Rosângela Higa

Restrições causadas pela incontinência urinária à vida da mulher

Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans 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 womens 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.Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans 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 São 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 incontinence and urge incontinence were mentioned as that affected the most womens 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.

Fatores associados com a incontinência urinária na mulher

The aim of this present study was to assess the urinary incontinence (UI) prevalence, and its associate factors among nurse female staff of a school hospital. Of the 378 questionnaires delivered, 291 (77%) were answered, and 80 (27.5%) employers reported complaint UI. The multivariate analysis had shown that there is a more probability of developing UI after 41 years of age, having changed the weight, having intestinal constipation and having arterial hypertension. It was concluded that preventable educational measures are necessary in order warn same factors that caused UI among nursing female staff. Descriptors: Urinary incontinence; Risk factors; Women’s health.The aim of this present study was to assess the urinary incontinence (UI) prevalence, and its associate factors among nurse female staff of a school hospital. Of the 378 questionnaires delivered, 291 (77%) were answered, and 80 (27.5%) employers reported complaint Ul. The multivariate analysis had shown that there is a more probability of developing Ul after 41 years of age, having changed the weight, having intestinal constipation and having arterial hypertension. It was concluded that preventable educational measures are necessary in order warn same factors that caused UI among nursing female staff.

Psychocultural meanings of urinary incontinence in women: a review

The purpose of the present study was to identify and analyze studies in health literature about the psychocultural meanings reported by women who experience urinary incontinence (UI). A bibliographical search was executed in the following databases: Lilacs, Medline, Pubmed and Medscape. The present review showed that studies note several meanings. The articles were grouped in three categories defined as significant: according to age experiences, cultural-religious experiences and experiences in self-care. The studies revealed that the degree of anguish and the range of the difficulties experienced are related both with age, ethnic group or religion and with the perception each individual has of her incontinence, which will lead to different levels of emotional disorders and to seeking (or not seeking) treatment. Besides, barriers regarding self-care are perceived. It is concluded that the UI may cause suffering and incontinent women have difficulties to deal with this problem.The purpose of the present study was to identify and analyze studies in health literature about the psychocultural meanings reported by women who experience urinary incontinence (UI). A bibliographical search was executed in the following databases: Lilacs, Medline, Pubmed and Medscape. The present review showed that studies note several meanings. The articles were grouped in three categories defined as significant: according to age experiences, cultural-religious experiences and experiences in self-care. The studies revealed that the degree of anguish and the range of the difficulties experienced are related both with age, ethnic group or religion and with the perception each individual has of her incontinence, which will lead to different levels of emotional disorders and to seeking (or not seeking) treatment. Besides, barriers regarding self-care are perceived. It is concluded that the UI may cause suffering and incontinent women have difficulties to deal with this problem.

The impact of urinary incontinence on female nursing personnel

Was assessed the prevalence of urinary incontinence (UI), its interference in the performance of daily occupational activities and its management among the womens nurse staff of a medical school hospital in Campinas, Sao Paulo. Of the 291 employers, 27.5% reported UI complaint at least monthly. The activities that required greater effort increased the urinary loss, what resulted in stress, feeling embarrassed and lack of concentration at work. The use of pad was the most frequent strategy at management of UI and sometimes the task could not be interrupted to use the restroom. In conclusion, the activities that require more effort and the difficulty for an adequate management of the UI in workplace increase the problem and interfere on professional performance.

Significados psicoculturais da incontinência urinária feminina: uma revisão

The purpose of the present study was to identify and analyze studies in health literature about the psychocultural meanings reported by women who experience urinary incontinence (UI). A bibliographical search was executed in the following databases: Lilacs, Medline, Pubmed and Medscape. The present review showed that studies note several meanings. The articles were grouped in three categories defined as significant: according to age experiences, cultural-religious experiences and experiences in self-care. The studies revealed that the degree of anguish and the range of the difficulties experienced are related both with age, ethnic group or religion and with the perception each individual has of her incontinence, which will lead to different levels of emotional disorders and to seeking (or not seeking) treatment. Besides, barriers regarding self-care are perceived. It is concluded that the UI may cause suffering and incontinent women have difficulties to deal with this problem.The purpose of the present study was to identify and analyze studies in health literature about the psychocultural meanings reported by women who experience urinary incontinence (UI). A bibliographical search was executed in the following databases: Lilacs, Medline, Pubmed and Medscape. The present review showed that studies note several meanings. The articles were grouped in three categories defined as significant: according to age experiences, cultural-religious experiences and experiences in self-care. The studies revealed that the degree of anguish and the range of the difficulties experienced are related both with age, ethnic group or religion and with the perception each individual has of her incontinence, which will lead to different levels of emotional disorders and to seeking (or not seeking) treatment. Besides, barriers regarding self-care are perceived. It is concluded that the UI may cause suffering and incontinent women have difficulties to deal with this problem.

Evaluation of the Nursing Process Used at a Brazilian Teaching Hospital

PURPOSE To evaluate how the nursing process has been registered at a Brazilian teaching hospital. METHODS Descriptive and retrospective study of 68 medical records. FINDINGS The data collection of history was more frequent on the admission day. The documentation of physical exam was prioritized. Sometimes there were records of nursing interventions but not of nursing diagnoses. CONCLUSIONS It was found some failures in the record of some steps of the nursing process. Although all steps had been used, they were not carried out consistently. IMPLICATIONS FOR NURSING PRACTICE Some aspects deserve to be considered to improve the use and registration of all steps of the nursing process as to develop specific protocols, redesign the formulary of data record with careful and equal consideration of all steps, and empower all members of the nursing staff to implement the nursing process more effectively.

Fuzzy cognitive map in differential diagnosis of alterations in urinary elimination: a nursing approach.

PURPOSE To develop a decision support system to discriminate the diagnoses of alterations in urinary elimination, according to the nursing terminology of NANDA International (NANDA-I). METHODS A fuzzy cognitive map (FCM) was structured considering six possible diagnoses: stress urinary incontinence, reflex urinary incontinence, urge urinary incontinence, functional urinary incontinence, total urinary incontinence and urinary retention; and 39 signals associated with them. The model was implemented in Microsoft Visual C++(®) Edition 2005 and applied in 195 real cases. Its performance was evaluated through the agreement test, comparing its results with the diagnoses determined by three experts (nurses). The sensitivity and specificity of the model were calculated considering the experts opinion as a gold standard. In order to compute the Kappas values we considered two situations, since more than one diagnosis was possible: the overestimation of the accordance in which the case was considered as concordant when at least one diagnoses was equal; and the underestimation of the accordance, in which the case was considered as discordant when at least one diagnosis was different. RESULTS The overestimation of the accordance showed an excellent agreement (kappa=0.92, p<0.0001); and the underestimation provided a moderate agreement (kappa=0.42, p<0.0001). In general the FCM model showed high sensitivity and specificity, of 0.95 and 0.92, respectively, but provided a low specificity value in determining the diagnosis of urge urinary incontinence (0.43) and a low sensitivity value to total urinary incontinence (0.42). CONCLUSIONS The decision support system developed presented a good performance compared to other types of expert systems for differential diagnosis of alterations in urinary elimination. Since there are few similar studies in the literature, we are convinced of the importance of investing in this kind of modeling, both from the theoretical and from the health applied points of view. LIMITATIONS In spite of the good results, the FCM should be improved to identify the diagnoses of urge urinary incontinence and total urinary incontinence.

Risk factors for urinary incontinence in women

Trata-se de um estudo de revisao bibliografica com o objetivo de identificar os principais fatores de risco ou associados a incontinencia urinaria (IU) na mulher. Utilizou-se a base de dados MEDLINE e LILACS e pesquisa em bibliotecas dos artigos publicados entre 1983 e 2003. Foram analisadas trinta e oito publicacoes em ingles e portugues, as quais relataram como os principais fatores de risco: idade, trauma do assoalho pelvico, fatores hereditarios, raca, menopausa, obesidade, doencas cronicas, uso de alguns simpaticomimeticos e parasimpaticoliticos, constipacao, tabagismo, consumo de cafeina e exercicios intensos na regiao abdominal. A enfermeira pode, por meio de anamnese, identificar estes fatores e realizar intervencoes para a prevencao e tratamento da IU, contribuindo para melhorar a qualidade de vida da mulher incontinente.The goal of this study was to conduct a review of the main papers published between 1983 and 2003 on the main risk factors for urinary incontinence (UI) in women. Thirty-eight publications in English and Portuguese were analyzed using the MEDLINE and LILACS databases as well as through research in libraries. There is evidence that the main risk factors are age, pelvic floor trauma, hereditary factors, race, menopausal status, obesity, chronic diseases, use of some sympathomimetics and parasympatholitics, constipation, smoking, coffee consumption and intense abdominal exercises. Nurses are able to identify these factors through anamnesis and determine interventions for the prevention and treatment of UI, thus contributing to improve incontinent womens quality of life.

Exclusive breastfeeding practices reported by mothers and the introduction of additional liquids

OBJETIVO: avaliar o conceito de aleitamento materno exclusivo para nutrizes, comparando o periodo em que consideraram realiza-lo e a idade de introducao de outros liquidos. METODO: estudo descritivo transversal, com 309 mulheres que tiveram filhos em um hospital universitario do interior de Sao Paulo, Brasil. Foi realizada analise descritiva dos dados, com cruzamento das variaveis de interesse por meio de teste nao parametrico de Kruskal-Wallis, teste quiquadrado e teste exato de Fisher. RESULTADOS: aproximadamente 30% das mulheres informaram introducao de outros liquidos antes dos seis meses de vida, enquanto afirmavam estar em aleitamento materno exclusivo. Verificou-se associacao das seguintes variaveis com a introducao precoce de liquidos: mulheres sem vinculo empregaticio (p=0,0386), mais jovens (p=0,0159) e primiparas (p= 0,003). CONCLUSAO: e possivel que o conceito de aleitamento exclusivo nao seja claro para as mulheres, pois entendem que pratica-lo significa nao dar outro tipo de leite, podendo oferecer outros liquidos. Isto mostra que a promocao do aleitamento materno deve contemplar a abordagem de crencas e valores, assegurando dialogo efetivo e compreensao junto as maes.Objetivo: evaluar el concepto de la lactancia materna exclusiva mantenido por mujeres lactantes en comparacion con el periodo de duracion de la lactancia considerado por ellas y la edad de los bebes al momento de introduccion de liquidos adicionales. Metodo: Estudio descriptivo transversal realizado con 309 mujeres que dieron a luz bebes en un hospital universitario en Sao Paulo, Brasil. Los datos fueron sometidos a analisis descriptivo; las variables de interes fueron cruzados mediante la prueba no parametrica de Kruskal-Wallis, el chi-cuadrado y la prueba exacta de Fisher. Resultados: el 30% de las mujeres reportaron haber introducido liquidos adicionales antes de que los bebes llegaran a los seis meses de edad, al mismo tiempo afirmaron haber dado lactancia materna exclusiva. Las siguientes variables se asociaron con la introduccion temprana de liquidos: la falta de empleo (p=0,0386), edad materna juvenil (p=0,0159) y el primer embarazo (p=0,003). Conclusion: el concepto de la lactancia materna exclusiva puede no ser totalmente claro para las mujeres, ya que parecen creer que significa no alimentar a los ninos con otros tipos de leche, pero que la administracion de otros liquidos se permite. Esto demuestra que la promocion de la lactancia materna deberia tomar en consideracion creencias y valores para lograr el dialogo y la comprension efectiva con las madres.Descriptores: Lactancia Materna; Ingestion de Liquidos; Conocimiento; Madres; Nutricion del Lactante; Destete.

Urinary incontinence restrictions in women's life

Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans 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 womens 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.Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans 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 São 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 incontinence and urge incontinence were mentioned as that affected the most womens 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.