When is better really better? Individuals' experiences of treatment for OAB with anticholinergic medication

Kinsey, Debbie; Alexander, Tim P. (Tim Paul); Glover, Lesley; Pretorius, Sara; Kraus, Sigurd; Duggan, Paul

Faculty of Health and Social Care; Faculty of Health and Social Care; Faculty of Health and Social Care; Faculty of Health and Social Care
Chronic illness; Health psychology; Overactive bladder; Psychology; Quality of life; Urinary incontinence
2016

Journal article


Rights
©2017 University of Hull
Abstract

Overactive bladder (OAB) has been found to have a number of psychological consequences, including anxiety, depression and shame. However, there is little research on how drug treatment, which has been found to be effective at reducing physical symptoms, impacts on these psychological effects. This study aimed to examine patients’ experiences of anticholinergic treatment for OAB, and the impact of both OAB and its treatment on psychological well-being. A cross-sectional, qualitative interview design with a secondary care outpatient sample was used. The approach was idiographic and sought to understand the detailed complexities and nuances of patient experiences. This small-scale qualitative study found that, even where there had been symptom reduction, patients did not feel ‘better’, and found it difficult to let go of worries and fears around OAB. These findings suggest that a person with OAB may need support even after a ‘successful’ treatment, as OAB continues to be at the centre of patients’ lives.

Publisher
The University of Hull
Peer reviewed
Yes
Language
English
Extent
529 KB
Identifier
hull:13660

Journal

Journal title
International journal of urological nursing
Publication date
2016
Publisher
Wiley
DOI
10.1111/ijun.12122
ISSN (Print)
1749-7701
ISSN (Electronic)
1749-771X
Volume
11
Issue
1
Start page
42
End page
51
Notes

This is the peer reviewed version of the following article: Kinsey, D., Alexander, T., Glover, L., Pretorius, S., Kraus, S. and Duggan, P. (2017), When is better really better? Individuals' experiences of treatment for OAB with anticholinergic medication. Int J Urol Nurs, 11: 42–51. doi:10.1111/ijun.12122, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/ijun.12122/full. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

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