RNOtherRevista brasileira de enfermagem2023

Urinary incontinence in women: assessment with the aid of standardized nursing terminologies NANDA-I and NOC.

Liana Priscilla Lima de Melo, Lívia Maia Pascoal, Isaura Letícia Tavares Palmeira Rolim and 5 others

PMID 38018618

WHAT IT FOUND

Women with urinary incontinence most often had mixed urinary incontinence (43.3%).

The worst urinary continence scores were identifying medication that interferes with urinary control (1.21), leaking urine with sneezing, laughing, or lifting (2.23), and emptying the bladder completely (2.07).

Key findings

01Mixed urinary incontinence was the most frequent nursing diagnosis, present in 43.3% of the 97 women, followed by stress urinary incontinence in 37.1% and urge urinary incontinence in 19.6%.

02The NOC Urinary Continence indicators with the worst mean scores were identifies medication that interferes with urinary control (mean 1.21), urine leakage with sneezing, laughing, or lifting (mean 2.23), and empties bladder completely (mean 2.07).

03Women with the mixed urinary incontinence diagnosis had worse scores for gets to toilet between urge and passage of urine (p = 0.022), voids in appropriate receptacle (p = 0.025), and empties bladder completely (p = 0.037).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The women were recruited non-probabilistically through sequential sampling from a university hospital outpatient clinic, so the findings may not apply to other settings or to women with urinary incontinence elsewhere. The researcher assigned the NANDA-I nursing diagnoses herself during data collection, so diagnostic inference bias is possible. The post-void residual indicator could not be assessed, and physical examination variables such as pelvic organ prolapse or laceration could not be confirmed because the study relied on interviews during the pandemic. Much of the information was based on participants' reports, so it was subjectively assessed. There were few comparable studies using the NOC Urinary Continence outcome, limiting comparison of NANDA-I diagnoses and NOC indicators. Because this was a cross-sectional assessment, it cannot show that any nursing intervention improved urinary continence.

Declared interests

The study was funded by the Maranhão Research and Scientific and Technological Development Foundation (FAPEMA). No author conflicts of interest are reported in the supplied text.

The easy way to misread this

Do not read the NOC indicator scores or the associations with mixed, stress, or urge urinary incontinence as evidence that a nursing assessment or education improves urinary incontinence. This was a cross-sectional study of women's reported urinary function, and it did not test an intervention.

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