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Ana Paula Bugdan

Bio: Ana Paula Bugdan is an academic researcher from Faculdade de Medicina de São José do Rio Preto. The author has an hindex of 1, co-authored 1 publications receiving 23 citations.

Papers
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Journal ArticleDOI
01 Aug 2011
TL;DR: Los datos obtenidos permiten acciones ampliadas para el atendimiento medico and the orientacion of mujeres with incontinencia urinaria.
Abstract: La incontinencia urinaria (IU) es un problema comun, afectando principalmente a las mujeres, y perjudica su calidad de vida. La finalidad fue investigar la calidad de vida de mujeres con quejas de incontinencia urinaria que buscaron atendimiento medico en ambulatorio de urologia de un hospital escuela. Se entrevisto a 43 mujeres con queja de IU y se cumplieron todos los aspectos eticos de la investigacion en seres humanos. La media de edad fue de 50,7 anos; 62,8% relataron perdida de orina entre 5 y 9 anos. Hubo muchos relatos de danos fisicos y psicologicos causados por la incontinencia urinaria: un 33,5% en la interaccion psicosocial; un 23,3% en la vida sexual; 41,9% depresion y aislamiento social; 27,9% alteraciones del sueno; 76,7% verguenza debido a la perdida de orina. Los datos obtenidos permiten acciones ampliadas para el atendimiento medico y la orientacion de mujeres con incontinencia urinaria.

23 citations


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Journal Article
01 Jan 2006-Scopus
TL;DR: In this paper, the restriction of the urinary incontinence (UI) in a woman's daily life, considering the type of incongoing, and find out how women deal with that, was verified.
Abstract: Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a woman's daily life, considering the type of incontinence, and find out how women deal with that. It is a secondary analysis of data taken from a previous study that were obtained using open and closed questions. Interviews were held with 164 incontinent inpatients of gynecological and urological clinics of two hospital schools in the city of Campinas, in the State of Sao Paulo, with ages ranging from 25 to 85 years. Of this universe, 104 (64%) indicated one or more restrictions regarding their daily life activities, such as altered sexual (40.9%), social (33.5%), domestic (18.9%) and occupational activities (15.2%). Mixed urinary incon-tinence and urge incontinence were mentioned as that affected the most women's daily life. The disposable pad system was the most utilized strategy in dealing with UI. It was concluded that UI has a negative impact on the daily life of these women.

100 citations

Journal ArticleDOI
TL;DR: Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery.
Abstract: OBJECTIVE Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. METHOD A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. RESULTS White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women.

11 citations

Journal ArticleDOI
TL;DR: In this article, the influence of physical therapy intervention on the quality of life (QoL) of women with urinary incontinence (UI) and its effectiveness for urinary loss was analyzed.
Abstract: This quasi experimental study analyzed the influence of a physical therapy intervention on the quality of life (QoL) of women with urinary incontinence (UI) and its effectiveness for urinary loss. Took part in this study 55 women (35 to 87 years) with a clinical diagnosis of UI who underwent an anamnesis and had the function of their pelvic floor muscles (PFMF; bidigital test) and their QoL measured (King's Health Questionnaire - KHQ). Up to 15 weekly sessions were carried out with endovaginal electrical stimulation and perineal exercises. Once the participants reported not losing urine or expressed the desire to stop the treatment, it was terminated, regardless of the number of sessions undertaken. After treatment, the bidigital test and the KHQ were repeated and the participants were asked if they considered themselves to be continent, satisfied with the treatment or not improved. Most participants were aged between 51 and 60 years, underwent vaginal delivery with episiotomy and had prolapse. Most had mixed UI, followed by stress UI. The situations when the urinary loss most commonly occurred were coughing and sneezing, which happened mostly in jets. There was a significant improvement in all of the KHQ domains, except the general health perception. After the intervention, 90.9% of the women said that they were continent or satisfied with the treatment. The physical therapy intervention resulted in improved QoL and it was effective for containing the urinary loss.

10 citations

Journal ArticleDOI
TL;DR: Houve significância estatística em vários domínios da QV dos idosos submetidos a abordagem fisioterapêutica, demonstrando that, mesmo em um nível mais baixo de atenção à saúde, é possível ter efeitos relevantes sobre a IU e a QV desse público.
Abstract: RESUMO O objetivo deste estudo foi avaliar os beneficios da abordagem fisioterapeutica da IU em idosos em uma unidade basica de saude (UBS) de Belem (PA). Trata-se de uma proposta para treinamento dos musculos do assoalho pelvico (MAP) em 10 encontros semanais com atividades progressivas. Foram incluidos idosos de ambos os sexos, e excluidos os individuos com prejuizo cognitivo, instabilidade hemodinâmica e mobilidade impossibilitada, alem dos idosos com participacao inferior a 50% dos encontros. Foi realizada avaliacao por meio de dados sociodemograficos e clinicos, e da QV, por meio do King’s Health Questionaire (KHQ), que foi reaplicado ao final dos encontros. A amostra inicial contou com 10 idosos, com idade de 70,3±5,01 anos, sendo 80% do sexo feminino, 80% dos idosos relataram cirurgias pelvicas previas, prolapsos em 3 idosos, destes, 2 eram de bexiga. Os dominios do KHQ com escores mais altos, e consequente pior QV, foram impacto da IU (54,1±24,8), percepcao de saude (43,7±11,5) e medidas de gravidade (31,2±23,8). Houve significância estatistica em varios dominios da QV dos idosos submetidos a abordagem fisioterapeutica, demonstrando que, mesmo em um nivel mais baixo de atencao a saude e possivel ter efeitos relevantes sobre a IU e a QV desse publico.

9 citations

Journal ArticleDOI
TL;DR: Both treatment protocols decrease episodes of leakage of urine, increase the PFM strength, endurance and number of fast contractions, and the quality of life of women with UI.
Abstract: Background: Urinary incontinence (UI) is clinically defined by the International Continence Society as involuntary urine loss. Currently, UI isconsidered a public health issue worldwide, considering that the prevalence in women is quite high, requiring attention from healthprofessionals. Objective: To evaluate the effects of the Pilates method associated with Manual Therapy in women with UI. Methods: It wasperformed a randomized, controlled, longitudinal clinical trial with a quantitative approach of the data. 14 female participants were evaluated,aged 20 to 55 years and who had presented episodes of urinary loss in the last months. The following evaluations were carried out: anamnesis,evaluation of urogynecological history, application of the King’s Health Questionnaire and PERFECT test. After all the evaluations, half of thevolunteers received treatment for urinary incontinence through a physical therapy approach that includes the Pilates method associated withManual Therapies (GPT), and the other half received treatment using only the Pilates method (GP). Results: Both groups showed increasedPFM strength, being GPT (p = 0.04) and GP (p = 0.00); increased resistance, being GPT (p = 0.02) and GP (p = 0.01); and the contraction offibers, being GPT (p = 0.04) and GP (p = 0.02). In the GPT there was a decrease in the severity measures (p = 0.01); disappearance ofnocturia (p = 0.04); decreased symptoms of SUI (p = 0.02); and bladder pain (p = 0.04). In the GP, there was a significant improvement in theperception of health (p = 0.00); decreased UI impact on the participant's life (p = 0.02); the influence of UI on emotions (p = 0.00); symptomsof overactive bladder (p = 0.01); and the SUI (p = 0.00). Conclusion: Both treatment protocols decrease episodes of leakage of urine whenthere is an increase in intra-abdominal pressure, increase the PFM strength, endurance and number of fast contractions, and the quality oflife of women with UI. However, only the group that received only the Pilates protocol showed an increase in repetitions of slow contraction.

7 citations