The impact of urinary incontinence on self-efficacy and quality of life

Barbara Ann Shelton Broome, Barbara Ann Shelton Broome

Abstract

Urinary incontinence impacts 15 to 35% of the adult ambulatory population. Men after the removal of the prostate for cancer can experience incontinence for several weeks to years after the surgery. Women experience incontinence related to many factors including childbirth, menopause and surgery. It is important that incontinence be treated since it impacts not only the physiological, but also the psychological realms of a person's life. Depression and decreed quality of life have been found to co-occur in the person struggling with incontinence. Interventions include pharmacological, surgical as well as behavioral interventions. Effective treatment of incontinence should include the use of clinical guidelines and research to promote treatment efficacy.

References

    1. Research Agency for Health Care Policy and. Clinical practice guideline: Urinary incontinence in adults: Acute and chronic management. Rockville,MD, U.S. Government Printing Office; 1996.
    1. Thom DH. Overactive bladder: Epidemiology and impact on quality of life. 2000.
    1. Abrams P. Incontinence: Proceeding from the second international consultation on incontinence. Plymouth, UK, Health Publications; 2001.
    1. Diokno C, Brock BM, Brown MB, Herzog AR. Prevalence of urinary incontinence and other urological symptoms in the noninstutionalized elderly. The Journal of Urology. 1986;136:1022–1025.
    1. Mohide EA. The prevalence and scope of urinary incontinence. Clinics in Geriatric Medicine. 1986;2:639–655.
    1. Conference National Institutes of Health Urinary Incontinence Consensus. Urinary incontinence in adults. Journal of the American Medical Association. 1989;261:2685–2690. doi: 10.1001/jama.261.18.2685.
    1. Resnick N, Beckett L, Branch L, Scherr P, Wetle T. Short-term variability of self-report incontinence in older persons. Journal of the American Geriatrics Society. 1994;42:202–207.
    1. Ouslander J, Schnelle J. Incontinence in the nursing home. American College of Physicians. 1995;122:438–449.
    1. Grimby A, Milson I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age and Aging. 1993;22:82–89.
    1. Hunskaar S,, Vinsnes A. The quality of life in women with urinary incontinence as measured by the sickness impact profile. The American Geriatrics Society. 1991;39:378–382.
    1. Wetle T, Scherr P, Branch LG, Resnick NM, Harris T, Evans D, Taylor JO. Difficulty with holding urine among older persons in a geographically defined community: Prevalence and correlates. Journal of the American Geriatrics Society. 1995;43:349–355.
    1. Burgio KL, Whitehead WE, Engel BT. Urinary incontinence in the elderly: Bladder-sphincter biofeedback and toilet training skills. Annals of Internal Medicine. 1985;104:507–515.
    1. MacCauley AJ, Stern RS, Holmes DM, Stanton SL. Micturition and the mind: Psychological factors in the aetiology and treatment of urinary symptoms in women. British Medical Journal. 1984;294:540–543.
    1. Rosenzweig BA, Hischke D, Thomas S, Nelson AL, Bhatia NN. Stress incontinence in women: Psychological status before and after treatment. The Journal of Reproductive Medicine. 1991;36:835–838.
    1. Meade-D'Alisera P, Merriweather T, Wentland M, Fantl M, Ghafar M. Depressive symptoms in women with urinary incontinence: A prospective study. Urologic Nursing. 2001;21:397–400.
    1. Watson AJ, Currie L, Curran S, Jarvis GJ. A perspective study examining the association between the symptoms of anxiety and depression and severity of urinary incontinence. European Journal of Obstetrics & Gynecology & Reproductive Biology. 2000;88:7–9. doi: 10.1016/S0301-2115(99)00122-0.
    1. Zorn BH, Montgomery H, Poeper K, Gray M, Steers WD. Urinary incontinence and depression. Journal of Urology. 1999;162:82–84. doi: 10.1097/00005392-199907000-00020.
    1. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84:194–215.
    1. Bandura A. Social learning theory. Englewood Cliffs, NJ, Prentice-Hall; 1977.
    1. Yusaf SO,, Kavanagh DJ. Mechanisms of improvement in treatment for depression: Test of a self-efficacy and performance model. Journal of Cognitive Psychotherapy: An International Quarterly. 1990;4:51–70.
    1. Lewis S, Grainger RD. The patient with depression. Philadelphia, W.B. Saunders Co.; 1989. Manual of psychosocial nursing interventions: Promoting mental health in medical-surgical settings.
    1. Bandura A. Self-efficacy mechanisms in human agency. American Psychologist. 1982;37:122–147. doi: 10.1037//0003-066X.37.2.122.
    1. Bandura A. Social foundations of theory and action: A social cognitive theory. Englewood Cliffs, NJ, Prentice-Hall; 1986.
    1. Wyman JF, Harkins S, Choi S, Taylor JR, Fantl A. Psychosocial impact of urinary incontinence in women. Obstetrics and Gynecology. 1987;70:378–381.
    1. Wagner TH, Hu TW. Economic costs of urinary incontinence in 1995. Urology. 1998;51:355–361. doi: 10.1016/S0090-4295(97)00623-7.
    1. Kane RL, Ouslander JG, Abrass . Essentials of clinical geriatrics. 3. New York, McGraw-Hill, Inc; 1994. Incontinence.
    1. McCormick KA, Newman DK, Colling J, Pearson BD. Urinary incontinence in adults. American Journal of Nursing. 1992;92:75–88.
    1. Burgio K, Courtland-Robinson J, Engel B. The role of biofeedback in Kegel exercises training for stress urinary incontinence. American Journal of Obstetrics and Gynecology. 1986;154:58–64.
    1. McDowell BJ, Burgio K, Dombrowski M, Locher J, Rodriguez E. An interdisciplinary approach to the assessment and behavioral treatment of urinary incontinence in geriatric outpatients. Journal of the American Geriatrics Society. 1992;40:370–374.
    1. Grembowski D, Patrick D, Diehr P, Durham M, Beresford S, Kay E, Hecht J. Self-efficacy and health behavior among older adults. Journal of Health and Social Behavior. 1993;34:89–103.
    1. Hofstetter CR, Sallis JF, Hovell MF, Bryon M, Jones S, Rummanni S, Scott K, Wagers. Weiss D. Some health dimensions of self-efficacy: Analysis of theoretical specificity. Social Science and Medicine. 1990;31:1051–1056. doi: 10.1016/0277-9536(90)90118-C.
    1. Broome B. Psychometric analysis of the Broome Pelvic Muscle Self-efficacy Scale in African-American women with incontinence. Urologic Nursing. 2001;21:289–297.
    1. Broome B. Development and testing of a scale to measure self-efficacy for pelvic muscle exercises in women with urinary incontinence 19(4), 258-268. Urologic Nursing. 1999;19:258–268.

Source: PubMed

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

3
Abonner