Urinary incontinence, sense of control/autonomy and social participation in community-dwelling older adults

Silva, Ediane Pereira Machado; Borim, Flávia Silva Arbex; Bianchi, Mariana; Yassuda, Mônica Sanches; Néri, Anita Liberalesso; Batistoni, Samila Sathler Tavares

doi:10.1590/1981-22562022025.210207.en

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Women with UI have described UI as negatively impacting self-esteem (Pintos-Díaz et al, 2019), intimacy and sexual function (Saiki & Meize-Grochowski, 2019), sleep (Yilmaz & Erkal Aksoy, 2023), and quality of life (Sawettikamporn et al, 2022). Women with UI report restricting or avoiding participation in social activities because of their UI symptoms (Silva et al, 2022). UI is associated with depressive symptoms (Sarikaya et al, 2020), a greater risk of falls (Moon et al, 2021), and is a risk factor for urinary tract infections (Storme et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

Klein,

Eisenhauer,

Mollard

et al. 2023

Research in Nursing & Health

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Urinary incontinence (UI) is experienced by approximately 60% of women in the United States and has a negative impact on self‐esteem, sexual function, social participation, and quality of life. Rural women, who are underrepresented in the UI literature, face many health disparities and unique barriers to accessing care. The purpose of this qualitative descriptive study was to explore UI self‐management behaviors in rural women with UI, including the contextual factors that influence their approach to self‐management. This study recruited rural women, ages 30−60 years, using purposive sampling via social media. Demographic information was collected. A semi‐structured interview guide was used to conduct individual, in‐depth interviews via Zoom. Interview data were analyzed using qualitative description. Sections of interview text were coded using a priori and emergent codes, grouped into categories, and distilled into themes. A total of 31 participants (mean age = 47.2 years) met inclusion/exclusion criteria, enrolled, and completed the study. Qualitative analysis revealed rural as a cross‐cutting theme and five major themes: self‐management behaviors, familial influence, medical encounters, talking about UI, and resource scarcity. Participants described the rural environment as having a substantial impact on their approach to UI self‐management. Specifically, rural social enmeshment made seeking care for UI in rural communities challenging. Findings shed light on how the rural environment influences various aspects of UI self‐management in midlife women. Diverse perspectives in UI self‐management are needed to advance knowledge in this field.

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Section: Introductionmentioning

confidence: 99%

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

Klein,

Eisenhauer,

Mollard

et al. 2023

Research in Nursing & Health

View full text Add to dashboard Cite

show abstract

“…UI has been associated with urinary tract infections, 3 depressive symptoms, 4 impaired sexual function, 5 and an increased risk of falls. 6 UI negatively impacts self-esteem, 7 participation in social activities, 8 and quality of life (QOL). 9 The financial burden on individual women and the U.S. health care system is substantial.…”

mentioning

confidence: 99%

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Klein,

Eisenhauer,

Mollard

et al. 2023

West J Nurs Res

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Background: Urinary incontinence (UI) affects approximately 60% of women in the United States and negatively impacts self-esteem, sexual function, participation in social activities, and quality of life (QOL). Self-management interventions show promise for improving UI symptoms and QOL. Previous reviews of UI self-management studies have focused on outcomes for older women. However, the literature lacks a synthesis of methodologies of these studies. Purpose: The purpose of this integrative review was to synthesize and evaluate methodologies used in studies of self-management interventions for UI in adult women. Methods: Using an integrative review approach, a search of PubMed, CINAHL, and Embase was conducted yielding 1404 results, 23 of which met inclusion criteria. Data abstracted from each article included author(s), year of publication, study design and purpose, sample, country and setting, measures of UI symptoms, and intervention description. Results: Findings showed methodological differences, particularly in design, assessment of UI subtypes, measures of UI symptoms, and intervention components. Multicomponent self-management interventions were used in 18 studies and 1 component used in 5 studies. Education, pelvic floor muscle exercises, and bladder training were the intervention components most frequently used, either alone or in combination; however, intervention components were not consistently aligned with the UI subtypes. Analysis of ethical matters revealed areas for improvement, specifically in reporting privacy and confidentiality and in methods to obtain informed consent. Conclusions: Results highlight opportunities to improve the rigor of methodologies used in studies of self-management interventions for UI in adult women.

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Urinary incontinence, sense of control/autonomy and social participation in community-dwelling older adults

Cited by 2 publications

References 24 publications

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

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