Symptom Burden: A Concept Analysis.

Abstract

Lack of conceptual clarity about symptom burden causes urinary incontinence to remain undertreated. We conducted a concept analysis using Rodgers' evolutionary method. A database and gray literature search were performed. Eight records were included. Attributes include genitourinary symptoms, psychological morbidity, and a negative sense of self. Antecedents are disruption to the pelvic floor, knowledge and perception, healthcare access and utilization, and patient and clinician-led interventions. Consequences are reduced quality of life, undesirable lifestyle modifications, stigma, and financial distress. Future research should include diverse populations and comprehensive measurement tools, and address barriers to care to improve health equity and outcomes.