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He HC, Yu BJ, Mai SY, Huang XH, Liu Y, Yang LO, Zhang QL, Yan XY. Care needs for urinary incontinence in older adults: Latent profile analysis. Geriatr Gerontol Int 2024. [PMID: 38925596 DOI: 10.1111/ggi.14920] [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: 04/23/2024] [Accepted: 05/27/2024] [Indexed: 06/28/2024]
Abstract
AIM This study utilized latent profile analysis to investigate care needs subgroups among older adults with urinary incontinence. METHODS The "Elderly Urinary Incontinence Care Needs Inventory" surveyed 510 participants in two Guangzhou City hospitals from July 2022 to June 2023. Latent profile analysis created a classification model, and variance and correlation analysis assessed influencing factors. RESULTS A total of 510 older adults with urinary incontinence participated. The standardized total care needs score was 78.77 ± 5.03, with variations across dimensions: social participation needs scored (71.16 ± 10.32), daily life care needs (78.80 ± 5.51), medical care needs (77.33 ± 12.17), psychological comfort needs (76.97 ± 6.51) and health education needs scored highest (82.67 ± 6.77). Three distinct profiles emerged: "medium," "high SPN-PCN" and "high DLCN-MCN-HEN". The majority belonged to the "high SPN-PCN" profile. Significant correlations were found with age, education, leaks and frequency of micturitions. CONCLUSION Research findings showed the existence of three distinct categories, with a notable majority of participants belonging to the "high SPN-PCN" group. The significance of having these classes identified lies in the move away from a one-size-fits-all approach to a more nuanced understanding of care needs. Customized nursing interventions can be devised based on specific factors, such as age, education level, urinary incontinence-related symptoms and potential category. For instance, for the "high SPN-PCN" group, our nursing strategy can encompass heightened psychological support and expanded opportunities for social engagement.Furthermore, in the training and education of healthcare professionals, recognizing and meeting the needs of each potential category of older adults might require more attention. Geriatr Gerontol Int 2024; ••: ••-••.
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Affiliation(s)
- Hao Chong He
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Bi Jun Yu
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Shu Yuan Mai
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Xiao-Hong Huang
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
- The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China
| | - Ye Liu
- Hunan Foreign Language Vocational College, Changsha, China
| | - Le Ou Yang
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Qiao Ling Zhang
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Xiao-Ying Yan
- Department of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
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Xiang SY, He HC, Liu Y, Yu BJ, Mai SY, Li MY, Yan XY, Huang XH. Care Needs of Older Adults With Urinary Incontinence: A Cross-Sectional Study. J Gerontol Nurs 2024; 50:43-49. [PMID: 38691116 DOI: 10.3928/00989134-20240416-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2024]
Abstract
PURPOSE To explore care requirements of older adults with urinary incontinence (UI) and contributing factors. METHOD This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance, t tests, correlation analyses, and linear regression models, were conducted to assess factors influencing participants' care needs. RESULTS A total of 530 older adults with UI participated in the survey and mean standardized score for overall care needs was 78.65 (SD = 5.01), with mean scores for each dimension ranging from 70.88 (SD = 10.55) for social participation needs to 82.45 (SD = 7.11) for health education needs. Factors that were found to influence incontinence care needs in older adults included age, literacy level, number of leaks, and type of disease (F = 37.07, adjusted R2 = 0.290, p < 0.001). CONCLUSION Comprehensive care for older adults with UI, encompassing physiological, psychological, and social aspects, is crucial. It is essential to tailor care to individual needs and characteristics, taking into account factors, such as age and education, to ensure effective care. [Journal of Gerontological Nursing, 50(5), 43-49.].
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Li J, Zhao X, Li J, Liu Y, Li T. Knowledge of urinary incontinence among women 6 weeks to 1 year after delivery. Neurourol Urodyn 2024. [PMID: 38624008 DOI: 10.1002/nau.25472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 03/11/2024] [Accepted: 04/04/2024] [Indexed: 04/17/2024]
Abstract
BACKGROUND Urinary incontinence (UI) is common among postpartum women, but many do not seek medical help due to limited knowledge. Understanding the level of knowledge about UI in this population is essential for improving care-seeking behaviors and implementing targeted interventions. OBJECTIVE The objective was to examine knowledge regarding UI among postpartum women with UI within 6 weeks to 1 year after delivery. METHODS A cross-sectional study was conducted at obstetric clinic in two level-three grade A hospitals in Shenzhen, China, from January 2023 to June 2023. Women in their 6 weeks to 1 year after delivery with UI were asked to complete a questionnaire comprising three sections: (1) demographic variable; (2) International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI SF); and (3) The Urinary Incontinence Quiz (UIQ). RESULTS A total of 1228 women completed the questionnaire. Their mean UIQ score was 6.63 ± 3.51 (minimum = 2, maximum = 15), indicating the deficiency of UI knowledge among Chinese postpartum women. A total of 86.4% of participants experienced slight or moderate postpartum UI. The results of multivariate linear regression models for UIQ reveal significant independent associations between questionnaire scores and two variables: experience in pelvic floor muscle training (PFMT) (p < 0.001) and UI treatment in the past (p < 0.001). The overall model fit was R2 = 0.559 (p < 0.001). The regression coefficients for the experience in PFMT and UI treatment in the past were 2.301 and 4.916, respectively. However, no other discernible factors were identified to distinguish between those with and without adequate knowledge. CONCLUSIONS Postpartum women with UI within 6 weeks to 1 year after delivery had poor knowledge of UI. Targeted educational interventions focusing on PFMT and early treatment for UI are essential.
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Affiliation(s)
- Jie Li
- Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China
- School of Nursing, Southern Medical University, Guangzhou, Guangdong, China
| | - Xiaoling Zhao
- Obstetrics and Gynecology Reproductive Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
| | - Juanhua Li
- Department of Obstetrics, Zengcheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
| | - Yuanwen Liu
- Department of Obstetrics, Bao'an District Maternal and Child Health Care Hospital, Shenzhen, Guangdong, China
| | - Tiantian Li
- Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China
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Yang JM, Huang WC. Ultrasound in Female Urinary Incontinence. J Med Ultrasound 2024; 32:14-20. [PMID: 38665347 PMCID: PMC11040483 DOI: 10.4103/jmu.jmu_25_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 03/19/2023] [Accepted: 03/22/2023] [Indexed: 04/28/2024] Open
Abstract
Urinary incontinence (UI) is a common health condition that may interfere with the quality of life. A comprehensive evaluation of female UI helps with effective and safe treatments. Ultrasound has gained popularity to explore UI recently because it can collect crucial information for treatment planning and counseling. Translabial and introital approaches are commonly and reliably applied to ultrasound. The images can be obtained using two-dimensional and three-dimensional ultrasounds. Ultrasound is the only modality capable of confirming the presence or absence of a mid-urethral sling (MUS) and is able to demonstrate bulking agents as well. Although some of the ultrasound findings may only be incidental or supplementary to the patient's symptoms, ultrasound benefits for investigating the pathophysiology of UI and surgical outcomes of MUS procedures. It is anticipated that standardization in terminology, measurement techniques, and reporting can be established in the near future.
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Affiliation(s)
- Jenn-Ming Yang
- Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan
| | - Wen-Chen Huang
- Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan
- School of Medicine, National Tsing Hua University, Hsinchu, Taiwan
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Moradinasab S, Iravani M, Mousavi P, Cheraghian B, Molavi S. Effect of cognitive-behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence. Int Urogynecol J 2023; 34:1753-1763. [PMID: 36715741 PMCID: PMC9885913 DOI: 10.1007/s00192-023-05460-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 12/24/2022] [Indexed: 01/31/2023]
Abstract
INTRODUCTION Patients with urinary incontinence may fear sexual activity due to the unpredictability of urine leakage during intercourse. Given the effective role of cognitive-behavioral therapy in correcting negative thoughts and attitudes, this study was aimed to investigate the effect of cognitive-behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence. METHODS This study was a randomized controlled clinical trial conducted on 84 reproductive-aged women (18 to 45 years old) with urinary incontinence who referred to Health Centers of Dezful, Iran. After random allocation, the participants were divided into two groups of intervention and control (n = 42). The intervention group attended eight 45-min sessions of cognitive-behavioral therapy, while the control group received only routine interventions. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Scale of Self-Esteem Index for Women-Short-form (SSEL-W-SF), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were completed before, immediately after, and 4 weeks after the end of the intervention by patients in both groups. RESULTS The overall scores of sexual self-esteem and sexual function immediately and 4 weeks after the end of the intervention showed a statistically significant difference in the intervention group compared to the control group (p < 0.001). Also, the results showed that in women with urinary incontinence, an increase in the sexual self-esteem score is associated with an increase in the sexual function score (r = 0.9), p < 0.001). CONCLUSION Cognitive-behavioral therapy was found to increase sexual self-esteem and improve sexual function in reproductive-aged women suffering from urinary incontinence.
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Affiliation(s)
- Salimeh Moradinasab
- Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mina Iravani
- Reproductive Health Promotion Research Center, Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Parvaneh Mousavi
- Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Bahman Cheraghian
- Department of Biostatistics and Epidemiology, School of Health, Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Shahla Molavi
- Health Psychology, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Ben Zvi M, Arad Cohen M, Friedman M, Ganer Herman H, Weiner E, Ginath S. Urinary Incontinence in Parous Women Practicing Non-Extreme Competitive Sports Compared to the General Population. J Clin Med 2023; 12:jcm12082803. [PMID: 37109140 PMCID: PMC10141981 DOI: 10.3390/jcm12082803] [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: 12/22/2022] [Revised: 02/11/2023] [Accepted: 04/07/2023] [Indexed: 04/29/2023] Open
Abstract
INTRODUCTION AND OBJECTIVE This cross-sectional study aimed to compare the prevalence of urinary symptoms in physically active females to the general population represented by medical staff. MATERIALS AND METHODS We conducted a survey utilizing the UDI-6 questionnaire on women playing catchball for at least one year and training twice a week or more in an official Israeli competitive league. The control group consisted of women practicing medicine (physicians and nurses). RESULTS The study group consisted of 317 catchball players and the control group consisted of 105 medical staff practitioners. Both groups were similar in most of the demographic characteristics. Urinary symptoms represented by UDI-6 scores were higher in women in the catchball group. Frequency and urgency symptoms were common in women playing catchball. Stress urinary incontinence (SUI) was insignificant between the groups (43.8% in the catchball group and 35.2% in the medical staff group, p = 0.114). However, severe symptoms of SUI were more common in catchball players. CONCLUSIONS The rates of all urinary symptoms were higher in in catchball players. SUI symptoms were common in both groups. However, severe symptoms of SUI were more common in catchball players.
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Affiliation(s)
- Masha Ben Zvi
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
| | - Maya Arad Cohen
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
| | - Matan Friedman
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
| | - Hadas Ganer Herman
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
| | - Eran Weiner
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
| | - Shimon Ginath
- Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Holon 5822012, Israel
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Evaluation of the effectiveness of transobturator tape operation in the treatment of stress incontinence. JOURNAL OF CONTEMPORARY MEDICINE 2023. [DOI: 10.16899/jcm.1203481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Abstract
Background/Aims:: In this study, In this study, we aimed to assess the effectiveness of Transobturator Tape Operation in the treatment of Stress İncontinence
Methods: We retrospectively evaluated 454 patients who had TOT operations due to stress urinary incontinence between January 1, 2017, and December 31, 2020, at the İstanbul Kanuni Traning and Research Hospital. The basic clinical characteristics of the participants were recorded. The number of daily peds, values of Q-type test and urinary retention, and scores of urogenital disorder inventory-6 and impact of incontinence inquiry form at the clinical evaluation perioperatively and 6 months after the operation. Data analysis of the study was done with the SPSS version 24.0 package program. Kolmogorov-Smirnov test was used for normality analysis. Wilcoxon test was used for the comparisons of preop and postop data. It was considered statistically significant when the P value was below 0.05
Results: The study was conducted on 454 patients aged 26-83 years with a mean age of 50.3±10 years. The overall complication rate was 15.9. The rate of those who recovered six months after the operation was 89.6%. The number of daily peds, values of Q-tip test and urinary retention, and scores of questionnaires were significantly reduced after surgery (p=0.001).
Conclusions: The TOT operation can be preferred in treating stress incontinence with acceptable success and outcome. The scales of questionnaires successfully determine patient satisfaction with surgical efficacy for SUI.
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