Avaliação da perda involuntária de urina em mulheres a partir das taxonomias NANDA-I e NOC

Abstract

This study aimed to identify the level of impairment of urinary continence, through NOC, in women diagnosed with stress, urge or mixed urinary incontinence, according to NANDA-I. This is an analytical cross-sectional study carried out from October 2021 to May 2022, with women who had urinary incontinence and were being followed up at the gynecology and urology outpatient clinic of a university hospital, in a capital in northeastern Brazil. 97 women over 18 years of age participated in the survey. Data collection took place through an interview with the aid of a form that contained sociodemographic, gynecological and obstetrical variables, Nursing Diagnoses of Stress, Urgency and Mixed Urinary Incontinence, the severity scale of chronic incontinence and the indicators of the result of nursing Urinary Continence measured using the 5-point Likert Scale. The conceptual and operational definitions of the 19 indicators were elaborated by the researcher herself. For the descriptive analysis, relative and absolute frequencies were achieved. The average of the indicators were detected with the presence or absence of nursing diagnoses using the Mann-Whitney test. A significance level of 5% was adopted. The results accepted that the average age of the women was 50.7 years, most had a vaginal delivery (67%) and were in the menopause/climacteric period (57.7%). The Nursing Diagnosis Mixed Urinary Incontinence was the most prevalent (43.3%) and the most compromised indicators were: identifying medication that interferes with urinary control (mean 1.21), emptying the bladder completely (mean 2.07), loss of of urine with increased abdominal pressure (mean 2.23). In the presence of the Nursing Diagnosis Mixed Urinary Incontinence, the indicators that showed the greatest impairment were: reaching the bathroom between the desire and passing urine (p=0.022), urinating in an appropriate container (p=0.025) and emptying the bladder completely (p=0.037). This research showed the importance of the NOC taxonomy in the evaluation of women with urinary incontinence and the data received can contribute to the implementation of a more adapted nursing intervention.