الفهرس | Only 14 pages are availabe for public view |
Abstract HO recognizes incontinence as an international health concern, it impact on lifestyle, avoidance of activities, depression, isolation, embarrassment, impact on marital sexual relationships, Increased dependence on caregivers, discomfort and skin irritation, interference with prayers and purity. Urinary incontinence prevalence in Egypt, 1,652 women, age > 20, Community (Assiut), Prevalence, 54.8 % (Urge 15 %, Stress 14.8 %, Mixed 25 %) (El-Azab et al., 2007). Aim of the study: The aim of this study is to assess the quality of life in adult woman with urinary incontinence through: 1. Determine the characteristics (type and degree) of urinary incontinence in adult women with urinary incontinence 2. Identify the affect of urinary incontinence on quality of life of woman with urinary incontinence. 3. Determine the affect the socio-demographic characteristics of women with urinary incontinence on quality of life. W Study Questions? 1. What the type of urinary incontinence in adult woman with urinary incontinence? 2. How dose urinary incontinence in adult women with urinary incontinence affecting their quality of life? 3. Do the socio-demographic characteristics of women with urinary incontinence have affect on quality of life? Research Design: Descriptive study design. Setting: The present study was conducted at the urinary incontinence outpatient clinic of urology in EL-demerdash hospital affiliated to Ain Shams University which serve population at Cairo governorate. Sampling: A purposive sample selected was 50 adult women with UI ,attended outpatient clinic of urology medicine (6 months) and they were selected according to the following criteria. 1- Adult women (20-59 years) 2- Diagnosed with urinary incontinence. Tools of data collection: Two tools were used for this study: 1- Socio-demographic profile, (age – marital status, level of education, income…..etc). 2- Incontinence, its types and severity, the frequency of urination, the presence and severity of symptoms of urgent incontinence…..) 3- Obstetric history, Obstetrical factors playing a role in urinary incontinence (parity, date of last menstrual period, number and type of deliveries, …….) 4- General history data will be obtained (age, body height, body mass, and the presence of chronic diseases, ……) 5- Risk factors for incontinence, (such as age, race/ethnicity, body mass ……) 6- (A) Knowledge of women about urinary incontinence concerning; (definition=points, types, causes, symptoms…) (B): Practices of women about urinary incontinence concerning; first action when affected by UI= 5points, Preparedness before go out of home, maintaining the cloths and copping with UI. 7- The impact of urinary incontinence on quality of life in women (physical domain, emotional domain. social domain and economic domain). Second tool: Second part Anthropometrics measurements: Assess body mass index by three variables were measurements, weight, height and BIM, The subject stood up right barefooted or in thin socks and body mass index (BMI) is a measure of body fatness. It was calculated by the equation: BMI = weight in Kg (Height in meters). According the BMI, participants were classified in to: overweight a BMI from ≥25.00 kg/m2, class 1 obesity BMI from 30.00 – 34.99kg/m2, class 2 obesity BM, from 35.00 – 39.99 kg /m2 (WHO, 2006). Pilot study: The pilot study was carried out on (5 %) of studied sample they were chosen adult women with urinary incontinence this sample were excluded from the study sample. Result: The main finding of this study was summarized as follows: Total number of the studied sample was 50. 38.0 %of the sample aged ranged from 36-47years old, 88.0 % were married, 82.0 % were house wives, 44.0 % were illiterate and 66.0 % were not enough income. 44.0 % had stress urinary incontinence, 62.0 % were first deliver in15-25 years old. Also 60 % were taking caffeine, 18 % were diabetic, and 14 % were on anti hypertensive drugs, 10 % had history of spinal injury and less than 4 % for cigarette, Sedative drugs, Calcium Replacement and accident. 80 % of the adult women with UI were satisfied practices with first action when were affected by UI, 66 % were satisfied practices with Preparedness before go out of the house. 98 % of clients had correct answers on how to care of UI, 40 % correctly defined UI. Only 8 % had correct differentiated types of UI.90 % of studied adult women with urinary incontinence had poor total quality of life .Also more than 80 % had poor physical and psychological QOL, more than 70 % had poor social and economical QOL. Recommendations: 1. A community health nurses at various of contact in primary health care, maternal and child health and schools increase the awareness regarding urinary incontinence and its effects on adult women quality of life. 2. Increasing family awareness toward UI problem through public health education to correct misconceptions could be an effective means of bringing incontinent individuals into contact with appropriate intervention. 3. Providing information for the women about community health resources and maintaining of proper. 4. Developing a health education program to adult women group in the community for the protective urinary incontinence includes: - Weeding in early age. - Early detection of urinary incontinence risk factors. 5. Further researches are required involving larger study samples about the impact medical compliance of women with urinary incontinence on their total quality of life. |