The effect of acupressure on urinary incontinence severity in older women with urinary incontinence: A randomized, single-blind, controlled trial

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-04-30 DOI:10.1016/j.aimed.2025.100499

Sana Motalebifar , Maryam Momeni , Mohammad Habibi , Farnoosh Rashvand

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引用次数: 0

Abstract

Background

Urinary incontinence is one of the problems that can affect different aspects of the older ’s lives and decrease their quality of life. Acupressure is recommended as a non-invasive method in the management of genitourinary system problems.

Objective

The present study aims to determine the effect of acupressure on urinary incontinence severity in older women with urinary incontinence in Qazvin, Iran, in 2024.

Method

This randomized, single-blind, controlled clinical trial included 82 women over 65, all members of two adult daycare centers. Participants were randomly assigned to an intervention or a control group. In the intervention group, participants received acupressure 12 times, targeting ten acupoints associated with urinary incontinence symptom control. The control group did not receive any interventions except routine care. Three assessment tools were used: the ATM questionnaire for evaluating mental status, the QUID questionnaire for diagnosing urinary incontinence, and the PRAFAB questionnaire for assessing urinary incontinence severity. Data were analyzed using descriptive and analytical statistical tests and SPSS software.

Results

Results showed no significant differences in demographic variables or urinary incontinence severity between the two groups baseline (p-value > 0.05). Immediately and one month post intervention, the total score and the scores of all items of urinary incontinence severity were lower in the intervention group than in the control group, and the difference between the two groups was statistically significant (p-value<0.05).

Conclusion

Acupressure appears to be effective in urinary incontinence severity in older women. Further studies are recommended to confirm these findings.

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穴位按压对老年女性尿失禁严重程度的影响：一项随机、单盲、对照试验

尿失禁是影响老年人生活方方面面并降低其生活质量的问题之一。穴位按压被推荐为治疗泌尿生殖系统问题的一种非侵入性方法。目的本研究旨在确定穴位按压对2024年伊朗Qazvin老年女性尿失禁严重程度的影响。方法本随机、单盲、对照临床试验纳入82名65岁以上的女性，均来自两家成人日托中心。参与者被随机分配到干预组和对照组。在干预组，参与者接受穴位按压12次，针对10个与尿失禁症状控制相关的穴位。对照组患者除常规护理外未接受任何干预。使用三种评估工具：用于评估精神状态的ATM问卷、用于诊断尿失禁的QUID问卷和用于评估尿失禁严重程度的PRAFAB问卷。采用描述性和分析性统计检验及SPSS软件对数据进行分析。结果结果显示，两组在人口统计学变量和尿失禁严重程度上基线无显著差异(p值>；0.05)。干预后即刻及1个月，干预组尿失禁严重程度总分及各项评分均低于对照组，两组差异有统计学意义（p值<；0.05）。结论穴位按压对老年妇女尿失禁严重程度有较好的治疗效果。建议进一步的研究来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.