Coping Strategies with Stress Urinary Incontinence among Menopausal Women

S. Mohamed, Magda Helmy, Samar. K. Hafez
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Abstract

Stress urinary incontinence (SUI) is the most prevalent urinary problem among menopausal women. It has a negative physical and psychological impact on women’s quality of life. Consequently Menopausal women with SUI tend to adopt negative or positive coping strategies to improve their quality of life. Objective: Identify coping strategies among menopausal women with urinary stress incontinence. Setting: Urinary incontinence clinic of Main University Hospital Alexandria Regional Center for Women's Health and Development. Subjects: A convenience sample of 200 menopausal women with stress urinary incontinence were recruited in this study. Tools: Three tools were used; I: Basic Data Structured Interview Schedule, II: Urinary Incontinence Interview Schedule: PRAFABQuestionnaire, and III: Revised Jalowiec Coping Scale. Results: One half of study subject( 50%) seldomly used any coping strategies, The self-reliant coping strategy was the most used one while emotive coping strategy was the least used one. Conclusion: Women use problem based coping strategies (Evasive and confronting) in an attempt to positively cop with health problem. Recommendations: Gynecological nurses are advised to attend workshops about the psychological impact of stress incontinence among menopausal women consequently they would be able to gear them towards the appropriate coping strategies.
绝经期妇女压力性尿失禁的应对策略
压力性尿失禁(SUI)是绝经期妇女中最常见的泌尿问题。它对妇女的生活质量产生了消极的生理和心理影响。因此,绝经期SUI妇女倾向于采取消极或积极的应对策略来改善生活质量。目的:探讨绝经期女性尿压力性失禁的应对策略。地点:美因大学医院亚历山德里亚地区妇女健康与发展中心尿失禁门诊。研究对象:本研究招募了200名绝经期压力性尿失禁妇女作为方便样本。工具:使用三种工具;I:基本数据结构化访谈计划,II:尿失禁访谈计划:PRAFABQuestionnaire, III:修订的Jalowiec应对量表。结果:半数(50%)的调查对象很少使用任何应对策略,其中以自力型应对使用最多,以情绪型应对使用最少。结论:妇女采用基于问题的应对策略(回避和面对),试图积极应对健康问题。建议:建议妇科护士参加有关绝经期妇女压力性尿失禁的心理影响的研讨会,从而使她们能够采取适当的应对策略。
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