Effectiveness of Educational Interventions on Knowledge, Attitudes, and Practices Related to Urinary Incontinence in Women: A Systematic Review Dayana Maia Saboia, Maria Laura Silva Gomes, Lia Gomes Lopes, Simony Lira Nascimento, José Ananias Vasconcelos Neto, et al. Journal of Wound Ostomy and Continence Nursing, 2025 PURPOSE: The purpose of this systematic review was to evaluate the effectiveness of educational interventions in improving knowledge, attitudes and/or practices (KAP) related to Urinary Incontinence (UI) in women. METHOD: Systematic review. SEARCH STRATEGY: We searched the databases PubMed, Cochrane, Scopus, Virtual Health Library and Embase and identified 467 potential records. We selected studies that measured any component of the KAP before and after an educational intervention. We excluded studies that used health care professionals as subjects. Two independent authors extracted data from the eligible studies using a standard form. We used the “Risk of Bias tool”, the Rob 2.0 tool, and the ROBINS-I tool to assess methodological quality of studies and possible sources of bias. Findings were synthesized qualitatively. FINDINGS/CONCLUSIONS: The sample comprised five studies. The non-randomized studies showed a low risk of bias, and randomized studies were classified as having “some concerns”. Most activities were conducted in classrooms and in group settings, with oral discussion of the theme and use of videos and brochures. Trained professionals delivered all interventions. Findings suggest that the educational interventions were effective in improving women’s knowledge and may improve attitudes and/or practices related to UI. Evidence related to the effect of these interventions was sparse. IMPLICATIONS: The differences in KAP found before and after interventions suggest that educational strategies improve women’s knowledge and may improve attitudes and practices related to UI, although additional research is needed to confirm these findings.
Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment Karine de Castro Bezerra, Maria Luziene de Sousa Gomes, Roger Rodrigues da Silva, Dayana Maia Saboia, José Ananias Vasconcelos Neto, et al. Revista Brasileira De Enfermagem, 2024 Objectives: to construct and assess an educational video to promote the adherence of women with pelvic organ prolapse to vaginal pessary use. Methods: this is a methodological study, with a longitudinal design and quantitative analysis. The pre-production (synopsis, argument, script, storyboard), production and post-production stages were covered. Content and technical assessments were carried out by judges from the health and communication areas, respectively, and appearance assessment by the target audience. Results: the video was the first to be developed on the topic on the national scene, considered assessed from the point of view of appearance and content, presenting an overall Content Validity Index of 0.99 and a level of agreement among judges of 91.1% to 100%. Assessment by the target audience reached a percentage of 96% to 100%. Conclusions: the educational video is an instrument capable of promoting adherence to pessary in women indicated for this therapeutic approach.
Unsuccessful misoprostol induction in pregnant women: an integrative review Juliana Oliveira Brito, Ana Kelve de Castro Damasceno, Ana Jéssica Silveira Rios, Jéssica Lourenço Carneiro, Guilherme Frederico Abdul Nour, et al. Africa Journal of Nursing and Midwifery, 2024 Objective: To analyze the evidence available in literature regarding unsuccessful labor induction with misoprostol in full-term pregnancies. Methods: This is an integrative review, carried out between January and November 2022, whose research question and descriptors were outlined using the PECO strategy. The searches were carried out in the MEDLINE, Web of Science, CINAHL, EMBASE and Scopus databases by two researchers independently as well as assessment. For the study selection and identification phase, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used. The risk of bias assessment of included articles was carried out using the Newcastle-Ottawa Scale. Results: A total of 3,674 articles were identified, and 84 were read in full, of which 11 comprised the review (n=9,010 pregnant women), published between 2005 and 2021, with the majority in the United States. Regarding the level of evidence, all articles were classified as 2b, assessed according to the design of each study. The study showed evidence regarding the following factors: High BMI (greater than 30 kg/m2), nulliparity, immature bishop, cervical length (greater than 30 mm), height, ethnicity (non-Caucasians from southern Europe) and fetal weight (greater equal to 4 kg). Conclusion: The objective study was achieved, having demonstrated six maternal factors and one fetal factor that can lead to unsuccessful induction. It is worth highlighting the need for evidence that incorporates the individuality of each characteristic and the contribution of this study to support the choice of the best conduct for each pregnancy on an individual basis stands out.
Unsuccessful misoprostol induction in pregnant women: an integrative review Juliana Oliveira Brito, Ana Kelve de Castro Damasceno, Ana Jéssica Silveira Rios, Jéssica Lourenço Carneiro, Guilherme Frederico Abdul Nour, et al. Acta Paulista De Enfermagem, 2024 Objective: To analyze the evidence available in literature regarding unsuccessful labor induction with misoprostol in full-term pregnancies. Methods: This is an integrative review, carried out between January and November 2022, whose research question and descriptors were outlined using the PECO strategy. The searches were carried out in the MEDLINE, Web of Science, CINAHL, EMBASE and Scopus databases by two researchers independently as well as assessment. For the study selection and identification phase, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used. The risk of bias assessment of included articles was carried out using the Newcastle-Ottawa Scale. Results: A total of 3,674 articles were identified, and 84 were read in full, of which 11 comprised the review (n=9,010 pregnant women), published between 2005 and 2021, with the majority in the United States. Regarding the level of evidence, all articles were classified as 2b, assessed according to the design of each study. The study showed evidence regarding the following factors: High BMI (greater than 30 kg/m2), nulliparity, immature bishop, cervical length (greater than 30 mm), height, ethnicity (non-Caucasians from southern Europe) and fetal weight (greater equal to 4 kg). Conclusion: The objective study was achieved, having demonstrated six maternal factors and one fetal factor that can lead to unsuccessful induction. It is worth highlighting the need for evidence that incorporates the individuality of each characteristic and the contribution of this study to support the choice of the best conduct for each pregnancy on an individual basis stands out.
The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review Mariana Alves Firmeza, Camila Teixeira Moreira Vasconcelos, José Ananias Vasconcelos Neto, Luiz Gustavo de Oliveira Brito, Flávio Mendes Alves, et al. Revista Brasileira De Ginecologia E Obstetricia, 2022 Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n = 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.
Prevalence of sarcopenia in older women with pelvic floor dysfunction Rávida R.L. Silva, Janaína F.V. Coutinho, Camila T.M. Vasconcelos, José Ananias Vasconcelos Neto, Rachel Gabriel B. Barbosa, et al. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2021
Clinical impact of bowel symptoms in women with pelvic floor disorders José Ananias Vasconcelos Neto, Camila Teixeira Moreira Vasconcelos, Sthela Maria Murad Regadas, Leonardo Robson Pinheiro Sobreira Bezerra, Kathiane Augusto Lustosa, et al. International Urogynecology Journal, 2017
Telephone interventions for adherence to colpocytological examination Thais Marques Lima, Centro Universitário Estácio do Ceará, Brazil, Ana Izabel Oliveira Nicolau, Francisco Herlânio Costa Carvalho, Camila Teixeira Moreira Vasconcelos, et al. Revista Latino Americana De Enfermagem, 2017
Inadequate practice related of the papanicolaou test among women Elainy Fabrícia Galdino Dantas Malta, Fabiane do Amaral Gubert, Camila Teixeira Moreira Vasconcelos, Emília Soares Chaves, João Marcos Ferreira de Lima Silva, et al. Texto E Contexto Enfermagem, 2017
[Risk factors for cancer of the cervix in women prisoners]. Saiwori de Jesus Silva Bezerra dos Anjos, Samila Gomes Ribeiro, Paula Renata Amorim Lessa, Ana Izabel Oliveira Nicolau, Camila Teixeira Moreira Vasconcelos, et al. Revista Brasileira De Enfermagem, 2013
