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| Identifier |
000371840 |
| Title |
Η ακράτεια των ούρων σε γυναίκες αγροτικών περιοχών της Κρήτης |
| Alternative Title |
Urinary incontinence and quality of life of women in rural areas of Crete . |
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Author
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Ανυφαντάκη, Στυλιανή
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Thesis advisor
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Λιονής, Χρήστος
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Reviewer
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Φιλαλήθης, Αναστάσιος
Σοφράς, Φραγκίσκος
Λεμονίδου, Χρυσούλα
Καλοκαιρινού, Αθηνά
Ματαλιωτάκης, Ιωάννης
Τζανάκης, Νικόλαος
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| Abstract |
Abstract
Introduction: Urinary incontinence (UI) a common condition among women has an adverse effect on patients’ daily lives. Numerous studies have identified reduced health-related quality of life (QoL) in patients with UI.
Aim: The aim of this study was to assess QoL in women with UI from primary health care (PHC) settings.
Targets:
a.
Estimation of UI prevalence in women 35-65 years old visiting for any reason selected PHC centers in Crete.
b.
Estimation of UI prevalence in women 35-65 years old who reside permanently in the catchment areas of the targeted PHC centers.
c.
Exploration of the applicability of a standardized, international tool assessing QoL in Greek incontinent women, following instrument translation, cultural adaptation and validation.
d.
Estimation of QoL in women 35-65 years old visiting for any reason the selected PHC centers in Crete.
e.
Estimation of QoL in women 35-65 years old visiting an outpatient-clinic of a secondary health care setting for UI.
f.
Exploration of factors related to QoL among incontinent women.
g.
Development of tools and training of PHC professionals for assessing and managing UI in women
Methods: Incontinent women from 5 PHC centers and one outpatient clinic were studied. For assessing quality of life, the Incontinence Quality of Life (I-QoL) questionnaire was translated and validated into Greek.
Results: A total of 125 (44.3%) out of 282 women from the PHC group in Greece reported having UI, whereas another 38 incontinent women visited for that reason the
12
secondary care outpatient clinic. There was significant difference between those two groups regarding I-QoL total and subscale scores, with women from the Greek community-based group having the highest score. Mean I-QoL total score of women visiting PHC centers and the secondary care outpatient clinic was 81.8 (SD:20.6) and 45.9 (SD:26.2) respectively, (p΄&λτ0.001). Impaired QoL was significantly associated with moderate incontinence (Β=-12.015 p=0.002), severe incontinence (Β=-30.656 p΄&λτ0.001) and seeking secondary care (Β=-19.105 p΄&λτ0.001).
Fourteen midwives and 4 nurses from 12 PHC centers of Crete attended a training program for urinary incontinence. This program was divided in 3 thematic units that were presented in 4 seminars with total duration of 12 hours (September to March 2002). This effort concluded in the collection of educational material, translation into Greek (with author's permission) and development of tools and a handbook for the assessment and management of female UI in PHC settings.
Conclusion: Urinary incontinence is a frequent problem for women visiting PHC centers affecting negatively their quality of life. Besides incontinence severity, seeking secondary care emerged as another essential predictor of impaired quality of life, suggesting that other personal, social and cultural factors may also play an important role.
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| Language |
Greek |
| Subject |
Crete |
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Female urinary incontinence |
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Quality of life |
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Urogenic system |
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Women |
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Ακράτεια ούρων |
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Γυναίκες |
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Κρήτη |
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Ποιότητα ζωής |
| Issue date |
2010-12-14 |
| Collection
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School/Department--School of Medicine--Department of Medicine--Doctoral theses
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Type of Work--Doctoral theses
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| Views |
271 |
Η ακράτεια των ούρων σε γυναίκες αγροτικών περιοχών της Κρήτης
