D. Fonda et al., SUSTAINED IMPROVEMENT OF SUBJECTIVE QUALITY-OF-LIFE IN OLDER COMMUNITY-DWELLING PEOPLE AFTER TREATMENT OF URINARY-INCONTINENCE, Age and ageing, 24(4), 1995, pp. 283-286
We aimed to study the impact of conservative non-pharmacological, non-
surgical management on quality of life in elderly incontinent patients
. Community-dwelling patients age 60 years or older were randomized to
receive immediate or delayed conservative management. A number of que
stions relating to quality of life were administered at admission and
then at 2, 4, 8 and 12 months. By 4 months, incontinence was cured in
25% and improved in 63% of patients. The frequency and severity of inc
ontinence was reduced (p < 0.001), and deferment time was improved (p
< 0.01). There were statistically significant improvements in subjecti
ve quality of life measures at 4 and 12 months involving depression (p
< 0.001), isolation (p < 0.03), embarrassment (p < 0.001), laundry (p
< 0.001) and smell (p < 0.02) when comparing these Variables with ini
tial assessment. This effect did not appear to be a placebo effect as
evidenced by comparison with the delayed intervention group, and was s
ustained over 12 months. There are significant short- and long-term be
nefits to the quality of life of older patients with incontinence when
treated by conservative measures. Intervention studies should measure
and report quality of life as an outcome variable.