a UI self-help group program.

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“…Urinary incontinence (UI), defined as the complaint of any involuntary loss of urine, is a chronic and debilitating condition which reduces quality of life (QOL), similar to severe chronic diseases such as stroke, arthritis, and chronic kidney disease . This condition is particularly devastating to patients especially in relation to the physical and emotional aspects . Prevalence estimates are heterogeneous, ranging from 7% to 53%, with a universal conformity that the prevalence rates increase with age .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 This condition is particularly devastating to patients especially in relation to the physical and emotional aspects. [2][3][4] Prevalence estimates are heterogeneous, ranging from 7% to 53%, with a universal conformity that the prevalence rates increase with age. [5][6][7] Nevertheless, these figures may well be an underestimate, as this condition remains a taboo for many patients due to the associated social stigmatization.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of electromagnetic therapy for urinary incontinence: A systematic review

Lim

Lee

Tan

et al. 2014

Neurourol. Urodynam.

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The epidemiology of urinary incontinence and it's influence on quality of life in Taiwanese middle‐aged women

Abstract: The UI prevalence of Taiwanese women is high, and its negative effects on quality of life are greater than those of other major chronic conditions, but are often overlooked and seldom intervened.

Cited by 37 publications

References 23 publications

Developing an Internationally-Applicable Service Specification for Continence Care: Systematic Review, Evidence Synthesis and Expert Consensus

Developing an Internationally-Applicable Service Specification for Continence Care: Systematic Review, Evidence Synthesis and Expert Consensus

The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses

Efficacy of electromagnetic therapy for urinary incontinence: A systematic review

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