Róin Ása, Nord Catharina
Department of Nursing Science, University of Faroe Islands, Tórshavn, Faroe Islands.
National Institute for the Study of Ageing and Later Life, Linkoping University, Tórshavn, Sweden.
Scand J Caring Sci. 2015 Dec;29(4):625-32. doi: 10.1111/scs.12190. Epub 2015 Jan 27.
Urine incontinence (UI) has been the focus of a considerable number of research projects; yet, there is no evidence that the research has had an impact on the prevalence of UI. Despite great impact on daily living, women seem to be reluctant to seek help from professionals or talk about the problem. Apart from this, scholars have noted that healthcare practitioners rarely ask older women about this health aspect and seem to minimise the problem when confronted with it.
The purpose of the study was to explore how meaning of UI was discursively constructed and negotiated by women bothered with long-term UI in the context of research interviews.
Seven women aged 60-65 living in the Faroe Islands were interviewed to elaborate on daily living with long-term UI. The interview texts were analysed by means of discourse analysis.
Three main themes emerged from the interviews. All the women related the disorder to their age and positioned themselves within the category 'old women' for whom UI was considered a normal condition. At the same time, they opposed to the idea that the condition was inevitable and accused their general practitioners of negligence by failing to take their complaints seriously. They felt ashamed of being incontinent and seemed to subject themselves to moral and aesthetic views about people who were not able to control their bladder function.
All the women used different cultural discourses to make meaning of UI and continuously negotiated these meanings. Avoiding public exposure of their leaking problem restricted their daily living, and the embarrassment of not being able to control their bladder function seemed to overrule any wish of actively dealing with their present condition.
尿失禁一直是众多研究项目的焦点；然而，尚无证据表明这些研究对尿失禁的患病率产生了影响。尽管尿失禁对日常生活有很大影响，但女性似乎不愿向专业人士寻求帮助或谈论这个问题。除此之外，学者们指出，医护人员很少询问老年女性这方面的健康问题，而且在面对这个问题时似乎将其重要性最小化。
本研究的目的是探讨在研究访谈的背景下，长期受尿失禁困扰的女性如何通过话语构建和协商尿失禁的意义。
对法罗群岛7名年龄在60 - 65岁之间的女性进行访谈，以详细了解她们长期尿失禁的日常生活情况。通过话语分析对访谈文本进行分析。
访谈中出现了三个主要主题。所有女性都将这种疾病与她们的年龄联系起来，并将自己定位在“老年女性”这一类别中，认为尿失禁对她们来说是一种正常状况。与此同时，她们反对这种状况不可避免的观点，并指责她们的全科医生疏忽大意，没有认真对待她们的投诉。她们为自己失禁感到羞耻，似乎将自己置于那些无法控制膀胱功能的人的道德和审美观念之下。
所有女性都使用不同的文化话语来理解尿失禁的意义，并不断协商这些意义。避免让尿失禁问题公开暴露限制了她们的日常生活，而无法控制膀胱功能所带来的尴尬似乎压倒了她们积极应对当前状况的任何愿望。
