Abstract
Background: Urinary incontinence is a common problem in elderly females. It seems to have negative effects on different aspects of the patients’ life. Objective: To determine the effect of instruction on quality of life of the elderly females with urinary incontinence, who referred to Jahandidegan center in Shiraz-Iran, 2011. Material and methods: A preliminary study was conducted to validate the Modified QUID (Questionnaire for Urinary Incontinence Diagnosis) questionnaire for Iranian elderly. The QUID questionnaire was primarily administrated. The subjects consisted of 60 women aged 60-74 years with QUID questionnaire’s scores for different types of incontinence (stress score ≥ 4, urge score ≥ 6 and mix score ≥ 10). They completed the I-QOL (incontinence Quality of Life) questionnaire according to incontinence types. 10 subjects from each type were placed in two groups of 30 each (experimental and control groups). 10 training sessions on aging, changes related to aging in different system of the body, function of genitourinary system, urinary incontinence, risk factor and treatment (behavioral intervention, stress management, bladder training, scheduled toileting, pelvic muscle exercises, nutrition and fluid management) were held weekly for the experimental group. After the completion of the sessions I-QOL questionnaire was completed by the experimental group and after 2 and 3 months it was completed by the experimental and control groups. Descriptive statistics, paired t-Test and repeated measurement were used to analyze the data. Results: The I-QOL score of the participants attending the training sessions was significantly higher than that of the subjects in the control group (P=0.014). Conclusion: Based on our findings, training has a positive effect on QOL of females with urinary incontinence. Thus, it is suggested that the health care providers pay more attention to this issue and use health care centers to train women regarding the prevention of urinary incontinence.
Highlights
According to the World Health Organization reports, in 2000, the global population aged 60 and over was 600 million, by 2025 it will be 1.2 billion and, by 2050, almost 2 billion [1]
As approved by Shiraz Welfare Organization, 25 females aged 60–74 years willing to participate in the study were chosen from Shiraz Jahandidegan Center to fill out the questionnaire twice with three weeks interval
The inclusion criteria were age 60–74 years, having Quid score for incontinence type, clinical symptoms of urinary incontinence within the last 6 months, and willing to participate in the study
Summary
According to the World Health Organization reports, in 2000, the global population aged 60 and over was 600 million, by 2025 it will be 1.2 billion and, by 2050, almost 2 billion [1]. The number of patients presenting to their primary care physicians with urologic problems are significantly increasing. In some epidemiological studies conducted on women aged >60 years, UI (Urinary Incontinence) was reported 4.5 and 44% [11]. UI is not life threatening [8], does not lead to death [15] but the symptoms often impair the social, physical and psychological well-being of affected individuals [16]. Outpatients describe their experience with incontinence as embarrassing, upsetting, and distressing. It seems to have negative effects on different aspects of the patients’ life
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