Abstract

IntroductionUrinary incontinence is a prevalent disorder amongst older women. Identifying the psychosocial experiences of older women in disease management can improve the patient care process. Hence, the present study aimed to determine the psychosocial experiences of older women in the management of urinary incontinence.MethodsThis qualitative study was conducted using conventional content analysis. The study data were collected via unstructured in-depth face-to-face interviews with 22 older women suffering from urinary incontinence selected via purposive sampling. Sampling and data analysis were done simultaneously and were continued until data saturation. The interviews were recorded, transcribed, and analyzed using the method proposed by Graneheim and Lundman.ResultsThe results indicated that the older people with urinary incontinence had various psychosocial experiences while living with and managing this disease. Accordingly, four main themes were extracted from the data as follows: “problem incompatibility with the disease,” “mental impasse,” “facing social restrictions,” and “concealment and social escapism.”ConclusionThe findings demonstrated that older people with urinary incontinence experienced significant psychosocial pressures while living with this disorder, which affected their psychosocial well-being. Thus, paying attention to these psychosocial experiences while supporting and taking care of these patients can positively impact their psychosocial health and quality of life.

Highlights

  • Urinary incontinence is a prevalent disorder amongst older women

  • Considering Iran’s specific cultural, social, and religious backgrounds, high prevalence of urinary incontinence among older women, and lack of qualitative studies in this field, the present study aims to determine the psychosocial experiences of older women regarding the management of urinary incontinence

  • This study was conducted on 22 older women with a mean age of 66.54 ± 5.76 years who suffered from urinary incontinence

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Summary

Introduction

Urinary incontinence is a prevalent disorder amongst older women. The present study aimed to determine the psychosocial experiences of older women in the management of urinary incontinence. Urinary incontinence has been defined as any involuntary urine leakage (Batmani et al, 2021) and is common in older adults. The prevalence of this disorder has been found to increase with age (Davis et al, 2020; Shaw and Wagg, 2021). In the studies conducted in different regions of Asia, the prevalence of urinary incontinence was estimated as 13% in older adults (Kasıkçı et al, 2015; Khan et al, 2017; Batmani et al, 2021). Another study conducted in Iran indicated that the prevalence of urinary incontinence was 62.2% among women over 60 years of age (Morowatisharifabad et al, 2015)

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