- Cross, Wendy, Cant, Robyn, Manning, Deborah, McCarthy, Susan
- Authors: Cross, Wendy , Cant, Robyn , Manning, Deborah , McCarthy, Susan
- Date: 2014
- Type: Text , Journal article
- Relation: Collegian (Royal College of Nursing, Australia) Vol. 21, no. 3 (2014), p. 209-216
- Full Text: false
- Reviewed:
- Description: Urinary incontinence is a common and distressing condition. Using focus groups, we explored the views of ten ethnic language groups in Melbourne about knowledge and awareness of incontinence. The 218 participants (with or without incontinence) spoke with trained interpreters. Twenty focus group discussions of single and mixed sex groups were audio-recorded and transcribed into English. Narratives were analyzed using thematic analysis with open coding and also incorporated themes from literature. Participants' knowledge of incontinence was low and incontinence was thought to be an inevitable consequence of ageing. There was little understanding of treatments or assistance available under government-funded programmes. No group was aware of the national continence programme or phone helpline. Sensitivities of the topic plus language barriers in immigrant culturally and linguistically diverse communities may impose barriers to accessing help. Several groups thought they would cope with incontinence by themselves, while all groups suggested they would be able to discuss the condition with a doctor. Various preferences voiced about social limitations and permissible communications with others are described. Nurses should be aware of the needs and communication preferences of ethnic language groups regarding continence information and continence service delivery.
Group-urotherapy for children with complex elimination disorder : an Australian study
- Peck, Blake, Terry, Daniel, Martin, Benita, Matthews, Belinda, Green, Andrea
- Authors: Peck, Blake , Terry, Daniel , Martin, Benita , Matthews, Belinda , Green, Andrea
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Urological Nursing Vol. 16, no. 3 (2022), p. 211-217
- Full Text:
- Reviewed:
- Description: Elimination disorders are common in children and are associated with increased levels of psychological distress for both the child and their family. Despite successful treatments for elimination disorders, 30% of children do not respond to standard treatments to achieve continence. In these cases, a Urinary and Faecal Incontinence Training Program for Children and Adolescents (UFITPCA) has been established as an adjunct to existing therapy. The aim of the study is to explore the experiences of children who participated in the program. A qualitative design was employed with female children, aged 7–8 years, (n = 4) who participated in the UFITPCA program participated in a 60-min focus group interview. The parents of the children (n = 4) were also interviewed. Data was collected at the end of the 9-week program and analysed to identify themes that encompassed the experiences of the UFITPCA program and associated outcomes amongst both the children and their parents. Three central themes were emerged from the data, which included: Make it Stop, I'm not Alone, and Look at what I can do now. These findings were encapsulated by the desperation and frustration of children and parents prior to commencing the program; the widespread positive implications for the children's wellbeing from having engaged in a program with others just like them, and their sense of satisfaction of putting their newfound knowledge into practice. Both children and parents recognized a change in their child's overall sense of wellbeing and parents identified that their children felt more in control of symptoms and how they responded when symptoms arose. The children experienced an increase in their acceptance and self-efficacy of their symptoms. © 2022 The Authors. International Journal of Urological Nursing published by British Association of Urological Nurses and John Wiley & Sons Ltd.
- Authors: Peck, Blake , Terry, Daniel , Martin, Benita , Matthews, Belinda , Green, Andrea
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Urological Nursing Vol. 16, no. 3 (2022), p. 211-217
- Full Text:
- Reviewed:
- Description: Elimination disorders are common in children and are associated with increased levels of psychological distress for both the child and their family. Despite successful treatments for elimination disorders, 30% of children do not respond to standard treatments to achieve continence. In these cases, a Urinary and Faecal Incontinence Training Program for Children and Adolescents (UFITPCA) has been established as an adjunct to existing therapy. The aim of the study is to explore the experiences of children who participated in the program. A qualitative design was employed with female children, aged 7–8 years, (n = 4) who participated in the UFITPCA program participated in a 60-min focus group interview. The parents of the children (n = 4) were also interviewed. Data was collected at the end of the 9-week program and analysed to identify themes that encompassed the experiences of the UFITPCA program and associated outcomes amongst both the children and their parents. Three central themes were emerged from the data, which included: Make it Stop, I'm not Alone, and Look at what I can do now. These findings were encapsulated by the desperation and frustration of children and parents prior to commencing the program; the widespread positive implications for the children's wellbeing from having engaged in a program with others just like them, and their sense of satisfaction of putting their newfound knowledge into practice. Both children and parents recognized a change in their child's overall sense of wellbeing and parents identified that their children felt more in control of symptoms and how they responded when symptoms arose. The children experienced an increase in their acceptance and self-efficacy of their symptoms. © 2022 The Authors. International Journal of Urological Nursing published by British Association of Urological Nurses and John Wiley & Sons Ltd.
Incontinence during and following hospitalisation : a prospective study of prevalence, incidence and association with clinical outcomes
- Campbell, Jill, Hubbard, Ruth, Ostaszkiewicz, Joan, Green, Theresa, Coyer, Fiona, Mudge, Alison
- Authors: Campbell, Jill , Hubbard, Ruth , Ostaszkiewicz, Joan , Green, Theresa , Coyer, Fiona , Mudge, Alison
- Date: 2023
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 52, no. 9 (2023), p.
- Full Text:
- Reviewed:
- Description: Background: Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation. Objective: To describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes. Design: Secondary analysis of prospectively collected data from consecutive consenting inpatients age 65 years and older on medical and surgical wards in four Australian public hospitals. Methods: Participants self-reported urinary and faecal incontinence 2 weeks prior to admission, at hospital discharge and 30 days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality. Results: Analysis included 970 participants (mean age 76.7 years, 48.9% female). Urinary and/or faecal incontinence was self-reported in 310/970 (32.0%, [95% confidence interval (CI) 29.0-35.0]) participants 2 weeks before admission, 201/834 (24.1% [95% CI 21.2-27.2]) at discharge and 193/776 (24.9% [95% CI 21.9-28.1]) 30 days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74/567 (13.1% [95% CI 10.4-16.1) reported incontinence at discharge and 85/537 (15.8% [95% CI 12.8-19.2]) reported incontinence at 30 days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6 days, P = 0.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses. Conclusion: Pre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication. © 2023 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
- Authors: Campbell, Jill , Hubbard, Ruth , Ostaszkiewicz, Joan , Green, Theresa , Coyer, Fiona , Mudge, Alison
- Date: 2023
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 52, no. 9 (2023), p.
- Full Text:
- Reviewed:
- Description: Background: Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation. Objective: To describe prevalence and incidence of incontinence in older inpatients and associations with clinical outcomes. Design: Secondary analysis of prospectively collected data from consecutive consenting inpatients age 65 years and older on medical and surgical wards in four Australian public hospitals. Methods: Participants self-reported urinary and faecal incontinence 2 weeks prior to admission, at hospital discharge and 30 days after discharge as part of comprehensive assessment by a trained research assistant. Outcomes were length of stay, facility discharge, 30-day readmission and 6-month mortality. Results: Analysis included 970 participants (mean age 76.7 years, 48.9% female). Urinary and/or faecal incontinence was self-reported in 310/970 (32.0%, [95% confidence interval (CI) 29.0-35.0]) participants 2 weeks before admission, 201/834 (24.1% [95% CI 21.2-27.2]) at discharge and 193/776 (24.9% [95% CI 21.9-28.1]) 30 days after discharge. Continence patterns were dynamic within the peri-hospital period. Of participants without pre-hospital incontinence, 74/567 (13.1% [95% CI 10.4-16.1) reported incontinence at discharge and 85/537 (15.8% [95% CI 12.8-19.2]) reported incontinence at 30 days follow-up. Median hospital stay was longer in participants with pre-hospital incontinence (7 vs. 6 days, P = 0.02) even in adjusted analyses and pre-hospital incontinence was significantly associated with mortality in unadjusted but not adjusted analyses. Conclusion: Pre-hospital, hospital-acquired and new post-hospital incontinence are common in older inpatients. Better understanding of incontinence patterns may help target interventions to reduce this complication. © 2023 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
Management using continence products : report of the 7th international consultation on incontinence
- Murphy, Cathy, Fader, Mandy, Bliss, Donna, Buckley, Brian, Cockerell, Rowan, Cottenden, Alan, Kottner, Jan, Ostaszkiewicz, Joan
- Authors: Murphy, Cathy , Fader, Mandy , Bliss, Donna , Buckley, Brian , Cockerell, Rowan , Cottenden, Alan , Kottner, Jan , Ostaszkiewicz, Joan
- Date: 2023
- Type: Text , Journal article
- Relation: Continence Vol. 8, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Aim: To summarise the available evidence on the use of continence products to manage urinary or faecal incontinence published since the 6th International Consultation on Incontinence (2017) and provide key recommendations for the use of products in each group. Methods: A series of systematic reviews (grouped according to pre-determined topics) and evidence updates were undertaken and reported descriptively by members of an international committee to update the 6th Consultation. Results: The available evidence is presented for 13 categories of continence management products. Some categories (female mechanical urinary incontinence devices, products for preventing/treating incontinence-associated dermatitis and urinary catheters) had at least one new randomised controlled trial. Other categories had small-scale or qualitative studies, reviews or no new associated evidence. A summary of key research priorities is provided. Discussion: This paper provides a summary of the evidence available for a range of continence management products. Some product categories have a larger body of new and existing evidence than others, but there continues to be a lack of research to guide decision-making on the wide range of continence management products. Clinicians and other decision-makers remain largely dependent on expert opinion and individual user circumstances and preferences. We summarise specific areas where more. © 2023 The Authors
- Authors: Murphy, Cathy , Fader, Mandy , Bliss, Donna , Buckley, Brian , Cockerell, Rowan , Cottenden, Alan , Kottner, Jan , Ostaszkiewicz, Joan
- Date: 2023
- Type: Text , Journal article
- Relation: Continence Vol. 8, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Aim: To summarise the available evidence on the use of continence products to manage urinary or faecal incontinence published since the 6th International Consultation on Incontinence (2017) and provide key recommendations for the use of products in each group. Methods: A series of systematic reviews (grouped according to pre-determined topics) and evidence updates were undertaken and reported descriptively by members of an international committee to update the 6th Consultation. Results: The available evidence is presented for 13 categories of continence management products. Some categories (female mechanical urinary incontinence devices, products for preventing/treating incontinence-associated dermatitis and urinary catheters) had at least one new randomised controlled trial. Other categories had small-scale or qualitative studies, reviews or no new associated evidence. A summary of key research priorities is provided. Discussion: This paper provides a summary of the evidence available for a range of continence management products. Some product categories have a larger body of new and existing evidence than others, but there continues to be a lack of research to guide decision-making on the wide range of continence management products. Clinicians and other decision-makers remain largely dependent on expert opinion and individual user circumstances and preferences. We summarise specific areas where more. © 2023 The Authors
Factors associated with pelvic floor dysfunction in women with breast cancer
- Colombage, Udari, Soh, Sze-Ee, Lin, Kuan-Yin, Vincent, Amanda, White, Michelle, Fox, Jane, Frawley, Helena
- Authors: Colombage, Udari , Soh, Sze-Ee , Lin, Kuan-Yin , Vincent, Amanda , White, Michelle , Fox, Jane , Frawley, Helena
- Date: 2022
- Type: Text , Journal article
- Relation: Continence Vol. 2, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Purpose: To determine the prevalence of pelvic floor (PF) dysfunction according to breast cancer characteristics and examine the association between breast cancer characteristics and the prevalence, distress and impact of PF dysfunction in women with breast cancer. Outcome measures: The Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire were used to quantify the prevalence, distress and impact of PF dysfunction. Results: Data from 120 women with breast cancer were included in this analysis. Women who underwent chemotherapy experienced the highest rates of UI (n=23/29; 79%) and FI (n=7/29; 24%). The associations between breast cancer characteristics and the presence of pelvic floor dysfunction were not statistically significant. Being older (
- Authors: Colombage, Udari , Soh, Sze-Ee , Lin, Kuan-Yin , Vincent, Amanda , White, Michelle , Fox, Jane , Frawley, Helena
- Date: 2022
- Type: Text , Journal article
- Relation: Continence Vol. 2, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Purpose: To determine the prevalence of pelvic floor (PF) dysfunction according to breast cancer characteristics and examine the association between breast cancer characteristics and the prevalence, distress and impact of PF dysfunction in women with breast cancer. Outcome measures: The Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire were used to quantify the prevalence, distress and impact of PF dysfunction. Results: Data from 120 women with breast cancer were included in this analysis. Women who underwent chemotherapy experienced the highest rates of UI (n=23/29; 79%) and FI (n=7/29; 24%). The associations between breast cancer characteristics and the presence of pelvic floor dysfunction were not statistically significant. Being older (
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