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Non-pharmacological interventions in the control of urinary incontinence and the instruments that allow the diagnosis: integrative review
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Advisor(s)
Abstract(s)
Introduction: Urinary incontinence is a major health problem resulting in physical,
psychological and social changes with economic repercussions on the health system.
Is a multifactorial condition associated with age-related changes and disorders of the
genitourinary system, which corroborates the fact that it is the most often recurring
geriatric syndrome.
Aims: To identify non-pharmacological interventions for adults with urinary incontinence
and to identify tools for urinary incontinence diagnosis in adults.
Method: An integrative review study design was completed. Two electronic databases
was search (MEDLINE and Web of Science). Three independent reviewers searched
databases according to a predetermine inclusion and exclusion criteria.
Results: Twelve articles were included in the review. Eleven articles mentioned
non-pharmacological interventions, such as physical therapies, lifestyle strategies,
behavioural therapies and alternative conservative management options. These interventions
should be targeted and individualized to the type of incontinence to result in
health gains for the population. One article mentioned an assessment tool for urinary
incontinence - The Gaudenz-Fragebogen tool. The evaluation tools can help to systematize
the diagnostic activity and consequently improve the clinical practice in the
field of urinary incontinence.
Conclusion: In care conception, nurses should target their interventions to personal
data to address individual symptoms and use assessment tools that can help in the
differential diagnosis of UI. Then, to advancing the quality and rigor of nursing care,
we advocate that providing nurses with skills in attaining a differential diagnosis of UI
presents an added value to the improvement of quality of care in a multidisciplinary
context.
Description
Keywords
Nursing Care Urinary incontinence Nursing practical
Citation
Nogueira, N., Pinto, C., Cerqueira, C., Ramos, J.L., Teixeira, L. Non-pharmacological interventions in the control of urinary incontinence and the instruments that allow the diagnosis: integrative review. Suplemento digital Rev ROL Enferm 2020; 43(1): 395-404