الفهرس 
Urinary IncontinenceOnly 14 pages are availabe for public view
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Abstract
HO recognizes incontinence as an international health
concern, it impact on lifestyle, avoidance of activities,
depression, isolation, embarrassment, impact on marital sexual
relationships, Increased dependence on caregivers, discomfort
and skin irritation, interference with prayers and purity. Urinary
incontinence prevalence in Egypt, 1,652 women, age > 20,
Community (Assiut), Prevalence, 54.8 % (Urge 15 %, Stress
14.8 %, Mixed 25 %) (El-Azab et al., 2007).
Aim of the study:
The aim of this study is to assess the quality of life in
adult woman with urinary incontinence through:
1. Determine the characteristics (type and degree) of
urinary incontinence in adult women with urinary
incontinence
2. Identify the affect of urinary incontinence on quality of
life of woman with urinary incontinence.
3. Determine the affect the socio-demographic
characteristics of women with urinary incontinence on
quality of life.
W
Study Questions?
1. What the type of urinary incontinence in adult woman
with urinary incontinence?
2. How dose urinary incontinence in adult women with
urinary incontinence affecting their quality of life?
3. Do the socio-demographic characteristics of women with
urinary incontinence have affect on quality of life?
Research Design:
Descriptive study design.
Setting:
The present study was conducted at the urinary
incontinence outpatient clinic of urology in EL-demerdash
hospital affiliated to Ain Shams University which serve
population at Cairo governorate.
Sampling:
A purposive sample selected was 50 adult women with UI
,attended outpatient clinic of urology medicine (6 months) and
they were selected according to the following criteria.
1- Adult women (20-59 years)
2- Diagnosed with urinary incontinence.
Tools of data collection:
Two tools were used for this study:
1- Socio-demographic profile, (age – marital status, level
of education, income…..etc). 2- Incontinence, its types and
severity, the frequency of urination, the presence and severity
of symptoms of urgent incontinence…..) 3- Obstetric history,
Obstetrical factors playing a role in urinary incontinence
(parity, date of last menstrual period, number and type of
deliveries, …….) 4- General history data will be obtained (age,
body height, body mass, and the presence of chronic diseases,
……) 5- Risk factors for incontinence, (such as age,
race/ethnicity, body mass ……) 6- (A) Knowledge of women
about urinary incontinence concerning; (definition=points,
types, causes, symptoms…) (B): Practices of women about
urinary incontinence concerning; first action when affected by
UI= 5points, Preparedness before go out of home, maintaining
the cloths and copping with UI. 7- The impact of urinary
incontinence on quality of life in women (physical domain,
emotional domain. social domain and economic domain).
Second tool:
Second part
Anthropometrics measurements:
Assess body mass index by three variables were
measurements, weight, height and BIM, The subject stood up
right barefooted or in thin socks and body mass index (BMI) is
a measure of body fatness. It was calculated by the equation:
BMI = weight in Kg (Height in meters). According the BMI,
participants were classified in to: overweight a BMI from
≥25.00 kg/m2, class 1 obesity BMI from 30.00 – 34.99kg/m2,
class 2 obesity BM, from 35.00 – 39.99 kg /m2 (WHO, 2006).
Pilot study:
The pilot study was carried out on (5 %) of studied
sample they were chosen adult women with urinary
incontinence this sample were excluded from the study sample.
Result:
The main finding of this study was summarized as follows:
Total number of the studied sample was 50. 38.0 %of the
sample aged ranged from 36-47years old, 88.0 % were
married, 82.0 % were house wives, 44.0 % were illiterate
and 66.0 % were not enough income.
44.0 % had stress urinary incontinence, 62.0 % were first
deliver in15-25 years old. Also 60 % were taking caffeine,
18 % were diabetic, and 14 % were on anti hypertensive
drugs, 10 % had history of spinal injury and less than 4 %
for cigarette, Sedative drugs, Calcium Replacement and
accident.
80 % of the adult women with UI were satisfied practices
with first action when were affected by UI, 66 % were
satisfied practices with Preparedness before go out of the
house.
98 % of clients had correct answers on how to care of UI,
40 % correctly defined UI. Only 8 % had correct
differentiated types of UI.90 % of studied adult women with
urinary incontinence had poor total quality of life .Also
more than 80 % had poor physical and psychological QOL,
more than 70 % had poor social and economical QOL.
Recommendations:
1. A community health nurses at various of contact in
primary health care, maternal and child health and
schools increase the awareness regarding urinary
incontinence and its effects on adult women quality of
life.
2. Increasing family awareness toward UI problem through
public health education to correct misconceptions could
be an effective means of bringing incontinent individuals
into contact with appropriate intervention.
3. Providing information for the women about community
health resources and maintaining of proper.
4. Developing a health education program to adult women
group in the community for the protective urinary
incontinence includes:
- Weeding in early age.
- Early detection of urinary incontinence risk factors.
5. Further researches are required involving larger study
samples about the impact medical compliance of women
with urinary incontinence on their total quality of life.