2019, Number 6
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Rev Clin Esc Med 2019; 9 (6)
Resultados del programa de terapia integral de incontinencia urinaria en personas adultos mayores, atendidos en la Uunidad de Incontinencia Urinaria del Hospital Nacional de Geriatrí y Gerontología, de Cosa Rica
Chacón GK, Zúñiga AA, Umaña AA, Benavides LA
Language: Spanish
References: 28
Page: 61-69
PDF size: 428.51 Kb.
ABSTRACT
Urinary incontinence (UI) is a common geriatric syndrome
that affects the quality of life and is a contributing
factor in functional deterioration. Generally, it
is highly prevalent in people who are institutionalized.
A conservative control of the pelvic “base” has proven
to be effective, just as also lifestyle interventions and
behavioral modification have proven to be an effective
therapy for all types of urinary incontinence.
Objective
To evaluate the results of an integrated therapy program
for all types of urinary incontinence in elderly
persons attended at the Urinary Incontinence Unit
(UIU) of the National Geriatric and Gerontology
Hospital (HNGG).
Methods
An observational descriptive study was held, of a
transversal type, based on a revision of nursing files
and cards of older adults who attended the UIU of the
HNGG between January and December of 2015. We
analyzed the following results of the variables: nictameter,
severity of the IU based on frequency x quantity
of the muscular strength of the pelvic (base) (Oxford
Scale), evaluation of the quality of life and subjective
improvement, at the beginning and the end of the
treatment. We compared the percentages of patients
who achieved improvement in each of the variables.
Results
One hundred twenty-nine older adults averaging
76.3 years old were studied, of which 96% were
women. The most frequent form of presentation of
UI was the mixed urinary incontinence (MUI), followed
by forced urinary incontinence (FUI), and finally
by the urgent urinary incontinence. 59% (p ‹
0,001) achieved a normal miccional habit, according
to the nictometer, 21% (p 0,001) were able to control
their urination, 19% increased the muscular strength
of the pelvic base (0.95 points on a scale of 0 to 5).
58.2% of the older adults showed good or excellent
subjective improvement in their symptoms
(p‹0,001). The quality of their
life showed improvement, obtaining an average of 5
points of diminishment in the effects (ICI-Q scale of 0
to 10 points, (p‹0,05).
Conclusions
The conservative approach to integral therapy for
elderly adults with urinary incontinence has shown
good results, and therefore it should be recommended
as a first option, before going to surgical treatment.
Since muscular exercises can be learned by instruction,
electrical stimulation is easily applied and has
very little risk of leaving secondary effects.
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