Effect of Provider Education on Urinary Incontinence Knowledge and Assessment

Kendra L. Roloff, Patricia Parker, Rhonda Schafer-McLean, R. West
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Abstract

Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The Women’s Preventative Service Initiative released a recommendation in 2018 to screen all women annually for urinary incontinence. The recommendation was in response to the lack of women who seek care for urinary incontinence. The purpose of this project was to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants. A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were compared. An independent samples t-test, using a 95% confidence interval, was used to compare the pre- and posttest. Statistical significance (p-value Results indicate primary care providers who are educated about urinary incontinence in women demonstrate improved knowledge and assessment of the prevalent problem. Early intervention can soften the economic burden, improve quality of life, and improve treatment outcomes. Implementation of a urinary incontinence education program coupled with reminders can improve primary care knowledge and clinical decisions regarding urinary incontinence in women.
提供者教育对尿失禁知识及评价的影响
在美国,近50%的女性在一生中的某个时候会出现尿失禁。尿失禁影响女性生活的多个方面,但初级保健提供者的诊断仍然不足。妇女预防服务倡议于2018年发布了一项建议,每年对所有女性进行尿失禁筛查。该建议是针对缺乏寻求尿失禁护理的妇女的情况提出的。该项目的目的是对初级保健提供者进行教育和提醒,以提高对18岁或以上妇女的尿失禁知识和评估。该项目是在一家初级保健诊所进行的,参与者是初级保健提供者。采用准实验的一组前测后测设计。对五个问题的前测和后测数据进行了比较。使用95%置信区间的独立样本t检验来比较前后检验。统计学显著性(p值结果表明,接受过女性尿失禁教育的初级保健提供者对普遍存在的问题有了更好的了解和评估。早期干预可以减轻经济负担,提高生活质量,改善治疗效果。实施尿失禁教育计划加上提醒可以提高初级保健知识以及关于女性尿失禁的临床决策。
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