Influência do grau de independência, padrão e qualidade de sono com a incontinência urinária em idosos institucionalizados

Abstract

Objective: To evaluate the influence of the independence level, standard and quality of sleep in the urinary disorders in the elderly institutionalized of the main long-term care institutions in the cities of Natal-RN and João Pessoa-PB. Methodology: cross-sectional study with 100 elderly aged 60 years old, living in long-term care institutions. For data collection, were the following instruments: Pittsburgh Sleep Quality Index-PSQI, Mini-Mental State Examination, Katz Index, International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and a form of identification. The description of the sample profile was performed according to the variables under study, through the preparation of tables with values of absolute and relative frequency of categorical variables. Were performed the chi-square or Fisher's Exact Test and Multiple Linear Regression Analysis using as a criterion p-value of 5%. Results: This study showed that there was a prevalence of urinary incontinence of 34% and a meaning association with urinary incontinence and smoking, hypertension, COPD and functional independence (p = 0.01). With respect to the components of the PSQI, only the daytime sleepiness (p= 0,009) and use of sleep medication (p=0,057) showed statistical significance. Conclusion: The results show the importance of preventive and educational measures aiming reduce the UI, as well as structural changes in institutions to facilitate access for the elderly to the bathroom. Thus, physical therapists can work in these institutions, expanding treatment options, taking into consideration the elderly as a whole and including this often overlooked.