scholarly journals 07 - THE INFLUENCE OF URINARY INCONTINENCE AND DEPRESSION ON QUALITY OF LIFE IN THE ELDERLY

Author(s):  
Beomwoo Nam ◽  
Joongsuk Lee
2021 ◽  
Author(s):  
Berrin Benli Yavuz ◽  
Meryem Aktan ◽  
Gul Kanyilmaz ◽  
Lutfi Saltuk Demir

Abstract PurposeThe aim of the present study is to investigate the effects of radiotherapy (RT) on quality of life (QoL) and influencing factors.MethodsData of 106 patients who completely filled out the three questionnaires were evaluated in this prospective study. Quality of life was evaluated with cancer-specific QLQ-C30 and colorectal cancer module QLQ-CR29 created by European Organization for Research and Treatment of Cancer (EORTC). All statistical analyses were done with SPSS version 22 software. A p level of <0.05 was accepted as statistically significant.ResultsMedian age was 61 (27-86). Of the patients, 77 (72.6%) were male and 29 (27.4%) were female. When QLQ-C30 questionnaires were evaluated, it was observed that physical, role, cognitive and emotional function scores were impaired following RT however returned to pre-RT levels on control. According to the results of QLQ-CR29 questionnaire, after RT, impairment was observed in urination frequency, urinary incontinence, stool frequency, dysuria, fecal incontinence, embarrassment, sexual interest in males scales however they returned to pre-RT values on control. When evaluated with regard to age, financial difficulty, global health score, mucus in stool, dysuria, dyspareunia and abdominal pain were observed to be poorer in the young; urination frequency and urinary incontinence were observed to be poorer in the elderly. ConclusionAlthough both functional and symptom scales were shown to impair, most of them were detected to be temporal and patients could well tolerate radiotherapy. Additional assessment is required for evaluating the late effects of treatments on QoL.


2015 ◽  
Vol 28 (3) ◽  
pp. 583-596 ◽  
Author(s):  
Javier Jerez Roig ◽  
Dyego Leandro Bezerra de Souza ◽  
Kenio Costa Lima

AbstractIntroduction Urinary incontinence is a geriatric syndrome that generates strong economic and social impacts as well as emotional changes and negative consequences for the health of the elderly.Objective The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly.Materials and methods A cross-sectional study was conducted herein, with 10 long-term institutions for the elderly of the municipality of Natal (Northeast Brazil). The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the International Consultation on Incontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of incontinence. The chi-square test and Fisher’s exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis.Results The prevalence of urinary incontinence was 42.7% (95% CI: 34.8–50.8). The impact of this condition on daily life was mild in 46.5% of cases, moderate for 29.3% of cases, and severe in 24.1% of cases. The condition was associated with functional impairment (p < 0.001; RP: 4.13).Final considerations The prevalence of urinary incontinence in this sample, which presented cognitive ability to answer questionnaires, was over 40% with a high degree of severity. Approximately half of the incontinents referred a moderate-severe impact of incontinence. Control measures for this geriatric syndrome within the institutions are important to delay the decline of health and improve the quality of life of the residents.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monika Frontczak ◽  
Natalia Ciemna ◽  
Kornelia Kędziora-Kornatowska

Purpose Urinary incontinence is one of the most important health problems for people over 65 years of age. It is defined as involuntary and uncontrolled loss of urine. This paper aims to present a contemporary view on the effects of physiotherapeutic procedures in combating urinary incontinence. Physiotherapeutic procedures were compared: pelvic floor muscle exercises, physical therapy and biofeedback (BF) to demonstrate their effectiveness in managing urinary incontinence in the elderly. Design/methodology/approach The databases Pubmed and GoogleScholar have been searched for articles on the impact of interventions – physiotherapeutic procedures on the effectiveness of the treatment of urinary incontinence in the elderly. Findings Pelvic floor muscle exercises are effective in the treatment of urinary incontinence, strengthen muscle strength and improve patients' quality of life. A long-lasting, systematic and individual training program with a physiotherapist is the most effective. BF helps to intensify the therapeutic effect of exercise but also allows you to achieve good results as an independent treatment method. Positive effects are also noticeable in physical therapy, electrostimulation and magnetotherapy are very effective. Physiotherapeutic procedures have a positive effect in the treatment of urinary incontinence in the elderly. However, further research is needed to clarify the most effective methods. Originality/value This paper offers many ways to deal with urinary incontinence in the elderly using physiotherapeutic procedures, thus helping to improve the quality of life of those affected by urinary incontinence.


2000 ◽  
Vol 34 (5) ◽  
pp. 646-655 ◽  
Author(s):  
Julie A Couture ◽  
Luc Valiquette

BACKGROUND: One of the more prevalent conditions associated with aging is urinary incontinence (UI), which may affect up to 55% of women and 34% of men older than 65 years. As a result of increasing longevity in developed nations, the proportion of UI-susceptible individuals continues to grow, presenting clinical and economic challenges to healthcare providers. OBJECTIVE: To assist the clinician in making informed decisions regarding UI, provide information on the wider ramifications of the disease, and provide a comprehensive overview of the condition. DATA SOURCES: MEDLINE (1966–December 1998) was searched for relevant publications using the following search terms: UI, UI in the elderly, treatment of UI, oxybutynin, flavoxate, vasopressin, quality of life in UI, and economic impact of UI. DATA SYNTHESIS: Key articles relating to the etiology, diagnosis, classification, economic burden, quality of life, and treatment of UI were retrieved, and this information formed the basis of the review. CONCLUSIONS: Although UI can be controlled relatively well with existing therapies, only about 50% of affected patients may actually seek care. There are a variety of therapeutic options available for the treatment of UI, although pharmacologic intervention is presently a relatively minor component of overall care; this suggests that effective drug therapy might play a more significant role in the future. The economic burden associated with the care of the incontinent patient is substantial, and in the US the direct medical cost of the disease was estimated at $25.5 billion in 1995. The disease also has a large impact on the individual UI patient, negatively affecting many parameters normally associated with a tolerable health-related quality of life.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Alaa K El-gharib ◽  
Ayat F Manzour ◽  
Reem El-Mallah ◽  
Salma M.S El Said

Abstract Background Urinary incontinence (UI) is a common disorder that particularly affects the elderly population worldwide. UI can be associated with poor quality of life (QOL) of this vulnerable population, as it leads to the limitation of their physical and social activities of daily life. Additionally, it has a psychological and economic burden on individuals, health care services and society. Objectives This study was performed to measure the frequency of UI and to determine its impact on the overall QOL of elderly, physical performance and activities of daily living. Participants and Methods A cross-sectional study was performed on attending the four Primary Health Care centres (PHCs) of El-Obour City. Data collection was done in randomly chosen days every week. All elders aged 60 or above, who attended the PHCs those days, were included until a sample size of 150 elderly was obtained. The International Consultation of Incontinence (ICIQ) was used to detect urinary incontinence, assess its type and severity while, SF-12 was used to assess quality of life (QOL) with its mental and physical components. All study participants underwent short physical performance battery balance, gait and chair tests Results The overall frequency of UI was 38% among the studied elderly. UI ranged from mild (12.3%) to moderate (57.9%) and severe (29.8%). Among incontinent participants, the frequency in men was 47.4% and in women was 52.6%. The frequency of stress, urge, mixed and other UI were 7%, 33.3%, 40.4% and 19.3% respectively. Incontinent elderly had significantly lower QOL as regards mental and physical indices than their continent counterparts. UI severity was inversely related to physical performance. Conclusion and recommendation UI has a high-frequency rate among the elderly population, and it has a significant impact on all QOL domains as well as on their physical performance. It is recommended to set up management plans and strategies in geriatric health care facilities to prevent UI and its impact on the physical and mental health of this vulnerable population.


2019 ◽  
Vol 23 (1) ◽  
pp. 5-15
Author(s):  
Anna V. Turusheva ◽  
Irina E. Moiseeva

The prevalence of malnutrition in people over 60 is 10–40%. Inadequate nutrition worsens the quality of life and the functional status of patients in elderly and senile age. The development of eating disorders may be due to various factors. Diagnosis of malnutrition is aimed at identifying it and finding the causes. Treatment should be comprehensive, including adequate nutritional support and correction of factors leading to the development of malnutrition. It must be remembered that some eating disorders can cause the development or progression of various geriatric syndromes (falls, urinary incontinence, cognitive disorders, depression, etc.)


2009 ◽  
Vol 49 (2) ◽  
pp. 304-310 ◽  
Author(s):  
Ergul Aslan ◽  
Nezihe Kizilkaya Beji ◽  
Habibe Ayyildiz Erkan ◽  
Onay Yalcin ◽  
Funda Gungor

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