|Title:||Psychosocial Impacts and Coping Strategies of Women with Stress Urinary Incontinence
|Issue Date:||1997||Journal Issue:||n.3||Start page/Pages:||207-217||Source:||慈濟醫學雜誌,v.9||Abstract:||
Stress incontinence is a common urinary problem in adult women. While the physiologic and pathologic effects of this diseaes have been well studied, the psychosocial impacts and coping strategies are not well understood. We investigated the psychosocial impacts and coping strategies of women with stress incontinence, and the factors that influenced them. Eighty-seven women with stress incontinence (mean age:50 years) were recruited from outpatients of the urological and gynecological clinics of a large medical center. A psychosocial impact and a coping strategy scale was used to evaluate the patients. Stress incontinence causes mild psychosocial impacts in women. Worry about symptom deterioration, feelings of inferiority, offensive smell of urine, nervousness due to loss of urinary control and embarrassment caused by urinary leakage in public ranked as the top five psychosocial impacts. An active coping category was used most frequently by the patients. The top five coping strategies were frequent urination, compliance with medical regimen, wearing protective pads, keeping hope, believing that the disease will improve, and avoiding strenuous activity. Women with chronic illness and menopause experienced higher psychosocial impacts. Active coping strategies were used more frequently by women with higher education while passive copin strategies were used more frequently by women with chronic illness and longer duration of incontinence. Understanding the psychological impacts and coping strategies of women with stress incontinence will help health personnel to assist patients cope with stress incontinence and to improve the quality of care.
|Appears in Collections:||醫學系|
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