Title : Psychoemotional disorders in female patients with urinary incontinence as a medical and social problem
Abstract:
The problem of urinary incontinence is one of the leading ones in reducing the quality of life in women during pre- and postmenopausal periods, as well as in women of childbearing age. The issues of urinary incontinence treatment have been relevant for many decades. The prevalence of urinary incontinence in elderly and senile patients progresses gradually, leading to an increase in psychoemotional disorders.
The purpose of the research: Study of the incidence of psychoemotional disorders in patients of various ages with urinary incontinence and the impact on the quality of women’s life.
Material and research methods: The study involved patients aged 20-89 years with newly diagnosed urinary incontinence. A total of 281 patients were examined, including 56 (19,93%) patients aged 20–59 years, 156 (55,52%) elderly age, 69 (24,56%) senile age. The questionnaire survey was carried out according to the author's questionnaire developed by N.A. Kolpakova and S.G. Gorelik, consisting of 2 blocks: 24 special questions, aimed at determining the types of urination disorder, and 9 general questions determining assessing the quality of patient's life. The study of the association between urinary incontinence and psychoemotional disorders was carried out using the Hospital Anxiety and Depression Scale (HADS).
Research results: It was established that for middle-aged and elderly patients with urinary incontinence subclinical anxiety is significantly more characteristic, in old age with stress urinary incontinence - clinically pronounced anxiety with a subdepressant component, in middle and old age - subclinical anxiety, subclinical anxiety and depression, and clinically pronounced anxiety with a subdepressant component. Clinically pronounced anxiety and depression were significantly most associated with urgent urinary incontinence and complete urinary incontinence, as well as in women with severe comorbidity and risk factors for urinary incontinence. Patients with urinary incontinence accompanied by severe psychoemotional impairment assessed urinary incontinence as more severe and reported more severe deterioration in quality of life.
Psychoemotional disorders combined with urinary incontinence are common conditions in all age groups. Our study demonstrate that anxiety and depression are associated with all forms of urinary incontinence in women, with the strength of connecting increasing with increasing severity of conditions.
Audience Take Away:
- There is a need to identify and treat urinary incontinence in middle age for timely treatment and prevention of negative consequences.
- The study of psychoemotional symptoms among elderly women with urinary incontinence is crucial impotance for the formation of accurate ideas about the mental health and functioning of patients with urinary incontinence.
- The high prevalence of urinary incontinence in old age dictates the need for the introduction of active screening of psychoemotional disorders in urinary incontinence by medical workers, social workers, the use of self-questionnaires by patients. This will ensure timely high-quality diagnostics, prevent the socio-economic consequences of incontinence. At the same time, modern, maximally effective and sparing treatment will completely solve or significantly alleviate the problem of incontinence, and therefore significantly improve the quality of life of female patients, reduce the economic costs of treatment and rehabilitation.
- Thus, in modern conditions, when providing urological care to patients with urinary incontinence, the role of specialized psychological and psychiatric care as an important supplement to incontinence therapy accompanied by neurotic symptoms increases.
