Terapia comportamental no controle da incontinência urinária da mulher idosa: uma ação de enfermagem na promoção do autocuidado

• Ano de defesa: 2012
• Autor(a) principal: Silva, Barbara Martins Corrêa da
• Orientador(a): Caldas, Célia Pereira
• Banca de defesa: Penna, Lucia Helena Garcia , Sá, Selma Petra Chaves
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Enfermagem geriátrica; Incontinência urinária; Terapia comportamental
• Palavras-chave em Inglês: Geriatric Nursing; Urinary incontinence; Behaviour therapy
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11328

Urinary incontinence generates negative implications in the fields emotional, social and economic incontinent for both the individual and for their caregivers. Behavioral therapy is a noninvasive therapyss for urinary incontinence. Behavioral therapy is performed during the visits by nurses and nursing work involves the application of a protocol for guidance on lifestyle habits, measures to control urination, training for performing voiding diary, training exercises and perineal assessment of patient response therapy. The theoretical study is based on the theory of self-care of Elisabeth Dorothea Orem, because behavioral therapy aims to equip the individual to perform self-care practices from the ambulatory care protocol. The objective of the research is to evaluate the effectiveness of behavioral therapy applied by nurses to control urination and improves the quality of life of women elderly. It is a non-controlled clinical trial. The study included women over 60 who participate in the Clinic's Center for Elderly Care clinic with the complaint of involuntary leakage of urine sent for geriatric clinic. The study population was composed of 13 individuals. The data were collected from records that have been filed in the records of patients: the voiding diary, nursing assessment and behavioral therapy on quality of life questionnaire in women with urinary incontinence called the King's Health Questionnaire. These instruments were administered before and after the behavioral therapy. Data were collected from medical records at the clinic during the period from April 2011 to June 2012. The results were that after behavioral therapy all elderly respondents that drink during the day, 92.30% of the women said they established a rhythm of urinary 2/2 hours or 3/3 hours. In parameter voiding urine loss the end of behavioral therapy, 75% of the women showed no loss of urine. Moreover, after behavioral therapy none of the patients had urine leakage during the exercises and showed 92.30% efficient contraction of the perineal muscles. Thus, this research demonstrated that the elderly who participated in the behavioral therapy had improved bladder control and quality of life. Therapy is a feedback system that the patient adheres to the practices of self-care and the nurse reinforces the guidelines in order to achieve the ultimate goal which is the feeling of well being. Dorothea Orem's theory is well adapted to study because behavioral therapy enabled the elderly to take responsibility with your body and engage effectively to improve their health status and quality of life.