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Quality of life of woman with incontinence
NĚMCOVÁ, Anna
Incontinence, i.e. involuntary paging of urine, is a hygienic, as well as a social, economic and partnership problem. It is a symptom which has various causes. Women of all ages suffer from this symptom while the incidence rises with older age. Incontinence can even affect pregnant women and women after birth. Urine incontinence affects the quality of life to a large extent. Although a number of ways exist of how to solve the problem, women are ashamed to openly speak about it. The task of the midwife is to provide female patients with all information concerning the reasons and the ways of how to cope with incontinence, and therefore to contribute to improve their quality of life. The theoretical part focuses on the anatomy of urinary tract and urination physiology. Furthermore, it describes the types of incontinence, its reasons, diagnosis and the subsequent therapy. In its final part it describes the role of the midwife. The practical part deals with the findings of the way of how incontinence influences affects a woman?s life. Furthermore, it focuses on the way women are informed and where woman obtain information about incontinence. A qualitative survey, i.e. a method of enquiry and a technique of in-depth interviews was chosen to process the task and achieve the predetermined aims. A SEIQoL questionnaire was used as an additional method. The questionnaire compares the resulting values of the quality of life of women who have finished a course of treatment of incontinence with those still being treated at out-patient urogynaecological units. The qualitative survey was conducted in the city of České Budějovice and its vicinity from 29th March to 13th April 2011. A total of 13 in-depth interviews were carried out. There aims were set together with related enquiry questions. The purpose of the project was to find out how women regard the quality of their lives with incontinence, if they are well informed about their problem and where they obtained the information. The purpose of the work was to also compile an educational programme on how to improve the quality of life of woman with incontinence involving the work carried by midwife. The SEIQoL questionnaire showed that the quality of life of women still suffering from urinary incontinence further deteriorates in comparison with that of woman who has been cured. The assessment of the quality of life of women suffering suffering with incontinence should not just be dealt with in scientific articles or research. They should be more sympathetic and assist women in their uneasy situation more than in the practice today. In this respect the education of midwives is extremely important and more attention should be devoted to it.
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Arrangement of the nursing process for the sick of incontinency
KUKAČKOVÁ, Zdeňka
I have selected the bachelor thesis on the subject of The Provision of the Process of Nursing Incontinent Patients because I am interested in the issues of urinary incontinence. With increasing age, the need for voiding urine becomes an increasingly topical problem. Many think that urinary incontinence is a natural part of the ageing process and that it is possible to combat it by reducing the intake of liquids. A nurse should refute this opinion of incontinent patients and to recommend that they should restrict beverages containing caffeine during incontinence. Most of incontinent patients, however, are shy of talking about their problem. Therefore, the understanding of the patient{\crq}s behaviour can help a nurse solve the problem of incontinence. Furthermore, a nurse should provide incontinent patients with information on suitable and unsuitable sports, on the technique of interrupted urination, on compensatory aids for incontinent patients and about the necessity to limit the intake of irritable food as well. Also, a nurse should teach an ill woman exercises to strengthen the pelvic floor (Kegel exercise). Urinary incontinence is defined as the unwanted leakage of urine, which causes a hygienic or social problem and, at the same time, it is also objectively demonstrable. It is a symptom that may have various causes. Consequences of incontinence translate into all areas of social life. In the interest of uniting the diagnostics and treatment of incontinence, the ICS (International Continence Society) classification is currently recommended, which distinguishes four types of incontinence: urgent, reflex, stress and paradoxical. The most frequent subtype is stress incontinence, followed by mixed and urgent incontinence. The organization of the care of incontinent patients has three levels: primary care, secondary care and tertiary care. The present situation in the Czech Republic is marked by the merging of the secondary and tertiary level of care, for the majority of specialized workplaces are part of in-patient establishments in the sense of urogynaecologic clinics. The care of incontinent patients requires a holistic approach. The aim of the nursing care of incontinent patients is to minimize the leakage of urine, to preserve or restore the normal excretion of urine while preventing relevant risks at the same time. In the course of my research I would like to find out how nurses ensure the process of nursing incontinent patients, whether nurses inform incontinent patients about the exercises of pelvic floor muscles and about the drinking regimen and whether these patients are informed about compensatory aids for the incontinent. The hypothesis that nurses, within the nursing process, do not focus on the support of a patient{\crq}s self-assessment has not proven true. The hypothesis that nurses instruct the patients in exercises of pelvic floor muscles has proved true. The hypotheses that patients who suffer from incontinence are informed about aids that compensate their incontinence and that nurses instruct patients suffering from incontinence in the drinking regimen have proven true. Urinary incontinence continues to be taboo in our society. Many consider it as a natural part of the ageing process. Nowadays, there already exists effective treatment, it is only necessary to confide in a physician about one{\crq}s problem. However, prevention is also important here. Basically simple and mostly also generally known prevention will save many finances and, first and foremost, complaints.
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