Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-10T12:04:34.277Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychosocial vs. Physical Impact of Urinary Incontinence: Corroboration of Patient with Physician Perceptions

Published online by Cambridge University Press:  29 November 2010

Paul S. Lee ,
David W. Reid ,
Maria L. Zorzitto ,
Grant W. Nadon  and
Barbara Craig
Paul S. Lee
Affiliation:
York University
David W. Reid
Affiliation:
York University
Maria L. Zorzitto
Affiliation:
West Park Hospital, Toronto
Grant W. Nadon
Affiliation:
Sunnybrook Medical Centre, Toronto
Barbara Craig
Affiliation:
Sunnybrook Medical Centre, Toronto
Get access Rights & Permissions [Opens in a new window]

Abstract

Both theoretical and anecdotal evidence suggest that urinary incontinence brings with it psychological effects and that these play an important role in patient response to treatment. Nevertheless, previous research has not systematically examined the physical and the psychosocial aspects of urinary incontinence from the perspectives of the patients as well as their physicians. The medical staff and 39 continence clinic patients answered questionnaires measuring the following aspects of the patients' experience of incontinence: (a) physical, (b) psychological, (c) social, and (d) knowledge about their incontinence and its treatment. Results showed (1) the medical staff perceived greater improvement than the patients did, (2) the patients placed greater emphasis on the psychological and social aspects than did the staff, and (3) patient satisfaction is more strongly associated with improvements in disease severity.

Résumé

L'évidence théorique et anecdotique suggère que l'incontinence urinaire amène des effets psychologiques et que ceux-ci jouent un rôle important dans la réaction des patients au traitement. Néanmoins, les recherches précédentes n'ont pas examiné de façon systématique les aspects physiques et psycho-sociaux de l'incontinence urinaire de la perspective des patients et celle de leurs médecins. Le personnel médical et 39 clients d'une clinique d'énurésie ont répondu aux questionnaires qui mesuraient les aspects suivants de l'expérience d'incontinence des clients: (a) physiques, (b) psychologiques, (c) sociaux, et (d) connaissance de leur incontinence et leur traitement. Les résultats ont démontré que: (1) le personnel médical a remarqué une plus grande amélioration que les patients; (2) les patients attachaient plus d'importance aux aspects psychologiques et sociaux que le personnel; et (3) la satisfaction des patients s'associe plus fortement aux effets psycho-sociaux mesurés par le personnel et les patients qu'aux améliorations de la sévérité de la maladie.

Keywords

Urinary IncontinencePatient vs. Physician Perceptions.L'incontinence urinaireperceptions des patients et leurs médecins.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 11 , Issue 4 , Winter/hiver 1992 , pp. 400 - 411
Copyright
Copyright © Canadian Association on Gerontology 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bates, P., Bradley, W.E., Glen, E., Griffiths, D., Melchior, D.R., Rowan, D., Sterling, A., Zinner, N., & Hald, T. (1979). The standardization of terminology of lower urinary tract function. Journal of Urology, 121(5), 551–554.CrossRefGoogle ScholarPubMed
Castleden, C.M., Duffin, H.M., & Asher, M.J. (1985). Clinical and urodynamic studies in 100 elderly incontinent patients. British Medical Journal, 282(4), 1103–1105.CrossRefGoogle Scholar
Castleden, C.M., Duffin, H.M., Asher, M.J., & Yeomanson, C.W. (1985). Factors influencing outcome in elderly patients with urinary incontinence and detrusor instability. Age and Ageing, 14, 303–307.CrossRefGoogle ScholarPubMed
Dingwall, R. (1977). Aspects of Illness. New York: St. Martin's Press.Google Scholar
Ehrman, J.S. (1983). Use of biofeedback to treat incontinence. Journal of the American Geriatrics Society, 31(1), 182–184.CrossRefGoogle ScholarPubMed
Feneley, R.C.L., Shepherd, A.M., Powell, P.H., & Blannin, J. (1979). Urinary incontinence: Prevalence and needs. British Journal of Urology, 51, 493–496.CrossRefGoogle ScholarPubMed
Foster, G.M., & Anderson, B.G. (1978). Medical Anthropology. New York: John Wiley and Sons.Google Scholar
Herzog, A.R., Fultz, N.H., Brock, B.M., Brown, M.B., & Doikno, A.C. (1988). Urinary incontinence and psychological distress among older adults. Psychology and Aging, 3(2), 115–121.CrossRefGoogle ScholarPubMed
Hunskaar, S., & Vinsnes, A. (1991). The quality of life in women with urinary incontinence as measured by the Sickness Impact Profile. Journal of the American Geriatrics Society, 39(4), 378–382.CrossRefGoogle ScholarPubMed
Jewett, M.A.S., Fernie, G.R., Holliday, P.J., & Pim, M.E. (1981). Urinary dysfunction in a geriatric long-term care population: Prevalence and patterns. Journal of the American Geriatrics Society, 29(5), 211–214.CrossRefGoogle Scholar
Kleinman, A. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. California: University of California.CrossRefGoogle Scholar
Kraus, A.S., Spasoff, R.A., Beattie, E.J., Holden, E.W., Lawson, J.S., Rodenburg, M., & Woodcock, G.M. (1976). Elderly applicants to long-term care institutions. I. Their characteristics, health problems, and state of mind. Journal of American Geriatrics Society, 24(3), 117–125.CrossRefGoogle ScholarPubMed
Lee, P.S., & Reid, D.W. (1990). Risk factors associated with urinary incontinence in community dwelling elderly. Proceedings of the 19th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology, 17, 133.Google Scholar
Mandelstam, D. (Ed.) (1980). Incontinence and its management. London: Croom Helm.Google Scholar
McElroy, A., & Townsend, P.K. (1985). Medical anthropology in ecological perspective. Boulder, CO: Westview Press.Google Scholar
Milne, J.S. (1976). Prevalence of incontinence in the elderly age groups. In Willington, F.L. (Ed.), Incontinence in the elderly (pp. 9–21). New York: Academic Press.Google Scholar
Muir Gray, J.A. (1980). Incontinence in the community. In Mandelstam, D. (Ed.), Incontinence and its management (pp. 110–121). London: Croom Helm.Google Scholar
Mumford, E. (1983). Medical sociology: Patients, providers, and policies. New York: Random House.Google Scholar
Neter, J., & Wasserman, W. (1974). Applied linear statistical models. Homewood, IL: Richard D. Irwin.Google Scholar
Norton, C. (1981). The effects of incontinence in women. In Sundin, T. & Mattiasson, A. (Eds.), Proceedings of the 11th Annual Meeting of the International Continence Society (pp. 175–176). Lund, Sweden: Skogs Trelleborg.Google Scholar
Ouslander, J.G. (1981). Urinary incontinence in the elderly. Western Journal of Medicine, 135(6), 482–491.Google ScholarPubMed
Overstall, P.W., Rounce, K., & Palmer, J.H. (1980). Experience with an incontinence clinic. Journal of the American Geriatrics Society, 28(12), 535–538.CrossRefGoogle ScholarPubMed
Palmer, M.H. (1985). Urinary incontinence. Thorofare, NJ: Slack.Google Scholar
Robb, S.S. (1985). Coping with urinary incontinence. Clinical Gerontologist, 4(2), 35–36.Google Scholar
Starer, P., & Libow, L.S. (1985). Obscuring urinary incontinence: Diapering of the elderly. Journal of the American Geriatrics Society, 33(12), 842–846.CrossRefGoogle ScholarPubMed
Sutherland, S.S. (1976). The psychology of incontinence. In Willington, F.L. (Ed.), Incontinence in the elderly (pp. 52–69). New York: Academic Press.Google Scholar
Vetter, N.J., Jones, D.A., & Victor, C.R. (1981). Urinary incontinence in the elderly at home. The Lancet, 1275–1277.CrossRefGoogle ScholarPubMed
Williams, M.E., & Pannili, F.C. (1982). Urinary incontinence in the elderly. Annals of Internal Medicine, 97, 895–907.CrossRefGoogle ScholarPubMed
Willington, F.L. (Ed.), (1976). Incontinence in the elderly. New York: Academic Press.Google ScholarPubMed