The Meanings of Silence in Brazilian Women With Urinary Incontinence

Higa, Rosângela; Chvatal, Vera Lúcia Soares; Lopes, Maria Helena Baena de Moraes; Turato, Egberto Ribeiro

doi:10.1097/won.0b013e31822b2e9d

Cited by 5 publications

(2 citation statements)

References 14 publications

(13 reference statements)

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“…On the one hand, this may be due to the fact that constipation remains difficult to talk about for both the patient and the nurse, like other bowel symptoms (Bliss et al, 2005 ; Cichowski et al, 2014 ) or other issues such as sexuality (Farrell & Belza, 2012 ) and spirituality (Molzahn & Sheilds, 2008 ). Silence might also for patients serve as a protection against feeling to have to talk about an embarrassing issue, as it has been found among patients with fecal or urinary incontinence (Bliss et al, 2005 ; Higa, Chvatal, De Moraes Lopes, & Turato, 2011 ). On the other hand, the evidence from non-pharmacological and pharmacological treatment of constipation in elderly patients is unclear, so nurses might be unsure what to recommend (Muller-Lissner, Kamm, Scarpignato, & Wald, 2005 ; Rao & Go, 2010 ; Spinzi et al, 2009 ).…”

Section: Discussionmentioning

confidence: 99%

Living with constipation—older people's experiences and strategies with constipation before and during hospitalization

Munch

Tvistholm

Trosborg

et al. 2016

International Journal of Qualitative Studies on Health and Well

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BackgroundConstipation is a common problem among older people. This study aimed to explore how older patients experience constipation and which strategies they used in handling the condition before and during hospitalization.MethodsA qualitative exploratory research design was used. Fourteen semi-structured interviews were conducted with patients (61–91 years of age) during hospitalization. Data were analyzed by using content analysis.ResultsThemes concerning experiences were Bodily signs and symptoms of constipation; the participants described severe pain during constipation, as well as pronounced relief after bowel movements, Impact on well-being and social activities; being constipated negatively impacted their mood and limited social activities, Striving for bowel balance; the participants experienced an ongoing strive for balancing between constipation and diarrhea. Themes related to strategies were Struggling to find a solution; they were aware of different strategies to prevent and treat constipation, though the most common solution described was the use of laxatives, Wait and see; the participants were awaiting to take action until they experienced constipation symptoms, Constipation is a private problem being challenged during hospitalization; constipation was considered a private issue rarely discussed with health-care professionals.ConclusionThis study illuminates the need for health-care professionals to be attentive to this issue and initiate the conversation with patients in order to advise on the management of constipation.

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Section: Discussionmentioning

confidence: 99%

Living with constipation—older people's experiences and strategies with constipation before and during hospitalization

Munch

Tvistholm

Trosborg

et al. 2016

International Journal of Qualitative Studies on Health and Well

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“…O presente estudo mostra que o significado da incontinência urinária perpassa os problemas econômicos e educacionais da nossa população e evidencia as inquietações psicológicas e sociais vivenciadas por esse grupo de mulheres, ao legitimar que a incontinência urinária deve ser escondida como uma forma de proteção aos sentimentos de angústia, medo e vergonha, e pode levar a uma vida solitária como alternativa de sobrevivência diante das marcas profundas de um estigma que interfere na sua qualidade de vida 33 .…”

Section: Descriptoresunclassified

O impacto da incontinência urinária na autoestima e autoimagem de pacientes diabéticos

Salomé

Oliveira

Pereira

2016

Estima

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Psychosoziale Folgen der Harninkontinenz – tabuisiert und unterversorgt – eine systematische Übersichtsarbeit

Dräger,

Lackaja,

Nolting

et al. 2023

Aktuelle Urol

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Zusammenfassung Hintergrund Harnkontinenz stellt ein international weitverbreitetes Gesundheitsproblem dar, das sowohl Frauen als auch Männer jeden Alters betreffen kann. Es handelt sich um keine lebensbedrohliche Erkrankung, jedoch können Symptome das physische, psychische und soziale Wohlergehen von Betroffenen stark beeinflussen. Bestehende Literatur berichtet vorwiegend von Inkontinenz im Alter über 65 Jahre, Studien über Belastungen und Auswirkungen von Inkontinenz bei jüngeren Betroffenen sind limitiert. Inkontinenz ist im sozialen Bereich ein Tabuthema, wenige Erkrankte suchen professionelle Hilfe, weil sie Scham empfinden. Manche inkontinente Menschen suchen Unterstützung, wenn Symptome zunehmen und dadurch ihre Lebensqualität weiter sinkt. Ziel der vorliegenden Arbeit ist es, darzulegen, welche psychosozialen Belastungen und Auswirkungen von Harninkontinenz bei Erwachsenen in der Literatur beschrieben werden und wie Betroffene diese Belastungen erleben. Methoden Für den Zeitraum 2007–2022 wurde eine systematische Literaturrecherche in den Datenbanken CINAHL, Cochrane Database of Systematic Reviews via OvidSP, PsycINFO via OvidSP und PubMed durchgeführt. Zusätzlich zu der Recherche in den Datenbanken erfolgte eine Handsuche über eine Internetsuche sowie über die Referenzlisten der eingeschlossenen und kritisch bewerteten Artikel. Ergebnisse Inkontinenz beeinflusst das gesamte Leben von Betroffenen. Inkontinente Menschen leiden unter geringem Selbstwert und empfinden Scham. Sie reduzieren körperliche Aktivitäten, verringern soziale Kontakte und erfahren Probleme im Erwerbsleben. Oft führt die Erkrankung zu Beeinträchtigungen in der Partnerschaft und Sexualität. Jüngere Menschen erleben diese Probleme belastender als ältere. Zusammenfassung Um zur Enttabuisierung von Harninkontinenz beizutragen, sollte bei allen Berufsgruppen im Gesundheitswesen ein verstärktes Bewusstsein über die Lebenssituation von inkontinenten Menschen geschaffen werden. Aufklärung bekommt einen hohen Stellenwert und Strategien zur besseren Unterstützung von Betroffenen sollten entwickelt werden.

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The Meanings of Silence in Brazilian Women With Urinary Incontinence

Abstract: The silence of Brazilian women with UI is an essential element of communication about incontinence. We believe that the silence used by these women expresses the pain and anxiety they experienced, and it acts as an adaptive psychosocial mechanism.

Cited by 5 publications

References 14 publications

Living with constipation—older people's experiences and strategies with constipation before and during hospitalization

Living with constipation—older people's experiences and strategies with constipation before and during hospitalization

O impacto da incontinência urinária na autoestima e autoimagem de pacientes diabéticos

Psychosoziale Folgen der Harninkontinenz – tabuisiert und unterversorgt – eine systematische Übersichtsarbeit

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