Incontinencia urinaria e um problema de saude pubica por ser uma doenca multifatorial que acomete em termo 27,6% das mulheres e 10,5% dos homens, refletindo nas relacoes interpessoais, profissionais e sexuais. O estudo teve como objetivo Caracterizar o perfil sociodemografico, epidemiologico e clinico de mulheres com incontinencia urinaria atendidas em uma Clinica Ginecologica de um Hospital Universitario do Piaui. E uma pesquisa de campo do tipo exploratorio descritiva, transversal, realizada no mes de setembro de 2015, mediante a aplicacao de um formulario semiestruturado em 48 mulheres. A prevalencia de incontinencia urinaria foi maior em mulheres com faixa etaria entre 30 a 48 anos (52,1%), casadas (56,3%), pardas (72,9%) e com nivel de escolaridade de ensino fundamental incompleto (39,6%). Destaca-se como fatores de risco: consumo de cafeina (97,9%), cirurgia ginecologica (87,5%), infeccao urinaria (62,5%) e pratica de atividade fisica (56,3%). O tempo de inicio da doenca foi entre 1 a 5 anos (43,8%), com episodios de perda de urina ao espirrar (89,6%), ao tossir (83,3%) e antes de chegar ao banheiro (75%). Adotaram como atitudes comportamentais de ficarem proximas ao banheiro (54,2%) e a fazerem uso de absorventes ou forros (41,7%). Apenas 33,3% procuram o medico, 35,4% receberam orientacoes sobre a doenca, 25% conhecem o diagnostico medico e 12,5% realizaram algum tipo de tratamento.  O estudo possibilitou conhecer a realidade das mulheres com incontinencia urinaria que buscam assistencia a saude em um Hospital Universitario, com resultados que se aproximam de estudos anteriores sobre a tematica.

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Caracterização e fatores de risco de incontinência urinária em mulheres atendidas em uma clínica ginecológica

The purpose of this cross-sectional study was to assess the prevalence of self-reported urinary loss in elderly women living in the city of Porto Alegre (Rio Grande do Sul, Brazil), as well as to determine the relation between urinary incontinence (UI) and pelvic floor muscle function (PFMF) It included 270 elderly women (aged from 60 to 92 years) from a population sample, who reported the presence (n=155; 691±78 years) or absence (n=115; 677±79 years) of urine loss Those who reported UI were asked about how long they had been experiencing urinary leakage, the amount of urine lost (drops, jets or complete micturition) and situations in which they lost urine Out of the total number of individuals, 178 agreed to undergo the assessment of PFMF by means of a perineometry and a bidigital test The prevalence of elderly women who reported UI (574%) was significantly higher, and the most common isolated situation of urine loss was being unable to get to the toilet in time (261%), and this occurred mainly in drops (523%) The UI lasted for a median of three years The elderly women with UI had significantly lower PFMF than those without it, regardless of the type of measurement used (perineometry or bidigital test) Therefore, we conclude that, in this sample, UI had a high prevalence and was associated with decreased PFMF Bearing these findings in mind and taking into account the data available in the literature about the impact of UI on health and quality of life, as well as the low cost of its assessment and treatment, we suggest that the management and care of this dysfunction should be carried out at the Primary Health Care level

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Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

Introduction: The effectiveness of pelvic floor muscle training (PFMT) depends on the correct prescription of intensity, repetition and endurance of muscle contractions, which are provided by an adequate assessment of pelvic floor muscle. Objective: Verify the techniques, resources and strategies used for clinical functional evaluation of female pelvic floor (PF) described in literature. Methods : It’s an integrative review of published studies and books from 2010 until December 2015. Relevant articles with complete description of PF evaluation were found through the use of Scielo, LILACS, PubMed and Medline databases. Results: 34 articles that fulfilled all the criteria were selected. Conclusion: The most used techniques, resources and strategies were: anamnesis, physical examination, measurement of pelvic floor muscle activity using Modified Oxford Scale or perineometry, and use of questionnaires to analyze patient's perspective of their own symptoms. Thus, we could use the parameters obtained in the evaluation to plan an ideal PFMT for each patient, so the physiotherapist would have a good database to analyze the evolution and define the end of therapy.

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Clinical functional evaluation of female's pelvic floor: integrative review

The aim of this study was to assesses the factors associated with the occurrence of urinary incontinence (UI) in elderly people living in long-term care homes. Reports on Urinary Incontinence coupled to clinical-functional and socio-demographic data were retrieved from the medical records of elderly people. In addition, the application of the protocols: Mini-Mental State Examination, Katz Index, Short Physical Performance Battery. It was considered a significance level of 5%. It was noted that the UI occurred in 80.6% of elderly people, with average age 76.5 years (± 8.3) and average time at the care home reaching 5.2 years (± 6.4). Significant UI association was reported with gender, education and disease. A discrete increase in scores occurred in protocols for elderly people without UI occurrence. It is concluded that sample was characterized by elderly females with less than five years living in homes. The elderly with UI were similar to elderly people in general with regard to protocols.

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Evaluation of factors associated with urinary incontinence in elderly people in long-term care homes

Introduction: Although aging is physiological, is seen by society more vulnerable to disease and may interfere with the autonomy, mobility, manual dexterity, lucidity and functional capacity of the bladder and lower urinary tract, favoring the emergence of Urinary Incontinence (IU). The UI is present in the whole population, it is the complaint of any involuntary leakage of urine, negatively affecting the quality of life of incontinent people.Objective: To determine the prevalence of UI in the elderly of both sexes, to assess the impact of quality of life in front of urinary incontinence and the moment of loss prevalent in this population.Methods: 50 elderly people above 60 years of age were interviewed, a center that serves the community of Cascavel - PR. The volunteers answered a questionnaire, called International Consultation on Incontinence Questionnaire - Urinary Incontinence / Short Form (ICIQ / SF), adapted to the Portuguese applied in May and June 2014. For statistical analysis, the data were tabulated in Microsoft Office Excel 2010 and later analyzed by the researcher.Results: 44% of our volunteers do not show loss of urine and 56% of individuals have some type of urinary incontinence, with 35.7% male and 64.3% female. As for the impact of quality of life in incontinent individuals, 46% reported very severe impact. Regarding the moment of urine loss, lose 22% just before reaching the toilet and 16% lose when they cough or sneeze.Conclusion: The study revealed a high prevalence of urinary incontinence in elderly women. Much of incontinent individuals reported having a serious impact on their quality of life. And as regards the timing of urine loss, the most cited by volunteers were lost just before reaching the toilet.

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Impacto da qualidade de vida frente à incontinência urinária em indivíduos idosos

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.

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Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

AbstrA ct | 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.

Quality of life assessment before and after a physical therapy intervention for urinary incontinence Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária Evaluación de la calidad de vida antes y después de tratamiento fisioterapéutico para incontinencia

1PUCRS – Porto Alegre (RS), Brasil. AbstRA ct | 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.

/pdf/avaliacao-da-qualidade-de-vida-antes-e-depois-de-tratamento-2rfzb11fl0.pdf

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária Quality of life assessment before and after a physical therapy intervention for urinary incontinence Evaluación de la calidad de vida antes y después de tratamiento fisioterapéutico para incontinencia

Camila de Souza Royer

Papers

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária