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De La Ossa AMP, Catai CC, Lopes S, Pena CC, De Paula NA, Fernandes ACNL, Jorge CH. Do patients undergoing physical therapy in a rehabilitation center have a high prevalence of pelvic floor dysfunction and psychological disorders? A cross-sectional study. Braz J Phys Ther 2023; 27:100536. [PMID: 37639944 PMCID: PMC10470286 DOI: 10.1016/j.bjpt.2023.100536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Accepted: 08/16/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Prevalence of pelvic floor dysfunction (PFD) and its relationship with anxiety in a population undergoing physical therapy treatment in Rehabilitation Centers seems to have been little investigated in the literature. OBJECTIVE 1) to investigate the prevalence of PFD, anxiety, depression; 2) to assess quality of life (QoL) in patients undergoing physical therapy in a Rehabilitation Center, 3) to compare the results by sex; and 4) to assess the relationship between PFD and anxiety, depression, and QoL. METHODS This cross-sectional study included participants receiving physical therapy care in a Rehabilitation Center. Validated questionnaires were used to assess PFD, QoL, depression, and anxiety. The Chi-square test, Pearson's correlation coefficient, and a binary logistic regression model were used for data analysis. RESULTS 253 participants (56.9% female) were included, 45% of them reported at least one PFD symptom. Females had higher prevalence of urinary incontinence (UI) (28% vs 14%); constipation (25% vs 10%); sexual dysfunction (75% vs 9%); anxiety (47% vs 35%); and depression (34% vs 17%) than males. A weak correlation was found between anxiety and depression with UI and sexual dysfunction for females. For all participants, poor QoL was found in physical functioning, physical role, bodily pain and emotional role. Being elderly (OR: 2.58 [1.24, 5.37]), partnered (OR: 1.82 [1.04, 3.17]), female (OR: 3.38 [1.91, 5.99]), and anxious (OR: 2.03 [1.14, 3.62]) were risk factors for reporting PFD. CONCLUSION This study found a high prevalence of PFD symptoms in patients attending a Rehabilitation Center. All symptoms except fecal incontinence were more prevalent in females than in males. There was a weak correlation between UI with QoL and psychological disorders among females.
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Affiliation(s)
| | - Camila Chizuto Catai
- Department of Health Sciences, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão preto, SP, Brazil
| | - Samuel Lopes
- Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão preto, SP, Brazil
| | - Caroline Caetano Pena
- Department of Health Sciences, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão preto, SP, Brazil
| | - Nicole Arantes De Paula
- Department of Health Sciences, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão preto, SP, Brazil
| | | | - Cristine Homsi Jorge
- Department of Health Sciences, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão preto, SP, Brazil.
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Liao L, Feng H, Jiao J, Zhao Y, Ning H. Nursing assistants' knowledge, attitudes and training needs regarding urinary incontinence in nursing homes: a mixed-methods study. BMC Geriatr 2023; 23:39. [PMID: 36683023 PMCID: PMC9867858 DOI: 10.1186/s12877-023-03762-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 01/19/2023] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Urinary incontinence is an increasingly common problem, especially among older people in nursing homes. Nursing assistants are the leading workforce in nursing homes, and their knowledge and attitudes regarding urinary incontinence have garnered considerable attention in the context of aging in China. However, most previous studies on this issue have focused on registered nurses. This study aimed to explore nursing assistants' knowledge, attitudes and training needs with regard to urinary incontinence. METHODS We conducted a two-part mixed-methods study. After institutional manager approval, we surveyed the knowledge and attitudes of 509 nursing assistants regarding urinary incontinence. We carried out semi-structured interviews with 40 nursing assistants to elicit detailed information on training needs. RESULTS In general, knowledge about urinary incontinence was poor (14.00 ± 4.18), although attitudes were primarily positive (35.51 ± 3.19). Most nursing assistants were very willing to learn more about urinary incontinence (93.9%, 478/509), but time constraints and low educational background may be barriers to learning motivation. The three preferred training styles among nursing assistants were face-to-face guidance from a mentor, training combining theory with practice, and online video training. CONCLUSIONS Chinese nursing assistants had poor knowledge but positive attitudes toward urinary incontinence. Facility managers should focus on developing training and learning mechanisms regarding urinary incontinence. It is important to adopt diverse training styles according to the actual situation of nursing homes.
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Affiliation(s)
- Lulu Liao
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hui Feng
- Xiangya School of Nursing, Central South University, Changsha, China.
- Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, China.
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.
| | - Jingjing Jiao
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Yinan Zhao
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Hongting Ning
- Xiangya School of Nursing, Central South University, Changsha, China
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Non-medication coping strategies for urinary incontinence in older adults: factors associated with frequency of use. Int Urogynecol J 2022; 33:1259-1265. [PMID: 35195740 DOI: 10.1007/s00192-022-05109-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 01/20/2022] [Indexed: 10/19/2022]
Abstract
INTRODUCTION AND HYPOTHESIS The aim of this study is to determine the frequency of the use of non-medication coping strategies for urinary incontinence in older adults. METHODS This methodological and cross-sectional study was conducted in 320 older adults. The data of the study were collected using a personal information form and a urinary incontinence questionnaire form regarding the frequency of the use of non-medication coping strategies for urinary incontinence. Within the scope of the validity and reliability study of the questionnaire, Cronbach's alpha, factor analysis tests, KMO, Bartlett's test, and principal components analysis were used. Descriptive statistics, independent t test, ANOVA, and correlation test were also used for data. The statistical accepted significance level was p < 0.05. RESULTS The mean age of the participants in the study was 75.54 ± 9.34 years. Older adults who are illiterate, who are single, who have a chronic disease, who are at an advanced age, who are women, who describe having urinary incontinence during activities, who always experience leaking urine, whose diapers or underwear get wet, who share these issues with their relatives, and who do not consult a doctor because they are afraid of being examined were all found to have a higher frequency of use of coping strategies for urinary incontinence (p < 0.05). CONCLUSIONS This study recommends carrying out studies to raise awareness about urinary incontinence in older adults. In addition, this study suggests that the questionnaire applied to older adults study subjects regarding the frequency of the use of non-medication coping strategies for urinary incontinence might be used for all age groups.
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Yuan Y, Wang H, Chen Q, Xie C, Li H, Lin L, Tian L. Illness experience and coping styles of young and middle-aged patients with sudden sensorineural hearing loss: a qualitative study. BMC Health Serv Res 2021; 21:742. [PMID: 34315453 PMCID: PMC8314487 DOI: 10.1186/s12913-021-06763-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 07/16/2021] [Indexed: 11/10/2022] Open
Abstract
Background The incidence of Sudden Sensorineural Hearing Loss (SSNHL) is increasing and tends to occur at a young age. The patient’s disease experience during treatment is related to their physical and mental health. Effective coping styles such as proactively solving problems and asking for help will alleviate the patients’ psychological symptoms and improve their quality of life. Aims and objectives To explore the illness experience and coping styles of young and middle-aged patients with SSNHL (age: 18–64 years), clarify the relationship between the two, and understand the psychological state and needs of the patients. Methods The purposive and maximum difference sampling method was used to conduct semi-structured interviews with 23 young and middle-aged SSNHL patients. The interview data were analyzed by Colaizzi’s seven-step analysis. Results The illness experience of young and middle-aged SSNHL patients was complex, including symptoms during the onset of deafness and emotional experience before and after diagnosis. The coping styles of young and middle-aged SSNHL patients were active and diverse, including active acquisition of information, change in living habits, and seeking the care and attention of medical staff. Illness experience and coping style influence each other: good illness experience leads to active coping styles; active coping style results in good illness experience. Conclusions The illness experience of young and middle-aged SSNHL patients includes not only physical symptoms, but also changes in psychological and emotional reactions. Good illness experience can lead patients to adopt active coping style. Active and effective coping styles, such as positive acquisition of information, change in living habits and seeking care and help, can improve patients’ illness experience. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-021-06763-z.
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Affiliation(s)
- Yang Yuan
- The First Affiliated Hospital of Soochow University/School of Nursing, Medical College of Soochow University, No. 188 Shizi Road, 215006, Suzhou, People's Republic of China.,School of Nursing, Medical College of Soochow University, 215006, Suzhou, China
| | - Hong Wang
- School of Nursing, Medical College of Soochow University, 215006, Suzhou, China.,Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, 215021, Suzhou, China
| | - Qiuyun Chen
- School of Nursing, Medical College of Soochow University, 215006, Suzhou, China
| | - Congyan Xie
- School of Nursing, Medical College of Soochow University, 215006, Suzhou, China
| | - Haixia Li
- Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, 215021, Suzhou, China
| | - Lu Lin
- The First Affiliated Hospital of Soochow University/School of Nursing, Medical College of Soochow University, No. 188 Shizi Road, 215006, Suzhou, People's Republic of China. .,School of Nursing, Medical College of Soochow University, 215006, Suzhou, China.
| | - Li Tian
- The First Affiliated Hospital of Soochow University/School of Nursing, Medical College of Soochow University, No. 188 Shizi Road, 215006, Suzhou, People's Republic of China. .,School of Nursing, Medical College of Soochow University, 215006, Suzhou, China.
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Sumarsono B, Jong JJ, Wang JY, Liao L, Lee KS, Yoo TK, Liu SP, Chuang YC. The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross-sectional, prevalence-based study. Low Urin Tract Symptoms 2020; 12:223-234. [PMID: 32207219 DOI: 10.1111/luts.12308] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 02/19/2020] [Accepted: 02/24/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVES To assess prevalence of urinary incontinence (UI), including urgency UI (UUI), stress UI (SUI) and mixed UI (MUI) in individuals aged ≥40 years in China, Taiwan and South Korea. METHOD This was a post hoc analysis of a cross-sectional, questionnaire-based internet survey. Participants were asked questions relating to urinary symptoms, health-related quality of life (HRQoL) and mental health (using the HRQoL 12-item short form health survey mental health and physical domains, and the Hospital Anxiety and Depression Scale), visits to healthcare professionals (HCPs) for any reason or for urinary symptoms, treatments for urinary symptoms and treatment satisfaction. RESULTS Of 8284 survey participants, 1818 (22%) reported any UI (men 17.3%, women 26.4%). MUI was the most prevalent (overall 9.7%, men 6.8%, women 12.6%) followed by SUI (overall 7.9%, men 5.1%, women 10.7%) and UUI (overall 4.3%, men 5.5%, women 3.2%). HRQoL, anxiety and depression scores were poor in all participants with UI; MUI was associated with the worst scores. Of the participants with UI, 46.9% visited HCPs for urinary symptoms (highest proportion [62.7%] among participants with MUI). Approximately 80% of participants with UI followed treatment, with prescribed medicine being the most common form (38.1%). Over half of participants (59.6%) were somewhat, very, or extremely satisfied with their treatment. MUI was associated with least satisfaction. CONCLUSION UI was associated with substantial problems, including an adverse impact on HRQoL. Medication failed to satisfy many individuals with UI. Efforts to educate the public and physicians about the impact of UI could improve diagnosis and treatment rates.
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Affiliation(s)
| | - Jar Jar Jong
- Astellas Pharma Singapore Pte. Ltd, Singapore, Singapore
| | - Jian-Ye Wang
- Department of Urology, Beijing Hospital, Beijing, China
| | - Limin Liao
- Department of Urology, Beijing Hospital, Beijing, China.,Department of Urology, China Rehabilitation Research Center, Capital Medical University, Beijing, China
| | - Kyu-Sung Lee
- Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Tag Keun Yoo
- Department of Urology, Eulji General Hospital, Seoul, Republic of Korea
| | - Shih-Ping Liu
- Department of Urology, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan
| | - Yao-Chi Chuang
- Department of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Gümüşsoy S, Kavlak O, Dönmez S. Investigation of body image, self‐esteem, and quality of life in women with urinary incontinence. Int J Nurs Pract 2019; 25:e12762. [DOI: 10.1111/ijn.12762] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 05/31/2019] [Indexed: 12/27/2022]
Affiliation(s)
- Süreyya Gümüşsoy
- Atatürk Health Care Vocational SchoolEge University Bornova Turkey
| | - Oya Kavlak
- Ege University Nursing FacultyEge University Bornova Turkey
| | - Sevgül Dönmez
- Institute of Health Sciences, Department of NursingMuğla Sıtkı Koçman University Muğla Turkey
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Dantas TH, Castaneda L, Correia GN, Campelo CLDC, Sousa Dantas D. Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0. Neurourol Urodyn 2019; 38:1767-1774. [DOI: 10.1002/nau.24073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Revised: 05/19/2019] [Accepted: 05/27/2019] [Indexed: 12/17/2022]
Affiliation(s)
- Thaissa Hamana Dantas
- Postgraduate Program of Rehabilitation Sciences, Faculty of Health Sciences of TrairiFederal University of Rio Grande do NorteNatal Brazil
| | - Luciana Castaneda
- Federal Institute of EducationScience and Technology of Rio de JaneiroNiterói Brazil
| | - Grasiéla Nascimento Correia
- Postgraduate Program of Rehabilitation Sciences, Faculty of Health Sciences of TrairiFederal University of Rio Grande do NorteNatal Brazil
| | | | - Diego Sousa Dantas
- Postgraduate Program of Rehabilitation Sciences, Faculty of Health Sciences of TrairiFederal University of Rio Grande do NorteNatal Brazil
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Dantas THDM, Castaneda L, Magalhães AG, Dantas DDS. Linking of assessment scales for women with urinary incontinence and the International Classification of Functioning, Disability and Health. Disabil Rehabil 2018; 41:1443-1449. [DOI: 10.1080/09638288.2018.1431695] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Luciana Castaneda
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Adriana Gomes Magalhães
- Graduate Program in Rehabilitation Sciences, Universidade Federal do Rio Grande do Norte, Natal, Brazil
| | - Diego de Sousa Dantas
- Graduate Program in Rehabilitation Sciences, Universidade Federal do Rio Grande do Norte, Natal, Brazil
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