Self-Management of Urinary Incontinence in Women: A Concept Analysis

Klein, Abbey; Mollard, Elizabeth; Eisenhauer, Christine

doi:10.7257/1053-816x.2021.41.4.195

Cited by 2 publications

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“…Only 2 studies included a self-efficacy measure. A concept analysis 23 of UI self-management in women describes self-efficacy as an outcome of UI self-management. Improved self-efficacy, or the belief in oneself to perform certain behaviors to produce a specific result, could influence UI-related outcomes and QOL outcomes, but there is limited evidence that describes this relationship.…”

Section: Discussionmentioning

confidence: 99%

“…31 Including a component of social support in these interventions can also help address the social stigma that often accompanies UI. 23 Biofeedback, which has been demonstrated as more beneficial than PFME alone, 77 was used in 4 studies. Biofeedback devices are particularly helpful for individuals with UI, as engaging the pelvic floor muscles can be challenging.…”

Section: Discussionmentioning

confidence: 99%

“…31 Including a component of social support in these interventions can also help address the social stigma that often accompanies UI. 23…”

Section: Discussionmentioning

confidence: 99%

“…22 UI self-management is a dynamic process of managing UI, involving resource utilization and performance of tasks unique to the individual. 23 Self-management research has the potential to help women optimize bladder health and improve overall QOL, 13 but a standardized self-management intervention for UI has not been established. While surgical 24 and medication 25,26 treatment options have demonstrated improved health outcomes, women may prefer a less-invasive treatment option.…”

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confidence: 99%

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Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Klein,

Eisenhauer,

Mollard

et al. 2023

West J Nurs Res

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Background: Urinary incontinence (UI) affects approximately 60% of women in the United States and negatively impacts self-esteem, sexual function, participation in social activities, and quality of life (QOL). Self-management interventions show promise for improving UI symptoms and QOL. Previous reviews of UI self-management studies have focused on outcomes for older women. However, the literature lacks a synthesis of methodologies of these studies. Purpose: The purpose of this integrative review was to synthesize and evaluate methodologies used in studies of self-management interventions for UI in adult women. Methods: Using an integrative review approach, a search of PubMed, CINAHL, and Embase was conducted yielding 1404 results, 23 of which met inclusion criteria. Data abstracted from each article included author(s), year of publication, study design and purpose, sample, country and setting, measures of UI symptoms, and intervention description. Results: Findings showed methodological differences, particularly in design, assessment of UI subtypes, measures of UI symptoms, and intervention components. Multicomponent self-management interventions were used in 18 studies and 1 component used in 5 studies. Education, pelvic floor muscle exercises, and bladder training were the intervention components most frequently used, either alone or in combination; however, intervention components were not consistently aligned with the UI subtypes. Analysis of ethical matters revealed areas for improvement, specifically in reporting privacy and confidentiality and in methods to obtain informed consent. Conclusions: Results highlight opportunities to improve the rigor of methodologies used in studies of self-management interventions for UI in adult women.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…31 Including a component of social support in these interventions can also help address the social stigma that often accompanies UI. 23…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Klein,

Eisenhauer,

Mollard

et al. 2023

West J Nurs Res

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“…For women with UI, self‐management is a multidimensional, dynamic process that is influenced by access to resources and social support (Klein et al, 2021). Recent self‐management intervention studies (Asklund et al, 2017; Fu et al, 2020) have reported a decrease in UI symptoms and increased quality of life, but concerns with methodology limit the strength of findings.…”

Section: Introductionmentioning

confidence: 99%

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

Klein,

Eisenhauer,

Mollard

et al. 2023

Research in Nursing & Health

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Urinary incontinence (UI) is experienced by approximately 60% of women in the United States and has a negative impact on self‐esteem, sexual function, social participation, and quality of life. Rural women, who are underrepresented in the UI literature, face many health disparities and unique barriers to accessing care. The purpose of this qualitative descriptive study was to explore UI self‐management behaviors in rural women with UI, including the contextual factors that influence their approach to self‐management. This study recruited rural women, ages 30−60 years, using purposive sampling via social media. Demographic information was collected. A semi‐structured interview guide was used to conduct individual, in‐depth interviews via Zoom. Interview data were analyzed using qualitative description. Sections of interview text were coded using a priori and emergent codes, grouped into categories, and distilled into themes. A total of 31 participants (mean age = 47.2 years) met inclusion/exclusion criteria, enrolled, and completed the study. Qualitative analysis revealed rural as a cross‐cutting theme and five major themes: self‐management behaviors, familial influence, medical encounters, talking about UI, and resource scarcity. Participants described the rural environment as having a substantial impact on their approach to UI self‐management. Specifically, rural social enmeshment made seeking care for UI in rural communities challenging. Findings shed light on how the rural environment influences various aspects of UI self‐management in midlife women. Diverse perspectives in UI self‐management are needed to advance knowledge in this field.

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Self-Management of Urinary Incontinence in Women: A Concept Analysis

Cited by 2 publications

References 0 publications

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

“The constant worry”: Urinary incontinence self‐management in rural women: A qualitative study

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