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Help-seeking behaviour of women with urinary incontinence
Thesis (MScPhysio)--Stellenbosch University, 2017.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613914636746752 |
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| access_status_str | Open Access |
| author | Jacobs, Lonese Charmaine |
| author2 | Hanekom, Susan D. |
| author_browse | Hanekom, Susan D. Jacobs, Lonese Charmaine |
| author_facet | Hanekom, Susan D. Jacobs, Lonese Charmaine |
| author_sort | Jacobs, Lonese Charmaine |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MScPhysio)--Stellenbosch University, 2017. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/100981 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:43.080Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/100981 Help-seeking behaviour of women with urinary incontinence Jacobs, Lonese Charmaine Hanekom, Susan D. Van Rensburg, Kobus Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Physiotherapy. Urinary incontinence Women patients -- Behavior -- South Africa UCTD Thesis (MScPhysio)--Stellenbosch University, 2017. ENGLISH SUMMARY : Introduction: Since the prevalence of urinary incontinence has been established, interest in help-seeking behaviour of women has grown. Currently, data for African countries remain scarce. Published papers for help-seeking behaviour of women with urinary incontinence have focussed on specific demographical profiles. With the migration of the world’s population, it becomes important to understand help-seeking behaviour of multi-national, multi-racial or a mixed-population group of women. Gaining better understanding of help-seeking behaviour of a mixed group of women will offer clarity to assist service delivery planning and educational programs. Aims of this thesis is to summarise barriers and reasons for help-seeking behaviour in the literature and within a South African context. Method: An updated Integrative Literature Review done using Ganong’s six-step methodology. Two researchers searched 7 databases. All study designs were included. Inclusion criteria: papers published in English from 2006, non-institutionalised women presenting with urinary incontinence; reasons for and barriers to help-seeking. Objectives of the review were to summarize percentage of women seeking help; identify barriers and reasons for seeking help; and to describe factors associated with help-seeking behaviour. A descriptive cross-sectional study was chosen to describe the help-seeking behaviour of women who access Primary Healthcare services in the Cape Metropole. Data was collected in the Cape Metropole, Western Cape Province of South Africa. A custom-designed questionnaire was created from data extracted in the integrative literature review. The primary objective of the primary study was to determine the percentage of women who have sought treatment for urinary incontinence. Secondary objectives included determining prevalence of urinary incontinence; describing reasons for and barriers to seeking help; and to describe help received as well as patients’ perception of help received. Results Following the review of 1352 titles, 26 papers met the inclusion criteria. An average of 22.5% of women sought help. Nine reasons for seeking help and 22 barriers to seeking help were identified. Symptom severity and impact on quality of life were identified as the most reported reasons for seeking help. Normalising and embarrassment were reported as the most prevalent barriers to seeking help. The custom-designed questionnaire was completed by 667 women, response rate of 87.9%. One hundred and eighty-eight (28.2 %) women reported suffering from urinary incontinence and 46(25%) had sought help. Women who had sought treatment had a poorer perception of their general health (p=0.05) and experienced more severe symptoms (symptom severity p=0.02) compared to the group who had not sought help. Barriers to and reasons for seeking treatment were identified. A lack of knowledge that urinary incontinence could be treated was offered by most women, n=105 (74.5%), as their reason for not having sought help. Nearly half the women were too embarrassed to ask for help, n=58(41%), or felt uncomfortable discussing the condition with a male doctor, n=30(21.3%), or even a female doctor, n=6(4.3%). Thirty-eight (64.9%) women who sought help were offered treatment and 11(52.4%) were satisfied with treatment. Conclusion: The integrative literature review indicated help-seeking behaviour for urinary incontinence remains low amongst women. Help-seeking behaviour differs for women from different population groups. It is recommended to study the help-seeking behaviour of the group of women for whom the service will be offered. The primary study confirms previously reported data, indicating low help-seeking behaviour amongst women suffering from urinary incontinence. The primary study provided data for a mixed self-classified racial group of women within South Africa. The number of women suffering urinary incontinence were 28.2% and only 25% of women suffering from UI had sought help. Further research is required to determine healthcare professionals’ knowledge of urinary incontinence. Identification of available treatment options and accessibility of treatment needs further research. AFRIKAANSE OPSOMMING : Inleiding: Sedert the vasstelling van urinere inkontinensie, groei die belangstelling in die hulp-soekende gedrag van vroue wat presenteer met urinere inkontinensie. Tans, is data vir Afrika-lande skaars. Gepubliseerde artikels vir hulp-soekende gedrag van vroue met urinere inkontinensie het gefokus op spesifieke demografiese profiele. Met die verskuiwing van die wereld se bevolking, is dit belangrik om die hulp-soekende gedrag van 'n multi-nasionale, multi-rassige of 'n gemengde-bevolkingsgroep van vroue te verstaan. 'n Beter begrip van die hulp-soekende gedrag van 'n gemengde groep vroue sal duidelikheid bied sodat dienslewering en opvoedkundige programme beter beplan kan word. Doelstellings van hierdie tesis is om hindernisse en redes vir hulp-soekende gedrag in die literatuur en binne 'n Suid-Afrikaanse konteks te beskryf. Metode: ‘n Integrerende Literatuuroorsig is gedoen na aanleiding van Ganong se ses-stap metode. Twee navorsers het 7 databasisse deursoek. Alle studie-ontwerpe is ingesluit. Insluiting kriteria: referate gepubliseer in Engels vanaf 2006, nie-institusionele vroue wat presenteer met urinere inkontinensie; redes vir en struikelblokke tov help-soekende gedrag. Doelwitte van die literatuur hersiening is om die persentasie van vroue wat na hulp soek op te som; asook om struikelblokke te identifiseer en redes vir hulp-soekende gedrag op te som. Om faktore wat verband hou met die hulp-soekende gedrag van vroue in Suid Afrika te bepaal is 'n primere studie in die Kaapse Metropool, Wes-Kaap Provinsie van Suid-Afrika uitgevoer. 'n Spesiaal ontwerpte vraelys is saamgestel gebasseer op die data wat onttrek is uit die literatuur geidentifisser in die literatuur oorsig. 'n Beskrywende studie is gekies om die hulp-soekende gedrag van vroue wat toegang tot die Primere Gesondheidsorgdienste in die Kaapse Metropool het, te beskryf. Hoofdoelwit van die primere studie was om die persentasie van vroue wat behandeling soek te bepaal. Sekondere doelwitte het ingesluit die bepaling van die prevalensie van urinere inkontinensie, redes vir en hindernisse tot hulp-soekende gedrag in hierdie groep vroue te beskryf. Verder is die hulp wat ontvang is, sowel as pasiente se persepsie van die hulp wat ontvang is, beskryf. Resultate: Na afloop van die hersiening van 1352 titels, het 26 navorsing artikels aan die kriteria voldoen en dus ingesluit. 'n Gemiddeld van 22,5% van vroue het probeer om hulp te soek. Nege redes vir die soek van hulp en 22 hindernisse tot hulp soek is geidentifiseer. Die opname is voltooi deur 667 vroue, met ‘n responskoers van 87,9%. Honderd agt en tagtig (28.2%) vroue het berig dat hul ly aan urinere inkontinensie en 46 (25%) het hulp gesoek. Vroue wat behandeling gesoek het, het 'n swakker persepsie van hul algemene gesondheid (p = 0.05) en ervaar meer ernstige simptome (simptoom erns p = 0.02) in vergelyking met die groep wat nie hulp gesoek het nie. Hindernisse tot en redes vir die soek na behandeling is geidentifiseer. Agt en dertig (64,9%) vroue wat hulp gesoek het, is hulp aangebied en 11 (52,4%) was tevrede met die behandeling wat hul ontvang het. Gevolgtrekking: Die geintegreerde literatuuroorsig het aangedui dat hulp-soekende gedrag vir urinere inkontinensie laag bly onder vroue. Hulp-soekende gedrag verskil in vroue van verskillende bevolkingsgroepe. Daar word aanbeveel om die hulp-soekende gedrag van die groep vir wie die diens ontwerp moet word, te ondersoek. Die primere studie bevestig voorheen gerapporteerde data dat min vroue wat ly aan urinere inkontinensie, hulp soek. Die primere studie verskaf data vir 'n gemengde self geklassifiseerde rassegroep van vroue in Suid-Afrika. Die aantal vroue wat ly aan blaasbeheer probleme was 28,2% en slegs 25% van hierdie vroue het hulp gesoek. Om ‘n volwaardige diens daar te stel is verdere navorsing nodig om gesondheidswerkers se kennis van urinere inkontinensie te bepaal. Die identifisering van beskikbare behandelings opsies en toeganklikheid van die behandeling benodig ook verdere ondersoek. 2017-02-17T10:19:56Z 2017-03-29T11:53:49Z 2017-02-17T10:19:56Z 2017-03-29T11:53:49Z 2017-03 Thesis http://hdl.handle.net/10019.1/100981 en_ZA Stellenbosch University ii, 139 pages ; illustrations, includes annexures application/pdf application/vnd.ms-excel Stellenbosch : Stellenbosch University |
| spellingShingle | Urinary incontinence Women patients -- Behavior -- South Africa UCTD Jacobs, Lonese Charmaine Help-seeking behaviour of women with urinary incontinence |
| title | Help-seeking behaviour of women with urinary incontinence |
| title_full | Help-seeking behaviour of women with urinary incontinence |
| title_fullStr | Help-seeking behaviour of women with urinary incontinence |
| title_full_unstemmed | Help-seeking behaviour of women with urinary incontinence |
| title_short | Help-seeking behaviour of women with urinary incontinence |
| title_sort | help seeking behaviour of women with urinary incontinence |
| topic | Urinary incontinence Women patients -- Behavior -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/100981 |
| work_keys_str_mv | AT jacobslonesecharmaine helpseekingbehaviourofwomenwithurinaryincontinence |