Eriksson Irene, Olofsson Birgitta, Gustafson Yngve, Fagerström Lisbeth
School of Life Sciences, University of Skövde, Skövde, Sweden.
J Clin Nurs. 2014 May;23(9-10):1385-94. doi: 10.1111/jocn.12422. Epub 2013 Dec 20.
To describe and explore older women's experiences of having had repeated urinary tract infections (UTIs).
UTIs are one of the most common bacterial infections among older women. Approximately one-third of very old women suffer from at least one UTI each year. Despite the high incidence of UTI, little is known about the impact of UTI on health and daily life in older women.
A qualitative descriptive design.
A qualitative study using semi-structured interviews was conducted with 20 Swedish women aged 67-96 years who suffered from repeated UTIs the preceding year. The data were analysed using qualitative content analysis.
Two main themes were identified: being in a state of manageable suffering and depending on alleviation. Being in a state of manageable suffering was described in terms of experiencing physical and psychological health problems, struggling to deal with the illness and being restricted in daily life. Depending on alleviation was illustrated in terms of having access to relief but also receiving inadequate care.
This study demonstrated that UTIs are a serious health problem among older women that not only affects both physical and mental health but also has serious social consequences. The women in this study described the physical and psychological health problems, struggling to deal with the illness, being restricted in daily life, depending on access to relief and receiving inadequate care.
It is important to improve the knowledge about how UTI affects the health of older women. This knowledge may help nurses develop strategies to support these women. One important part in the supportive strategies is that nurses can educate these women in self-care.
描述并探究老年女性反复发生尿路感染(UTI)的经历。
UTI是老年女性中最常见的细菌感染之一。约三分之一的高龄女性每年至少患一次UTI。尽管UTI发病率很高,但关于UTI对老年女性健康和日常生活的影响却知之甚少。
质性描述性设计。
对20名年龄在67 - 96岁、前一年患有反复UTI的瑞典女性进行了半结构式访谈的质性研究。采用质性内容分析法对数据进行分析。
确定了两个主要主题:处于可控制的痛苦状态和依赖缓解措施。处于可控制的痛苦状态表现为经历身心健康问题、努力应对疾病以及日常生活受到限制。依赖缓解措施表现为能够获得缓解,但也存在护理不足的情况。
本研究表明,UTI是老年女性中的一个严重健康问题,不仅影响身心健康,还会产生严重的社会后果。本研究中的女性描述了身心健康问题、努力应对疾病、日常生活受到限制、依赖缓解措施以及护理不足的情况。
提高对UTI如何影响老年女性健康的认识很重要。这些知识可能有助于护士制定支持这些女性的策略。支持策略的一个重要部分是护士可以对这些女性进行自我护理教育。