Cuidados basados en terapias conductuales aplicados al paciente con incontinencia urinaria

Martín-Losada, Laura; Moreno, A. Capote; Muñoz, Montserrat Solís

doi:10.1016/j.enfcli.2020.03.005

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…In this sense, it is essential for a good prognosis that health professionals identify, in the initial assessment of women with UI, the time of occurrence, the severity of the symptoms, the association with other symptoms, lifestyle habits, comorbidities, and the resulting discomfort 13 . Thus, these individuals are expected to use some devices, including the voiding diary, which is easy to use and has a low cost, which is fundamental in evaluating and promoting bladder re-education.…”

Section: Discussionmentioning

confidence: 99%

Clinical Management of Urinary Incontinence in Women by Family Health Strategy Nurses

Sousa,

Gomes,

Mello

et al. 2023

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To analyze the performance of nurses from the Family Health Strategy (ESF) in the clinical management of urinary incontinence in women in a planning area in the city of Rio de Janeiro (RJ), Brazil. Method: Descriptive research, with a quantitative approach, was carried out in seven Basic Health Units, in the city of Rio de Janeiro. The sample consisted of 27 nurses who worked in the ESF. Data analysis was performed using simple descriptive statistics, with a description of relative and absolute frequency. Results: Weaknesses were shown in the identification of aspects involving an early approach, risk factors for its development, treatment, and educational activities. Conclusion: Despite recognizing that the ESF has the resources for the treatment of uncomplicated urinary incontinence, some actions are not carried out by the nurses, such as involving the team in the care of women with this condition, prescribing exercises to strengthen the pelvic floor and evaluating and carry out non-pharmacologicaltreatment, as well as the investigation of women without complaints of urinary loss. Therefore, the results indicate the urgent need for training of nurses who work in the ESF.

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Section: Discussionmentioning

confidence: 99%

Clinical Management of Urinary Incontinence in Women by Family Health Strategy Nurses

Sousa,

Gomes,

Mello

et al. 2023

ESTIMA, Braz. J. Enterostomal Ther.

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“…The programme was fully incorporated into daily clinical practice. A specific UI care protocol was initially developed, explaining the prompted voiding programme step by step (Martín‐Losada, Parro‐Moreno, Solís‐Muñoz, & Grupo de investigación en cuidados en Incontinencia Urinaria del Hospital Guadarrama, 2020). In addition, before the start of the study, numerous training activities were carried out for all members of the healthcare team, which continue to be carried out periodically so that all personnel works according to the established protocol.…”

Section: Discussionmentioning

confidence: 99%

“…This therapy is performed at regular time intervals of no less than 2 h, trying to adjust them to the frequency and characteristics of each patient's urination pattern. This intervention was included in the nursing care programme for patients with UI by the hospital management (Martín‐Losada, Parro‐Moreno, Solís‐Muñoz, & Grupo de investigación en cuidados en Incontinencia Urinaria del Hospital Guadarrama, 2020), taking into account the recommendations of the best practice guidelines Promoting Continence Using Prompted Voiding (RNAO, 2005). This intervention is implemented by the nursing team of the FRU, which is composed of registered nurses and nursing assistants who had been previously trained to ensure optimal compliance with the intervention.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of prompted voiding for reversing urinary incontinence in older adults hospitalized in a functional recovery unit: Study protocol

Martín-Losada

Moreno

Serrano-Gallardo

et al. 2021

Journal of Advanced Nursing

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Aims To assess the efficacy of a prompted voiding programme for restoring urinary continence at discharge in hospitalized older adults who presented with reversible urinary incontinence (UI) on admission to a functional recovery unit (FRU). To assess the maintenance of the outcomes achieved after hospitalization. To identify modifiable and unmodifiable factors associated with the success of the prompted voiding programme. Design Quasi‐experimental, pre‐/post‐intervention study without a control group. Methods Participants were aged 65 and over with a history of reversible UI in the previous year who had been admitted to a FRU and were on a prompted voiding programme throughout their hospitalization period. The sample consisted of 221 participants. A non‐probabilistic sampling method, in order of recruitment after signing the informed consent form, was used. The primary outcomes were UI assessed at discharge and 1 month, 3 months and 6 months after discharge. Funding was granted in July 2019 by the Spain Health Research Fund (PI19/00168, Ministry of Health). The proposal was approved by the Spanish Research Ethics Committee. Discussion The prompted voiding programme described can reverse UI or decrease the frequency and amount of urine loss in hospitalized older adults. Impact Urinary incontinence is highly prevalent in hospitalized older adults. There is a need for care aimed at prevention, recovery and symptom control. Prompted voiding is a therapy provided by the nursing team during hospitalization and can also be provided by family caregivers at home after receiving proper training by the nursing team. Prompted voiding will enhance the health, functional ability and quality of life of older adults with UI, resulting in the reduction of associated healthcare costs and the risk of developing complications.

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“…Nesse sentido, é fundamental para um bom prognóstico que os profissionais de saúde identifiquem na avaliação inicial das mulheres com IU o tempo de ocorrência, a severidade dos sintomas, a associação com outros sintomas, os hábitos de vida, a presença de comorbidades e o desconforto causado 13 . Assim, espera-se que esses indivíduos lancem mão de alguns dispositivos, entre eles o diário miccional, de fácil aplicação e baixo custo, fundamental na avaliação e promoção de uma reeducação vesical, sendo recomendada sua solicitação como parte do tratamento conservador 14 .…”

Section: Ressaltaunclassified

Manejo Clínico Da Incontinência Urinária Em Mulheres Por Enfermeiros Da Estratégia De Saúde Da Família

Sousa,

Gomes,

Mello

et al. 2023

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo:Analisar a atuação dos enfermeiros da Estratégia de Saúde da Família (ESF) no manejo clínico da incontinência urinária em mulheres numa área de planejamento do município do Rio de Janeiro (RJ). Método:Pesquisa descritiva, com abordagem quantitativa, realizada em sete Unidades Básicas de Saúde, no município do Rio de Janeiro. A amostra foi composta de 27 enfermeiros que atuavam na ESF. A análise dos dados deu-se por meio de estatística descritiva simples, com descrição de frequência relativa e absoluta. Resultados: Evidenciaram-se fragilidades na identificação dos aspectos que envolvem a abordagem precoce, os fatores de risco para o seu desenvolvimento, o tratamento e as atividades educativas. Conclusão: Apesar de se reconhecer que a ESF possui os recursos para o tratamento da incontinência urinária não complicada, algumas ações não são realizadas pelo enfermeiro, como envolver a equipe no cuidado das mulheres com esse acometimento, prescrever exercícios de fortalecimento do assoalho pélvico e avaliar e realizar o tratamento não farmacológico, bem como a investigação das mulheres sem queixa de perda urinária. Portanto, os resultados indicam a necessidade premente de capacitação dos enfermeiros que atuam na ESF.

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Cuidados basados en terapias conductuales aplicados al paciente con incontinencia urinaria

Cited by 3 publications

References 7 publications

Clinical Management of Urinary Incontinence in Women by Family Health Strategy Nurses

Clinical Management of Urinary Incontinence in Women by Family Health Strategy Nurses

Efficacy of prompted voiding for reversing urinary incontinence in older adults hospitalized in a functional recovery unit: Study protocol

Manejo Clínico Da Incontinência Urinária Em Mulheres Por Enfermeiros Da Estratégia De Saúde Da Família

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