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The Psycho-Social Impact of Urinary incontinence on the Quality of Life among Kuwaiti Women with Type 2 Diabetes Mellitus

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Open Journal of Nursing 2020年第7期10卷 716-729页

作者： Florence E. Omu Sanaa M. Taghaddom Chitra Vellolikalam Fawzeyah S. H. S. Alharbi Samiha I. A. Dwaib Gifta Jeevakumari College of Nursing The Public Authority for Applied Education & Training Kuwait Sabah Al Ahmad Urology Centre Kuwait

This study was conducted to determine the psycho-social impact of urinary incontinence (UI) on the quality of life of 250 Kuwaiti women with type 2 diabetic mellitus (DM). A survey method, using a 33-item 5-point Likert scale Arabic questionnaire adapted from the King’s Health Questionnaire (KHQ), was employed for data collection from February to May, 2014 while all the participants were receiving treatment for UI at a specialized urology center in Kuwait. Participants with UI and a co-morbidity of type 2 DM and obesity were 20 to 65 years old. Results showed the following variables were statistically significant for frequency of urine leak: Age was (χ2 = 36.877, df = 3, P ≤ 0.000). Parity showed nulliparous women reported less urine leak compared to parous women: Chi-square was (χ2 = 24.83, df = 12, P ≤ 0.016). Type 2 DM for more than 3 years duration had the highest incidence of several leaks per day. BMI of above 25 kg/m2 caused daily urine leak: Chi-square (χ2 = 17.912, df = 9, P ≤ 0.036). Participants’ self reports of good general health were those who leaked urine either 2 - 3 times weekly or occasionally. Finally, the impact of incontinence on their lifestyle was reported as extreme by 128 (51.2%), and 6 (2.4%) reported little or no impact on their quality of life: Chi-square was (χ2 = 52.392, df = 18, P ≤ 0.000). In conclusion, this study showed a clear correlation between UI and reduced quality of life. Midwives are well positioned to correct the myth that UI is an inevitable byproduct of childbearing. Midwives should explain to all pregnant women how childbirth can be a risk factor and provide anticipatory guidance by teaching preventive measures like pelvic floor exercises before and after delivery. Family members should assist sufferers in coping with their challenges by dispelling any form of stigmatization, joining them in practicing pelvic floor exercises, and encouraging,

关键词： Urinary incontinence Mixed incontinence Stress incontinence urge incontinence Overactive Bladder Quality of Life Diabetes Mellitus Obesity

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压力性尿失禁诊疗135例临床分析(英文)

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中华临床医师杂志（电子版） 2011年第21期5卷 6336-6341页

作者：李环吴瑞芳李瑞珍张礼婕王苏梅张巍颖 Department of Obstetrics and Gynecology Beijing University shenzhen Hospital

Objective The purpose of this study is to evaluate and compare the two different treatments by researching 135 cases with stress urinary *** From June 2006 to June 2010,135 patients with stress urinary incontinence were treated in Department of Gynecology and Obstetrics of Peking University Shenzhen Hospital.91 cases of them were treated with low frequency electric stimulation and biofeedback therapy (Group A),and the other 44 cases were treated by improved transobturaor tension-free vaginal tape(TVT-O) and TVT-O (Group B).Then,we compared these two groups by whole recovery rate,recovery rate of patients with urge incontinence,charge of treatment and complication,*** Group B's recovery rate for stress urinary incontinence was 100%.Ⅰ degree stress urinary incontinence in Group A's recovery rate was higher;Ⅱ degree patients' recovery rate for stress urinary incontinence was lower;Ⅲ degree patients' recovery rate was 0%.Only 1 case showed abnormal urine stream;2 cases showed urinary retention,but the symptoms disappeared after the *** significant complication in Group *** were huge differences of the expense between the two *** effect in Group A for patients with urge incontinence was good,but there was no effect shown in Group *** The two treatments are safe and effective for stress urinary incontinence,but there are existed prominent differences of the therapeutic efficacy between the two groups.

关键词： Urinary incontinence,stress urge incontinence Electric stimulation therapy Biofeedback Transobturaor tension-free vaginal tape

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