A intervenção educativa do enfermeiro na promoção do autocuidado da pessoa idosa com incontinência urinária

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Carla Alexandra Fernandes Nascimento
https://orcid.org/0000-0002-4880-0141
Sónia Ferrão
https://orcid.org/0000-0002-0096-6687
Sara Santos
https://orcid.org/0000-0002-4757-0735

Resumo

Enquadramento: A incontinência urinária é um fenómeno extremamente comum na pessoa idosa, considerada uma síndrome geriátrica devido à sua elevada prevalência e impacto na qualidade de vida. Enquanto condição pouco relatada e subdiagnosticada, decorrente do estigma social muitas vezes existente ou por ser percecionada como consequência inevitável do processo natural de envelhecimento, requer uma atenção particular na intervenção do enfermeiro.


Objetivos: Descrever a incontinência urinária como um problema de saúde na pessoa idosa; Identificar a intervenção educativa do enfermeiro enquanto estratégia facilitadora do autocuidado da pessoa idosa com incontinência urinária.


Metodologia: Revisão narrativa da literatura sobre incontinência urinária na pessoa idosa, com enfoque na intervenção do enfermeiro.


Conclusão: A intervenção de enfermagem apoio-educação parece ser uma estratégia facilitadora do autocuidado da pessoa idosa com incontinência urinária.

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Nascimento, C. A. F., Ferrão, S. ., & Santos, S. (2022). A intervenção educativa do enfermeiro na promoção do autocuidado da pessoa idosa com incontinência urinária. JIM - Jornal De Investigação Médica, 3(2), 77–95. https://doi.org/10.29073/jim.v3i2.502
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Referências

Abrams, P., Cardozo, L., Wagg, A., & Wein, A. (2016). Incontinence (6th ed). Health Publications Ltd.

Arco, H., Costa, A., Machado, B., Anacleto, N., Silva, R. & Fonseca, S. (2018). Intervenções de enfermagem na dermatite associada à incontinência-revisão integrativa da literatura. Enfermería Global, 17(52),689-702. https://scielo.isciii.es/pdf/eg/v17n52/pt_1695-6141-eg-17-52-689.pdf

Artero-Lopez, C., Marquez-Hernandez, V. V., Estevez-Morales, M. T., & Granados Gamez, G. (2018). Inertia in nursing care of hospitalised patients with urinary incontinence. Journal of Clinical Nursing, 27, 1488–1496. https://doi.org/10.1111/jocn.14289

Associação Portuguesa de Neurologia e Uroginecologia (2021). Incontinência Urinária. https://apnug.pt/docs/2021/incontinencia2021.pdf

Associação Portuguesa de Urologia (2014). Incontinência urinária.

https://apurologia.pt/incontinencia/incontinencia_2014/Dossier_Inc_Urinaria_2014.pdf

Azizi, M., Azadi, A., & Otaghi, M. (2019). The effect of a self-care programme on urinary incontinence and self-esteem in elderly men dwelling in nursing homes in Iran. Aging Male, 15, 1-7. https://doi.org/10.1080/13685538.2019.1573891

Ballard, D., & Hill, J. (2016). The Nurse’s Role in Health Literacy of Patients With Cancer. Clinical Journal of Oncology Nursing, 20(3), 232-234. https://doi.org/10.1188/16.CJON.232-234.

Berkman, N., Sheridan, S., Donahue, K., Halpern, D., & Crotty K. (2011). Health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97–107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Bolina, A. F., Dias, F. A., Santos, N. M. F., & Tavares, D. M. S. (2013). Self-reported urinary incontinence in elderly and its associated factors. Rev Rene, 14(2), 354-363. periodicos.ufc.br/rene/article/view/3392

Boltz, M., Capezuti, E., Fulmer, T., & Zwicker, D. (2016). Evidence-based geriatric nursing protocols for best practice (5th ed). Springer Publishing Company.

Canadian Nurses Association (2008). Advanced Nursing Practice - A National Framework. https://www.cna-aiic.ca/~/media/cna/page-content/pdf en/anp_national_framework_e.pdf

Carneiro, V., Silva, I., & Jólluskin, G. (2017). Literacia em saúde: um retrato da população portuguesa. Revista de Estudios de Investigación en Psicologia y Educacion, 14, 133-137. https://doi.org/10.17979/reipe.2017.0.14.2559

Carvalho, C., Santos, P. C. & Pereira, J. F. (2020). Literacia em incontinência urinária (Vol 3). Porto: Escola Superior de Saúde do Porto. Politécnico do Porto (ESSP.PP). https://doi.org/10.26537/hq0j-nd53

Carvalho, M. P., M. P., Andrade, F. P., Peres, W… Seleme, M. R. (2014). O impacto da incontinência urinária e seus fatores associados em Idosas. Revista Brasileira de Geriatria e Gerontologia, 17(4), 721-730. http://dx.doi.org/10.1590/1809-9823.2014.13135

Cera, J. L., & Twiss, J. J. (2018). Focused integrative review of current continence care and prevention strategies: Expanding the role of the nurse practitioner. Urologic Nursing, 38(4), 169-176. https://doi.org/10.7257/1053-816X.2018.38.4.169

Cohn, J. A., Shah, A. S., Goggins, K. M…Reynolds, W.S. (2018). Health literacy, cognition, and urinary incontinence among geriatric inpatients discharged to skilled nursing facilities. Neurourology and Urodynamics, 37, 854–860. https://doi.org/10.1002/nau.23368

De Gagne, J. C., So, A., Wu, B., Palmer, M. H., & McConnell, E. S. (2015). The effect of a urinary incontinence self-management program for older women in South Korea: a pilot study. International Journal of Nursing Sciences, 2, 39–46. https://doi.org/10.1016/j.ijnss.2015.01.002

Dhesi, J., & Partridge, J. (2018). Comprehensive Geriatric Assessment in Perioperative Medicine. In: Pilotto, A. & Martin, F. C. (eds.), Comprehensive Geriatric Assessment. Practical Issues in Geriatrics (pp. 149-57). https://doi.org/10.1007/978-3-319-62503-4_4

Direção-Geral da Saúde (2019). Plano de Ação Para a Literacia Em Saúde 2019-2021. https://www.dgs.pt/documentos-e-publicacoes/plano-de-acao-para-a-literacia-em-saude-2019-2021.aspx.

Feo, R., & Kitson, A. (2016). Promoting patient-centred fundamental care in acute healthcare systems. International Journal of Nursing Studies, 57, 1–11. http://dx. doi.org/10.1016/j.ijnurstu.2016.01.006

Flanagan, L., Roe, B., Jack, B…Williams, K. (2011). Systematic review of care intervention studies for the management of incontinence and promotion of continence in older people in care homes with urinary incontinence as the primary focus. Journal of Advanced Nursing, 12(4), 600–611. https://doi.org/10.1111/j.1365-2648.2010.05481.x

Furlanetto, K., & Emond, K. (2016). “Will I come home incontinent?” A retrospective file review: Incidence of development of incontinence and correlation with length of stay in acute settings for people with dementia or cognitive impairment aged 65 years and over. Collegian, 23(1),79–86. https://doi.org/10.1016/j.colegn.2014.09.013

Garrett, D., & Tomlin, K. (2015). Incontinence and sexuality in later life. Nursing older people, 27(6), 26-29. https://doi.org/10.7748/nop.27.6.26.e717.

Gardner, G. E., Chang, A. M., Duffield, C., & Doubrovsky, A. (2013). Delineating the practice profile of advanced practice nursing: a cross-sectional survey using the modified strong model of advanced practice. Journal of Advanced Nursing, 69(9), 1931-1942. https://doi.org/10.1111/jan.12054

Gasparin, R., Champagne, M., Stephany., Hudson, J., & Fuchs, M. A. (2015). Policy to practice: increased Family Presence and the Impact on Patient-and Family-Centered Care Adoption. The Journal of Nursing Administration, 45(1), 28-34. https://doi.org/10.1097/NNA.0000000000000152

Gibson, W. & Wagg, A. (2014). New horizons: urinary incontinence in older people. Age Ageing, 43(2), 157–163. https://doi.org/10.1093/ageing/aft214

Gray, M., & Moore, K. N. (2012). Cuidados de Enfermagem em Urologia. Lusociência.

Henriques, A. (2017). Literacia em saúde e gestão do regime terapêutico. Cuidados e envelhecimento. Perspetivas de enfermagem (pp. 61- 87). Coisas de Ler.

Huang, P. Luo, K., Wang, C., Guo, D., Wang, S., Jiang, Y., Huang, W., Zhang, W., Ding, M., & Wang, J. (2021). Urinary Incontinence Is Associated With Increased All-Cause Mortality in Older Nursing Home Residents: A Meta-Analysis. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing, 53(5), 561–567. https://doi.org/10.1111/jnu.12671

Ilkhan, G. D., & Celikhisar, H. (2021). The effect of incontinence on sleep quality in the elderly. International journal of clinical practice, 75(5), e13965. https://doi.org/10.1111/ijcp.13965

International Continence Society (2015). Fact sheets: A background to fecal and urinary incontinence. https://www.ics.org/%20public/factsheets

Jung, H., Kim, H., & Cho, S. (2015). A current perspective on geriatric lower urinary tract dysfunction. Korean Journal of Urology, 56, 266–275. https://doi.org/10.4111/kju.2015.56.4.266

Kessler, M., Facchini, L. A., Soares, M. U., Nunes, B. P., França, S. M., & Thumé, E. (2018). Prevalence of urinary incontinence among the elderly and relationship with physical and mental health indicators. Revista Brasileira de Geriatria e Gerontologia, 21(4), 397-407. http://dx.doi.org/10.1590/1981-22562018021.180015

Kwak, Y., Kwon, H., & Kim, Y. (2015). Health-related quality of life and mental health in older women with urinary incontinence. Aging Ment Health, 8, 1–8. https://doi.org/10.1080/13607863.2015.1033682

Lucas, M. G., Bedretdinova, D., Bosch, J. L. H. R., Burkhard, F., Cruz, F., Nambiar, A. K, … Pickard, R. S. (2015). European Association of Urology - Guidelines on Urinary Incontinence. https://uroweb.org/wp-content/uploads/EAU-Guidelines-Urinary-Incontinence-2015.pdf

Mackiea, B. R., Mitchell, M., & Marshall, A. (2018). The impact of interventions that promote family involvement in care on adult acute-care wards: An integrative review. Collegian, 25, 131-140, https://doi.org/10.1016/j.colegn.2017.01.006

McCormack, B. & McCance, T. V. (2006). Development of a framework for personcentred nursing. Journal of Advanced Nursing, 56(5), 472–479. http://doi.org/10.1111/j.1365-2648.2006.04042.x

McIntosh, L., Andersen, E., & Reekie, M. (2015). Conservative treatment of stress urinary incontinence in women: A 10-year (2004-2013) scoping review of the literature. Urologic Nursing, 35(4), 179-186.

Mota, A., Figueiredo, A., Ferreira, C. A., Castelo, D., Parada, B., Nunes, P., & Rolo, F. (2014). Patologia urológica e envelhecimento. In: Veríssimo, M. Geriatria fundamental (pp. 203-224). Lidel.

National Institute for Health and Care Excellence (2013). Urinary Incontinence: The Management of Urinary Incontinence in Women: Clinical Guideline (CG171). https://www.nice.org.uk/guidance/cg171

Nazarko, L. (2013). Recurrent urinary tract infection in older women: an evidence- based approach. British Journal of Community Nursing, 18(8), 407-412. https://doi.org/10.12968/bjcn.2013.18.8.407

Oliveira, L., Tavares, A., Amorim, T., Paiva, A., Salimena, A. (2020). Impact of urinary incontinence on women’s quality of life: an integrative literature review. Revista Enfermagem UERJ, 28, 1–8. http://login.ezproxy.lib.umn.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,uid&db=rzh&AN=148302406&site=ehost-live

Omli, R., Hunskaar, S., Mykletun, A., Romild, U., & Kuhry, E. (2013). Urinary incontinence and risk of functional decline in older women: data from the Norwegian HUNT-study. BMC Geriatrics, 13(1), 47. https://doi.org/10.1186/1471-2318-13-47

Orem, D. E. (2001). Nursing: Concepts of practice (6th ed.). Mosby.

Payne, D. (2015). Selecting appropriate absorbent products to treat urinary incontinence. British Journal of Community Nursing, 20(11), 551-558. https://doi.org/10.12968/bjcn.2015.20.11.551.

Pilotto, A. & Martin, F. C. (eds.) (2018). Comprehensive Geriatric Assessment. Practical Issues in Geriatrics. https://doi.org/10.1007/978-3-319-62503-4_4

Quallich, S., Bumpus, S. M., & Lajiness, S. (2016). Competencies for the Nurse Practitioner Working with Adult Urology Patient. In: Lajiness, M. & Quallich, S. The Nurse Practicioner in Urology (398-412). Springer.

Radadia, K. D., Farber, N. J.,Shinder, B., Polotti, C. F., Milas, L. J. & Tunuguntla, H.S.G.R. (2018). Management of Postradical Prostatectomy Urinary Incontinence: A Review. Urology, 1(13), 13-19. https://doi.org/10.1016/j.urology.2017.09.025.

Rocha, C., & Redol, F. (2017). Intervenção de Enfermagem na Pessoa com Alterações da Eliminação Vesical e Intestinal. In: Marques Vieira, C. & Sousa, L. Cuidados de Enfermagem de Reabilitação à Pessoa ao Longo da Vida (pp. 271-280). Lusodidacta.

Rodrigues, T. (2018). Envelhecimento e políticas de saúde. Fundação Manuel dos Santos.

Roe, B., Flanagan, L., & Maden, M. (2015). Systematic review of systematic reviews for the management of urinary incontinence and promotion of continence using conservative behavioural approaches in older people in care homes. Journal of Advanced Nursing, 71(7), 1464-1483. https://doi.org/10.1111/jan.12613.

Samuelsson, E., Odeberg, J., Stenzelius, K.… Midlöv, P. (2015). Effect of pharmacological treatment for urinary incontinence in the elderly and frail elderly: A systematic review. Geriatrics Gerontology International, 15(5), 521–534. https://doi.org/10.1111/ggi.12451

Sanders, K. (2019). Treatment of Stress Urinary Incontinence in Women: A Medical and Surgical Review. Urologic Nursing, 39(1), 29. https://doi.org/10.7257/1053-816x.2019.39.1.29

Santos, C. (2012). Reeducação Perinoesfinteriana. In. Silva, M. M., Duarte, A., Galo, J., & Domingues, N. (org.). Enfermagem em Urologia (pp.166-170). Lidel.

Schoberer, D., Leino-Kilpi, H., Breimaier, H., Halfens, R., & Lohrmann, C. (2016). Educational interventions to empower nursing home residents: a systematic literature review. Clinical Interventions in Aging, 11, 1351–1363. https://doi.org/10.2147/CIA.S114068

Schumpf, L.F., Theil, N., Scheiner, D. A., Fink, D., Riese, F., & Betschart, C. (2017). Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland. BMC Geriatrics, 17, 1-17. https://doi.org/10.1186/s12877-017-0414-7

Serviço Nacional de Saúde (2017). Rede Nacional de Especialidade Hospitalar e de Referenciação - Urologia.file:///D:/eliminaçao%20vesical/RNEHR-Urologia-Aprovada-8-agosto-17.pdf

Serrão, C., Veiga, S. & Vieira, I. (2015). Literacia em Saúde: resultados obtidos a partir de uma amostra de pessoas idosas portuguesas. Revista Portuguesa de Enfermagem de Saúde Mental (Ed. Esp. 2), 33-38. www.scielo.mec.pt/pdf/rpesm/nspe2/nspe2a06.pdf

Shaw, C., & Wagg, A. (2020). Urinary and fecal incontinence in older adults. Medicine, 49(1), 44–50. https://doi.org/10.1016/j.mpmed.2020.10.012

Soliman, Y., Meyer, R., & Baum, N. (2016). Falls in the elderly secondary to urinary symptoms. Reviews in Urology, 18, 28–32. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859925/

Sørensen, K., Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(80), 1-13. https://doi.org/10.1186/1471-2458-12-80.

Stewart, E. (2018) Assessment and management of urinary incontinence in women. Nursing Standard, 33(2), 75-82. https://doi.org/10.7748/ ns.2018.e11148

Tamanini, J. T. N., Pallone, L.V., Sartori, M.G.F…Peva, V. K. (2017). A populational based survey on the prevalence, incidence, and risk factors of urinary incontinence in older adults-results from the "SABE STUDY". Neurourol Urodyn, 37(1), 466-477. https://doi.org/10.1002/nau.23331.

Vaz de Almeida, C. (2020). Literacia em saúde e capacitação dos profissionais de saúde: o modelo de comunicação em saúde ACP. http://hdl.handle.net/10400.26/34417.

Yates, A. (2017). Incontinence and associated complications: is it avoidable? Nurse Prescribing, 15(6), 288-295. https://doi.org/10.12968/npre.2017.15.6.288

Yeh, M., Wu, S. & Tung, T. (2017). The relation between patient education, patient empowerment and patient satisfaction: a cross-sectional-comparison study. Applied Nursing Research, 39, 11-17. https://doi.org/10.1016/j.apnr.2017.10.008