OTRNQualitativeWestern journal of nursing research2022

Women's Experiences of Interstitial Cystitis/Painful Bladder Syndrome.

Angela Kirkham, Katherine Swainston

PMID 33514302

WHAT IT FOUND

Women with interstitial cystitis described years of not being believed, repeated tests, and lost daily activities, work, sleep, and relationships.

They turned to online forums and self-management for answers and support. No treatment was tested.

Key findings

01Women described a long diagnostic journey with repeated referrals, tests, and feeling that their pain was not believed.

02Symptoms restricted everyday activities, work, leisure, and future plans.

03Women sought information and self-management strategies, often from online forums, after dissatisfaction with treatment.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

This was a qualitative study of written accounts, not a trial, so it cannot show that any treatment works or does not work. The 20 women were recruited from IC online forums, so they may have been more worried about IC or more interested in self-management than women with IC in general. Participants wrote retrospectively about experiences that could span many years, so recall bias may shape the accounts. Only women were included, although men can have IC, so the findings do not cover men's experiences. Diagnoses were self-reported, and the authors note IC diagnosis can be uncertain, so some participants may have had another condition. The lead researcher has personal experience of IC, which may have influenced analysis, although both authors coded independently and discussed themes. Participants were mainly from the UK and USA, so health care system differences may limit transferability.

Declared interests

The authors declared no potential conflicts of interest and received no financial support for the research, authorship, or publication.

The easy way to misread this

Do not read this as evidence that self-management, online forums, diet, bladder instillations, physical therapy, or pelvic floor exercises improve IC symptoms. The study asked women to describe their experiences and did not measure outcomes or compare treatments.

Read it on PubMed →