Assessment of Stress Urinary Incontinence and Health Related Quality of Life among Women in Port Said City

Elmorsey, Alshimaa Mohsen; Ramadan, Soad Abd El-Salam; Ibrahim, Seham Shehata; El-Refay, Waleed El-Sayed; Abd El-Aty, Esraa Mostafa

doi:10.21608/pssjn.2024.230067.1284

Assessment of Stress Urinary Incontinence and Health Related Quality of Life among Women in Port Said City

Document Type : Original Article

Authors

¹ Maternity, Gynecology, Obstetric Nursing, Faculty of nursing, port said university

² Obstetrics and Gynecological Nursing, Faculty of Nursing, Banha University

³ Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said University

⁴ Obstetrics and Gynecology Medicine, Faculty of Medicine, Port Said University

⁵ Assistant Professor of Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said University

10.21608/pssjn.2024.230067.1284

Abstract

Background: The most prevalent kind of urine incontinence (UI) in word wide, stress urinary incontinence (SUI), that has an impact on women's quality of life at various phases of their lives. Aim: The study aimed to evaluate the stress urinary incontinence and health related quality of life among women. Subjects and method: Design: In this study, a descriptive design was used. Setting: Under comprehensive health insurance, this study was conducted in outpatient gynecological clinics in hospitals and primary care centers. Subjects: 110 women with a diagnosis of stress incontinence were included in this study. Tools for data collection: Woman’s health assessment questionnaire, and the Incontinence Impact Questionnaire-Short Form (IIQ) -7. Results: 55.5% of the women in the study had moderate urine incontinence, and 22. 7 percent had severe incontinence. The two most significant positive influences on urine incontinence severity were determined to be occupation and pregnancy (p = 0.002 and 0.001, respectively). In addition, the women who participated in the study had an average quality of life score of 8.01 ± 2.9. Conclusion: More than half of the women in the study had moderate urine incontinence. The quality of life of the women in the study was also negatively impacted by stress urine incontinence. Recommendations: It recommends providing a guide for developing clinical and continuing education curricula for all women on urinary incontinence and pelvic floor muscle exercises. Pelvic floor as a means of prevention and treatment of urinary incontinence.

Keywords

Main Subjects

Maternity, Gynecology & Obstetrics Nursing

References

Ahmed, N., & Osman, H. (2020). Effect of Pelvic Floor Stabilization Exercises on Symptoms and Quality of Life among Women with Stress Urinary Incontinence. Egyptian Journal of Health Care, 11(1), 1139-1152.‏

Alizadeh, A., Montazeri, M., Shabani, F., Bani, S., Hassanpour, S., Nabighadim, M., & Mirghafourvand, M. (2023). Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study. BMC Urol.;23(1):18.

Akinlusi, F.M., Ottun, T.A., Oshodi, Y.A., Seriki, B.O., Olalere, F.D. H., & Kuye, T.O. (2020). Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria. Nepal Journal of Obstetrics and Gynecology, 15(1)Pp (31-38).

Almousa, S., & van Loon, A. B. (2018). The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas, 107, 78-83.‏

Chow, P, M., Chuang, Y,C., Hsu, K,C,P., Shen, Y,C& Liu, S.P. (2022). Impact of Female Stress Urinary Incontinence on Quality of Life, Mental Health, Work Limitation, and Healthcare Seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a Cross-Sectional, Population-Based Study. Int J Womens Health.;14(1):1871-1880.

Elattar, M., Mohammed, S., & Yousif, A. (2022). Educational Program for Multipara Women with Stress Urinary Incontinence. Egyptian Journal of Health Care, 13(4), 122-137.‏

El-Azab, A.S., & Shaaban, O.M. (2010). Measuring the barriers against seeking consultation for urinary incontinence among Middle Eastern women. BMC Women’s Health, 2010;(1472-6874) http://www.biomedcentral.com

El Badawy, R.E., Hassan, S.A.A., Abo El-Seoud. A.R.,& Abd Allah, E.S. (2013). Health Education Intervention for Controlling of Stress Urinary Incontinence among Elderly Women at Zagazig City (Doctoral dissertation, University of Zagazig, Egypt).

Elbana, H.M., Salama, A.M., & Barakat, M.M. (2018). Effect of Urinary Incontinence on Quality of Life and Self Esteem of Postmenopausal Women. American Journal of Nursing Science, 7(5):Pp(182-191) http://www.sciencepublishinggroup.com/j/ajns

Essa, R.M. Hafez, S.K. & Kandeel, H.A.M. (2020). Association between Severity of Stress Urinary Incontinence and Quality Of Life among Menopausal Women. International Journal of Novel Research in Healthcare and Nursing, Vol.7(1) Pp;(778-800).

Hussein, M, M., Mohamed, H, E. & El-Nemer, A.M. (2015). Effect Of Pelvic Floor Muscle Training On Women Complaining Of Urinary Incontinence. (Doctoral dissertation, University of Mansoura, Egypt).

Jasim, S.M.,& Al‑Rawi, R.Y.K.(2020). Efficacy and Safety of Vaginal CO2 Laser Treatment in Female Stress Urinary Incontinence: Medical Journal of Babylon, Wolters Kluwer – Medknow, 15(3), 251-257

Joseph, C., Srivastava, K., Ochuba, O., Ruo, S.W., Alkayyali, T., Sandhu, J.K., Waqar, A., Jain, A., & Poudel, S. (2021). Stress Urinary Incontinence Among Young Nulliparous Female Athletes. Cureus, 13(9): 8 Pages.

Jurášková, M., Piler, P., Kukla, L., Švancara, J., Daňsová, P., Hruban, L., Kandrnal, V., & Pikhart, H. (2020). Association between Stress Urinary Incontinence and Depressive Symptoms after Birth: the Czech ELSPAC Study. National Library of Medicine, 10:6233 | https://doi.org/10.1038/s41598-020-62589-5

Lowdermilk, D.L., Perry, S.E., Cashion, K., Alden, K.R., and Olshansky, E.F. (2016). Maternity Women’s Health Care (11th ed), United States of America: ELSEVIER, BOOKAID International, P(236- 239).

Ramírez, J,A., Tirado, P,O., Samur, C,S., Gamboa, C.V. & Oliveres, X, C. (2023). Health-related quality of life in women aged 20-64 years with urinary incontinence. Int Urogynecol J.;34(7):1405-1414.

Ricci, S.S., (2017): Essentials Of Maternity, Newborn, & Women’s Health Nursing (4th ed) China. Wolters Kluwer Health, Pp (222-224).

Seshan, V., Francis, F., Raghavan, D., Arulappan, J., Hashmi, I, A., Prince, E, J., Jaju, S., Azri, Z, A. & Alkharusi, L. (2022). Prevalence of Urinary Incontinence and its Relationship With Sociodemographic and Obstetrical Variables Among Omani Women. SAGE Open Nursing; 9(1):1-8.

Townsend, M.K., Lajous, M., Medina-Campos, R.H., Catzin-Kuhlmann, A., Lopez-Ridaura, R., & Rice, M.S. (2017). Risk factors for urinary incontinence among postmenopausal Mexican women. International urogynecology journal, 28(5), 769-776. DOI 10.1007/s00192-016-3196-0

Uebersax JS., Wyman JF., Shumaker SA. (1995). Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn, 14(2):131-13