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.

Urinary Incontinence Restrictions In Women's Life [restrições Causadas Pela Incontinência Urinária A Vida Da Mulher.]

O objetivo principal foi verificar as razoes da nao procura pelo tratamento da incontinencia urinaria (IU) entre mulheres incontinentes, usuarias de uma Unidade Basica de Saude em Campinas, SP. Trata-se de um estudo descritivo e transversal, no qual foram abordadas 213 mulheres que compareceram ao servico para realizar o exame de citologia oncotica, sendo incluidas apenas 35 que eram incontinentes. Utilizaram-se tres questionarios: o ICIQ-SF, o King´s Health Questionnaire e um instrumento elaborado para esse estudo. Grande parte dos sujeitos (45,7%) nao conhecia nenhuma forma de tratamento para a IU e mais da metade (65,7%) nao buscou tratamento para o problema, sendo as principais razoes apontadas o fato de achar normal a perda de urina, nao considera-la algo importante e a questao do medico dizer que nao era necessario. Conclui-se que o desconhecimento sobre os tipos de tratamento pode contribuir para nao procurarem ajuda profissional.

Incontinência urinária em mulheres: razões da não procura por tratamento

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.

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Associated factors to urinary incontinence in women undergoing urodynamic testing

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-1hkonrksg4.pdf

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

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.

/pdf/abordagem-fisioterapeutica-da-incontinencia-urinaria-em-4zwl4fjn0f.pdf

Abordagem fisioterapêutica da incontinência urinária em idosos na atenção primária em saúde

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.

/pdf/qualidade-de-vida-de-mulheres-com-incontinencia-urinaria-15m5ssgipp.pdf

Qualidade de vida de mulheres com incontinência urinária

Objective. To evaluate oriented physical exercises utility in the postpartum period by the obstetrician nurse. Methodology. Bibliographic research of national and international publications and information research in the Health Virtual Library BIREME of Brazil, and the Sao Jose do Rio Preto Faculty of Medicine- FAMERP library. Results. Literature analysis showed that obstetrician nurses guide pregnant women about physical exercises recommended for them, contributing to puerperal mothers integral care. They also provide education in self care, prevention and early detection of complications. It helps to improve their quality of life and body image. Conclusion. Physical exercises practice during the puerperium can be guided by the obstetrician nurse and it should be included among the integral care interventions to women during the gravidic-puerperal cycle.

https://dialnet.unirioja.es/descarga/articulo/3730885.pdf

Proposta de exercícios físicos no pós-parto: Um enfoque na atuação do enfermeiro obstetra

Introduction: Urinary incontinence (UI) represents a common problem among women, and compromises their quality of life. The aim was to measure the quality of life of women with complaints of urinary incontinence. These women received medical care at the Urology Outpatient Care Center of a teaching hospital. Forty-three women who had complaints of UI were interviewed. All ethical principles for research involving human beings were respected. The average age was 50.7 years. 62.5% reported urinary leakage for 5-9 years. There were several allusions to physical and psychological damages caused by urinary incontinence: 33.5% to psychosocial interactions, 23.3% to sex life, 41.9% reported depression and social isolation, 27.9% sleep disorders and 76.7% embarrassment due to urine leakage. The obtained data permit amplified actions for treatment and counseling of women with urinary incontinence.

/pdf/quality-of-life-of-women-with-urinary-incontinence-27tu39psmq.pdf

Quality of life of women with urinary incontinence

/pdf/propuesta-de-ejercicios-fisicos-en-el-posparto-un-enfoque-en-55gesw6v2c.pdf

Propuesta de ejercicios físicos en el posparto: Un enfoque en la actuación del enfermero obstetra

Objective: to evaluate the knowledge of the nursing staff of a pediatric emergency unit about physical abuse against children and adolescents. Methodology: a qualitative study with 18 nurses, a quaternary teaching hospital in the North West of Sao Paulo, Sao Paulo / Brazil. Data collection was through interviews recorded, using a form and analyzed by the technique of content analysis. The data were presented in figures and descriptively. The research project was approved by the Research Ethics, Opinion n o . 369/2010 and Protocol n o . 5697/2010. Results: most of the nursing staff had knowledge about physical abuse, although many confuse the kinds of violence, too, had little knowledge about related laws. Conclusion: there is need for training of the nursing staff about the types of abuse against children and adolescents, to the appropriate conditions of diagnostic, reporting and interventions. Descriptors: Battered Child Syndrome; Domestic Violence Children; Teens; Nursing Team. RESUMO Objetivo : verificar o conhecimento da equipe de enfermagem de uma unidade de emergencia pediatrica quanto aos maus tratos fisicos contra criancas e adolescentes. Metodologia : estudo qualitativo, com 18 profissionais de enfermagem, de um hospital escola quaternario no Noroeste paulista, Sao Paulo/Brasil. A coleta dos dados foi por meio de entrevista gravada, com uso de formulario e analisados pela Tecnica de Analise de Conteudo. Os dados foram apresentados em figuras e de forma descritiva. O Projeto de Pesquisa foi aprovado pelo Comite de Etica em Pesquisa, parecer n o . 369/2010 e Protocolo n o . 5697/2010. Resultados : a maioria da equipe de enfermagem possuia conhecimento sobre maus tratos fisicos, apesar de muitos confundirem os tipos de violencia; tambem, tinha pouco conhecimento sobre normas legais relacionadas. Conclusao : ha necessidade de capacitacao da equipe de enfermagem sobre os tipos de maus tratos contra criancas e adolescentes, visando as condicoes adequadas de diagnostico, notificacao e intervencoes. Descritores : Sindrome da Crianca Maltratada; Violencia Domestica; Criancas; Adolescentes; Equipe de Enfermagem. RESUMEN Objetivo: evaluar el conocimiento del personal de enfermeria de una unidad de emergencia pediatrica sobre abuso fisico contra los ninos, ninas y adolescentes. Metodologia: estudio cualitativo con 18 enfermeras, en un hospital docente cuaternario en el noroeste de Sao Paulo, Sao Paulo / Brasil. La recoleccion de datos fue a traves de entrevistas grabadas, usando un formulario y se analizo mediante la tecnica de analisis de contenido. Los datos se presentan en las figuras y descriptivamente. El proyecto de investigacion fue aprobado por el Comite de Etica de Investigacion, Dictamen n o . 369/2010 y en el Protocolo n o . 5697/2010. Resultados: la mayor parte del personal de enfermeria tenia conocimiento sobre el abuso fisico, aunque muchos confunden el tipo de violencia, tambien, tenian poco conocimiento acerca de las leyes relacionadas. Conclusion: existe necesidad de la formacion del personal de enfermeria sobre los tipos de abusos contra los ninos, ninas y adolescentes, a las condiciones apropiadas de diagnostico, presentacion de informes y las intervenciones. Descriptores: Sindrome del Nino Maltratado; Violencia Infantil; Adolescentes; Equipo de Enfermeria. Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */
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/pdf/maus-tratos-fisicos-contra-criancas-e-adolescentes-percepcao-4bi5ru5mt6.pdf

Juliana Ribeiro

Papers

Qualidade de vida de mulheres com incontinência urinária

Proposta de exercícios físicos no pós-parto: Um enfoque na atuação do enfermeiro obstetra

Quality of life of women with urinary incontinence

Propuesta de ejercicios físicos en el posparto: Un enfoque en la actuación del enfermero obstetra

Maus tratos físicos contra crianças e adolescentes: percepção da equipe de enfermagem pediátrica